CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2022; 11(01): 055-060
DOI: 10.1055/s-0041-1730103
Original Article

Y Stenting in Wide-Necked Bifurcation Aneurysms: A Single-Center Experience

1   Department of Neurointervention, Medanta, The Medicity, Gurugram, Haryana, India
,
1   Department of Neurointervention, Medanta, The Medicity, Gurugram, Haryana, India
,
Vinit Banga
1   Department of Neurointervention, Medanta, The Medicity, Gurugram, Haryana, India
,
1   Department of Neurointervention, Medanta, The Medicity, Gurugram, Haryana, India
,
Gaurav Goel
1   Department of Neurointervention, Medanta, The Medicity, Gurugram, Haryana, India
› Author Affiliations

Abstract

Stent-assisted coiling is an endovascular means of managing wide-necked bifurcation aneurysms. In spite of the wide availability of various newer devices in managing such difficult aneurysms, the Y stenting offers a safe and cost-effective alternative to treat such cases in resource poor settings. This article provides an insight of our initial six cases of Y stent-assisted coiling along with their follow-up over a period of 6 months with no recanalization in any case. It also highlights the various technical aspects involved in such cases. One case had recurrent subdural hematoma probably due to use of antiplatelets and another patient had sudden dip in level of consciousness probably due to hematoma expansion that might also have been due to antiplatelet usage. However, none of the cases had any issues regarding stent migration, malapposition, and dissection. In our experience, Neuroform Atlas stent used for Y stenting offers a safe and technically easy alternative to various newer bifurcation devices.



Publication History

Article published online:
13 January 2022

© 2022. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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