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A novel technique for stent-assisted coil embolization of intracranial aneurysms: The wireless trans-cell approach
Author(s) -
Tomotaka Ohshima,
Reo Kawaguchi,
Ryuya Maejima,
Naoki Matsuo,
Shigeru Miyachi
Publication year - 2019
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 1793-5482
DOI - 10.4103/ajns.ajns_163_19
Subject(s) - medicine , aneurysm , stent , catheter , occlusion , radiology , posterior communicating artery , surgery
When inserting coils under stent deployment, a jailed microcatheter technique is typically applied as a first line approach. However, the trans cell approach might be required to achieve satisfactory complete occlusion. The trans cell approach occasionally ends in failure because the catheter cannot safely follow a proceeding guidewire into the aneurysm. Here, we report the new wireless trans cell approach (WTA), which allows feasible and safe catheter navigation through the stent strut into the aneurysm, without a proceeding guidewire.

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