Successful combination therapy with parallel stent-graft placement and coil embolization for a treatment of a fusiform brachiocephalic artery aneurysm: A case report

Abstract

Purpose: Development of a novel interventional approach for treatment of a fusiform brachiocephalic artery aneurysm in a patient for whom direct surgery could not be performed due to a systemic complication. Methods: As the distal side of the aneurysm involved both the common carotid and subclavian arteries, a combination of parallel stenting and coil embolization was used to avoid disturbing the blood flow in each artery. Result: Successful endovascular obliteration of the aneurysm was achieved with preservation of the common carotid and subclavian arteries without any ischemic complications. Conclusion: To our knowledge, this is the first report describing combined use of coil embolization and parallel stenting for treatment of a fusiform brachiocephalic artery aneurysm. This therapeutic approach is an excellent alternative that should be considered as a treatment option for this type of aneurysm. © 2008, The Japanese Society for Neuroendovascular Therapy. All rights reserved.