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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleNeurointervention

Evaluation of a Neck-Bridge Device to Assist Endovascular Treatment of Wide-Neck Aneurysms of the Anterior Circulation

K. De Keukeleire, P. Vanlangenhove and L. Defreyne
American Journal of Neuroradiology January 2008, 29 (1) 73-78; DOI: https://doi.org/10.3174/ajnr.A0767
K. De Keukeleire
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P. Vanlangenhove
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L. Defreyne
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    Fig 1.

    A, Patient 8: right carotid DSA shows a carotid bifurcation aneurysm, partially recanalized due to coil compaction after coil-only embolization 6 months before. B, Plain digital image shows the compacted coils and, partially, the 3 nitinol petals of the TriSpan-10 device (arrows). C, Right carotid DSA shows thrombus (arrows) at the bifurcation in front of the neck. D, Right carotid DSA 1 day after treatment with intra-arterial urokinase and intravenous glycoprotein IIb/ IIIa receptor inhibitor demonstrates resolution of the thrombus and a “dog ear” at the medial site of the neck (arrow).

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    Fig 2.

    A, Patient 1: left carotid DSA shows a wide-neck MCA aneurysm with temporal and parietal branches (arrows) originating from the base. The TriSpan-12 is already in position. B, Plain digital image of a TriSpan configuration. The 3 nitinol “petals” are partially marked with platinum (arrowheads) and fixed by a coiled platinum “stem” wire (arrow). Markers of the coiling microcatheter (with the first coil inside) are indicated by asterisks. The proximal marker of the TriSpan-carrying microcatheter is indicated by a white arrow. C, Control left carotid DSA after embolization shows a “dog ear” (arrow) at the neck-parent vessel junction. D, Left carotid DSA at 8 months shows recurrence at the neck (asterisk) by coil compaction. E, Left carotid DSA after recoiling again shows a “dog ear” (arrow) at the neck-parent vessel junction.

  • Fig 3.
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    Fig 3.

    A, Patient 14: left carotid DSA shows the asymmetric placement of the 3 TriSpan nitinol loops (arrows) at the neck of the aneurysm. B, Left carotid DSA shows complete occlusion of the aneurysm.

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American Journal of Neuroradiology: 29 (1)
American Journal of Neuroradiology
Vol. 29, Issue 1
January 2008
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K. De Keukeleire, P. Vanlangenhove, L. Defreyne
Evaluation of a Neck-Bridge Device to Assist Endovascular Treatment of Wide-Neck Aneurysms of the Anterior Circulation
American Journal of Neuroradiology Jan 2008, 29 (1) 73-78; DOI: 10.3174/ajnr.A0767

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Evaluation of a Neck-Bridge Device to Assist Endovascular Treatment of Wide-Neck Aneurysms of the Anterior Circulation
K. De Keukeleire, P. Vanlangenhove, L. Defreyne
American Journal of Neuroradiology Jan 2008, 29 (1) 73-78; DOI: 10.3174/ajnr.A0767
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  • Coil Occlusion of Wide-Neck Bifurcation Aneurysms Assisted by a Novel Intra- to Extra-Aneurysmatic Neck-Bridging Device (pCONus): Initial Experience
  • Double Stent-Assisted Coil Embolization Treatment for Bifurcation Aneurysms: Immediate Treatment Results and Long-Term Angiographic Outcome
  • Endovascular Treatment of Wide-Neck Middle Cerebral Artery Aneurysms with Stents: A Review of 16 Cases
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