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A 54-year-old male presents with high BP, obstructive sleep apnea and transient aphasia – an incidental right MCA bifurcation aneurysm is discovered – Should it be treated and how?
Surgical clipping? An endovascular approach? Join Profs. Jacques Moret and Laurent Spelle as they illustrate the different steps leading to their choice of an endovascular approach.
As the diagnostic angio shows a flat aneurysm with no neck, learn why they favor Y-stenting and coil delivery. See how this choice responds to the challenges involved in treating this specific aneurysm, such as preserving both branches of the bifurcation. Discover what stent they use and why they avoid braided stents. As the technique unfolds, understand the use of vasoCT in ensuring the correct deployment of the two stents in the bifurcation.
When the coiling begins within the aneurysm, learn why you need to “trust the protection” your stent offers and find out which sizes, types and numbers of coils were employed. How do you know when to stop coiling? Should you pack dense or not? What role does tension play in informing this decision? Discover the technique…and the spirited conversation that followed in this special case presentation from LINNC Singapore 2018 Asia edition….
These Recorded cases correspond to the highest ethical standards in medicine and are posted on LINNC Online for educational purposes only to allow medical professionals to improve their knowledge about these procedures and how to best treat their patients.
