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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 23:437-441, March 2002
© 2002 American Society of Neuroradiology

Case Report
INTERVENTIONAL

Stent-assisted Coil Placement in a Wide-necked Persistent Trigeminal Artery Aneurysm with Jailing of the Trigeminal Artery: A Case Report

Mohammed I. Mohammed^a, Johnny S. Sandhu^a and Ajay K. Wakhloo^a

^a Section of Neuroendovascular Surgery and Interventional Neuroradiology, Departments of Radiology and Neurological Surgery, University of Miami School of Medicine, FL

Address reprint requests to Ajay K. Wakhloo, MD, PhD, Section of Neuroendovascular, Surgery and Interventional Neuroradiology, Departments of Radiology and Neurological Surgery, University of Miami School of Medicine, 1611 NW 12th Avenue, WW279, Miami, FL 33101

Summary: We report the successful stent placement and secondary coil placement in a wide-necked persistent trigeminal artery (TA) aneurysm, in which the internal carotid artery (ICA) was preserved and the TA "jailed." Nine-month follow-up angiography revealed a completely obliterated aneurysm and patent parent ICA and TA. MR images obtained at 16-mo follow-up showed no infarction of the brain in the distribution of the jailed TA. The risks of stent jailing and possible solutions are discussed.