Percutaneous intracranial stent placement for aneurysms

Patrick P. Han, Felipe C. Albuquerque, Francisco A. Ponce, Christopher I. MacKay, Joseph M. Zabramski, Robert F. Spetzler, Cameron G. McDougall

Research output: Contribution to journalArticlepeer-review

73 Scopus citations


Object. Intracranial stent placement combined with coil embolization is an emerging procedure for the treatment of intracranial aneurysms. The authors report their results using intracranial stents for the treatment of intracranial aneurysms. Methods. A prospectively maintained database was reviewed to identify all patients with intracranial aneurysms that were treated with intracranial stents. Ten lesions, including eight broad-based aneurysms and two dissecting aneurysms, were treated in 10 patients. Four lesions were located in the cavernous segment of the internal carotid artery, two at the vertebrobasilar junction, two at the basilar trunk, one at the basilar apex, and one in the intracranial vertebral artery. Attempts were made to place stents in 13 patients, but in three the stents could not be delivered. Altogether, intracranial stents were placed in 10 patients for 10 lesions. Results. that were determined to be satisfactory angiographically were achieved in all 10 lesions. Two patients suffered permanent neurological deterioration related to stent placement. In two patients, the aneurysm recurred after stent-assisted coil embolization. In one case of recurrence a second attempt at coil embolization was successful, whereas in the second case of recurrence parent vessel occlusion was required and well tolerated. Conclusions. Intracranial stents can be a useful addition to coil embolization by providing mechanical, hemodynamic, and visual benefits in the treatment of complex, broad-based aneurysms.

Original languageEnglish (US)
Pages (from-to)23-30
Number of pages8
JournalJournal of neurosurgery
Issue number1
StatePublished - Jul 1 2003
Externally publishedYes


  • Aneurysm
  • Embolization
  • Intracranial stent

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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