Hybrid Y stenting with the waffle-cone: A technical note

Nicola Limbucci, Sergio Nappini, Leonardo Renieri, Arturo Consoli, Andrea Rosi, Giovanni Grillea, Marcello Bartolo, Salvatore Mangiafico

Research output: Contribution to journalArticle

Abstract

Endovascular treatment of wide-neck bifurcation aneurysms is challenging and often requires adjunctive techniques and devices. We report our experience with the hybrid Y stenting with the waffle-cone technique, combining Y stent-assisted coiling and waffle-cone stenting techniques. This approach has been described only in a single case report using a combination of open and closed cell stents. We describe four cases treated by hybrid Y stenting with the waffle-cone procedure with a variation from the originally reported technique, consisting in deploying two closed cell stents. All patients were successfully treated without complications. We propose hybrid Y stenting with the waffle-cone for the treatment of wide-neck bifurcation aneurysms as a bailout technique after failure of Y stent-assisted coiling.

Original languageEnglish
Pages (from-to)677-685
Number of pages9
JournalInterventional Neuroradiology
Volume20
Issue number6
DOIs
Publication statusPublished - Nov 1 2014

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Keywords

  • Embolization
  • Intracranial aneurysm
  • Stent

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

Cite this

Limbucci, N., Nappini, S., Renieri, L., Consoli, A., Rosi, A., Grillea, G., Bartolo, M., & Mangiafico, S. (2014). Hybrid Y stenting with the waffle-cone: A technical note. Interventional Neuroradiology, 20(6), 677-685. https://doi.org/10.15274/INR-2014-10065