Wide-neck intracranial aneurysms remain a
challenge to endovascular treatment. We describe
our experience in repairing wide-neck
aneurysms of the anterior circulation located at
arterial branch points using coil embolization
assisted by Y-stenting using two Solitaire® stents.
Six wide-neck intracranial aneurysms located
on the middle cerebral artery bifurcation 3, pericallosal
artery 1, and anterior communicating
artery 2 were repaired by Y-stent-assisted coil
embolization using two Solitaire® stents. Four
cases were incidental findings of aneurysm and
two cases were previously treated ruptured aneurysms
that had undergone recanalization.
All the cases were successfully treated without
complications. Follow-up by digital subtraction
angiography and magnetic resonance angiography
at six months showed the stents to be patent
with no recanalization of the aneurysm sacs.
Repairing wide-neck aneurysms of the anterior
circulation by Y-stent-assisted coil embolization
using two Solitaire® stents is a simple
and safe method of treating complex aneurysms.
While the results are promising, larger
series with longer term follow-ups are needed to
corroborate that this treatment method is superior
to other technique