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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 24:1814-1818, October 2003
© 2003 American Society of Neuroradiology

INTERVENTIONAL

Stent-within-a-Stent Technique for the Treatment of Dissecting Vertebral Artery Aneurysms

Bharat Mehta^a, Tom Burke^a, Max Kole^b, Ali Bydon^b, Donald Seyfried^b and Ghaus Malik^b

^a Department of Radiology, Henry Ford Hospital, Detroit, MI
^b Department of Neurosurgery, Henry Ford Hospital, Detroit, MI

Address reprint requests to Ali Bydon, MD, Department of Neurosurgery, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202

Summary: Subarachnoid hemorrhage from dissecting vertebral artery aneurysms is a well-known phenomenon. With the advent of navigable intracranial stents, these aneurysms are now amenable to endovascular stent placement. However, immediate aneurysm obliteration is often not accomplished, and current covered stents have poor short-term patency rates. We report a series of three patients with intradural dissecting vertebral artery aneurysms treated with a novel endovascular stent-within-a-stent construct using currently available stent technology.

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