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Stents for intracranial wide-necked aneurysms: more than mechanical protection

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Abstract

Treatment of wide-necked aneurysms by endovascular coil embolization usually requires mechanical aids in order to protect the parent artery from occlusion due to extension of coils or thrombosis. Endovascular stents are one tool that can be deployed to solve this essentially mechanical problem. The effect of a stent placed in the situation may also act as a hemodynamically active flow diverter. Endovascular stents used in other circumstances are prone to the unwanted side effect of neoinitmal proliferation, but this phenomenon should be seen as a potential asset for “aneurysmal stents” because it may lead to a reaction that contributes to vessel wall healing.

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Conflict of interest statement

The authors are both consultants for Boston Scientific; additionally, I. Wanke consults for Microvention and ev3.

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  1. Department of Diagnostic and Interventional, Radiology and Neuroradiology, University Hospital of Essen, Hufelandstraße 55, 45147, Essen, Germany

    Isabel Wanke & Michael Forsting

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  1. Isabel Wanke
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  2. Michael Forsting
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Correspondence to Michael Forsting.

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Wanke, I., Forsting, M. Stents for intracranial wide-necked aneurysms: more than mechanical protection. Neuroradiology 50, 991–998 (2008). https://doi.org/10.1007/s00234-008-0460-0

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