Hybrid, Y-configured, dual stent-assisted coil embolization in the treatment of wide-necked bifurcation XXXX .

@entity1 @entity510 @entity16 @entity439 @entity850 @entity204 @entity438
UNASSIGNED: In Y-stenting, stabilization of the first stent may be problematic as in some cases it migrates during second stent insertion. This report evaluates the safety and effectiveness of the technique and presents the long-term results of hybrid, Y-configured, dual stent-assisted coil embolization in the treatment of wide-necked bifurcation @entity439 . We retrospectively evaluated the @entity1 treated endovascularly due to @entity438 . Twenty @entity1 treated with hybrid Y-stent-assisted coil embolization were enrolled in the study. In hybrid stenting, an open-cell intracranial stent (Neuroform) was used as a first stent to prevent stent migration. A closed-cell stent (Enterprise or Acclino) was used as a second stent and the @entity439 was embolized with coils between the stent struts. In all @entity1 , hybrid Y-stenting and coil embolization were accomplished successfully. No stent migration occurred. Clinically, neither symptomatic @entity16 nor @entity204 was seen. Of 20 wide-necked bifurcation @entity439 , nine were at the basilar tip, while seven were at the middle cerebral artery and three at the anterior communicating artery. In one @entity1 , the @entity439 was at the A2-3 junction of the anterior cerebral artery. One of the @entity1 had a @entity510 . The mean angiographic follow-up was 25.6 months. No in-stent @entity850 was seen in any of the @entity1 and recanalization in only one. Hybrid, Y-configured, dual stent-assisted coil embolization is a safe and effective method in the treatment of wide-necked bifurcation @entity439 to prevent stent migration and @entity439 recanalization, and is a viable alternative to microsurgery.
