Y-Stent-assisted coiling for MCA bifurcation aneurysm

Gaurav Goel and his team at Medanta Hospital (India) performed a live case demonstrating the successful treatment of a complex, wide-necked left middle cerebral artery (MCA) bifurcation aneurysm. The patient, a 51-year-old male presenting with a severe holocranial headache, had previously undergone coiling for a ruptured DACA aneurysm. This session highlights step-by-step technical strategies for managing challenging bifurcation anatomies using a dual open-cell stent construct.

Technical execution and Y-Stent construction

To reconstruct the MCA bifurcation and secure optimal neck coverage, operators selected a Y-Stent-assisted coiling strategy. Using an 0.71-inch Polaris guiding catheter and SL-10 microcatheter, 3x21 mm Neuroform Atlas stents were sequentially deployed from both the superior and inferior divisions into the main stem, paired with target coils.

Watch the complete live procedure to unveil the step-by-step strategy, discover how the team faced the loss of microcatheter positionning and listen to the expert panel's live commentary and technical discussion.

Y-Stent-assisted coiling for Left MCA bifurcation aneurysm

Live Case Transmission from Medanta - The Medicity Hospital, Gurugram, India

Technical execution and Y-Stent construction

Sign to LINNC online