“Stent-within-a-Stent” technique for the endovascular treatment of giant aneurysm of basilar artery bifurcation: A case report

Ivan Vukasinovic, MD, PhD; Zarko Nedeljkovic, MD; Aleksandra Nedeljkovic, MD; Masa Petrovic, BS, MS; Marija Jovanovic Macvanski, MD, PhD; Vladimir Bascarevic, MD, PhD; Mirko Micovic, MD, PhD; Marina Milic, MD; Uros Mircic, MD; Rosanda Ilic, MD, PhD; Danica Grujicic, MD, PhD

Radiology Case Reports (Jun 2024)

“Stent-within-a-Stent” technique for the endovascular treatment of giant aneurysm of basilar artery bifurcation: A case report

Ivan Vukasinovic, MD, PhD,
Zarko Nedeljkovic, MD,
Aleksandra Nedeljkovic, MD,
Masa Petrovic, BS, MS,
Marija Jovanovic Macvanski, MD, PhD,
Vladimir Bascarevic, MD, PhD,
Mirko Micovic, MD, PhD,
Marina Milic, MD,
Uros Mircic, MD,
Rosanda Ilic, MD, PhD,
Danica Grujicic, MD, PhD

Affiliations

Ivan Vukasinovic, MD, PhD: Center for Radiology and MRI, University Clinical Center of Serbia, Pasterova 2, Serbia; Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia
Zarko Nedeljkovic, MD: Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia; Corresponding author.
Aleksandra Nedeljkovic, MD: Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia
Masa Petrovic, BS, MS: Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia; Institute for Cardiovascular Diseases “Dedinje”, Heroja Milana Tepica 1, Belgrade, Serbia
Marija Jovanovic Macvanski, MD, PhD: Center for Radiology and MRI, University Clinical Center of Serbia, Pasterova 2, Serbia; Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
Vladimir Bascarevic, MD, PhD: Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia; Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
Mirko Micovic, MD, PhD: Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia; Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
Marina Milic, MD: Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia; Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
Uros Mircic, MD: Center for Radiology and MRI, University Clinical Center of Serbia, Pasterova 2, Serbia
Rosanda Ilic, MD, PhD: Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia; Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia
Danica Grujicic, MD, PhD: Clinic for Neurosurgery, University Clinical Center of Serbia, Koste Todorovica 4, Serbia; Faculty of Medicine, University of Belgrade, Doktora Subotica Starijeg 8, Serbia

Journal volume & issue: Vol. 19, no. 6
pp. 2402 – 2407

Abstract

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Stents have become very important devices in the treatment of intracranial aneurysms. Flow diverters as high metal coverage stents are developed for hemodynamic treatment of challenging intracranial aneurysms. High level of metal coverage can also be achieved by implementing regular stents telescopically one in another. We present the case of a patient successfully treated for giant aneurysm of basilar artery bifurcation by a “Stent-within-a-Stent” technique. After stent implantation, coil embolization was performed using multiple-sized platinum helical coils. Control angiography performed at the end of the procedure revealed aneurysm occlusion. After 3 years, the patient is fully neurologically recovered, without pyramidal deficit, independently active and able to work.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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