Single stent transverse-configuration in assisted coiling treatment of a double anterior communicating aneurysm

Abstract

The stent-assisted coiling technique is more and more used for the anterior communicating aneurysms (AcomA) treatment due to the increasing incidence of complex and wide-necked aneurysms at this level. Different arrangements of a single stent for assisted coil embolization have been described. The transverse-configuration from A1-Acom-Contralateral A1 stent-assisted coiling procedure was previously reported as a feasible, effective, and relatively safe endovascular technique used to treat wide-necked complex AcomA aneurysms. In this article, we presented a technique involving transverse stenting through the AcomA via the dominant A1 and discuss some particular technical difficulties.