Enterprise Deployment Through PulseRider To Treat Anterior Communicating Artery Aneurysm Recurrence

Publication date: February 2018
Source:World Neurosurgery, Volume 110
Author(s): Iacopo Valente, Nicola Limbucci, Sergio Nappini, Andrea Rosi, Antonio Laiso, Salvatore Mangiafico
BackgroundPulseRider (Pulsar Vascular, Los Gatos, California, USA) is a new endovascular device designed to treat wide-neck bifurcation intracranial aneurysms. Deployment of a stent through a PulseRider to treat an aneurysm's recurrence has never been described before.Case DescriptionWe report the case of a 55-year-old man who underwent coiling of an 8-mm anterior communicating artery aneurysm with assistance of a PulseRider neck reconstruction device. The 6-month digital subtraction angiography control showed aneurysm recurrence, so we deployed an Enterprise 2 closed-cell stent (Codman, Miami Lakes, Florida, USA) in the A1-A2 segment passing across the previously implanted PulseRider. Enterprise correctly expanded and allowed for adequate coiling of the aneurysm.ConclusionAn Enterprise stent can be safely opened through a PulseRider in order to treat aneurysm recurrence.



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