{"title":"救援华夫锥技术处理支架移位到目标动脉瘤。","authors":"Jun Kyeung Ko","doi":"10.7461/jcen.2025.E2025.03.001","DOIUrl":null,"url":null,"abstract":"<p><p>Stent-assisted coiling is an essential technique for managing wide-neck intracranial aneurysms. However, complications such as stent dislodgement can pose significant challenges, potentially compromising procedural success and patient outcomes. We present the case of a 73-year-old woman with an unruptured basilar tip aneurysm who experienced intra-procedural stent dislodgement into the target aneurysm during a Y-stent-assisted coiling attempt. Recognizing the instability of the displaced stent and the risk of further complications, we employed a modified \"waffle cone technique\" using a Solitaire AB stent to successfully secure the aneurysm while preserving parent vessel patency. This case highlights the importance of prompt recognition and innovative problem-solving strategies in managing stent-related complications during neuro-interventions. The rescue waffle cone technique represents a viable alternative for addressing complex stent dislodgement scenarios and improving patient outcomes.</p>","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Rescue waffle cone technique for managing stent dislodgement into a target aneurysm.\",\"authors\":\"Jun Kyeung Ko\",\"doi\":\"10.7461/jcen.2025.E2025.03.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Stent-assisted coiling is an essential technique for managing wide-neck intracranial aneurysms. However, complications such as stent dislodgement can pose significant challenges, potentially compromising procedural success and patient outcomes. We present the case of a 73-year-old woman with an unruptured basilar tip aneurysm who experienced intra-procedural stent dislodgement into the target aneurysm during a Y-stent-assisted coiling attempt. Recognizing the instability of the displaced stent and the risk of further complications, we employed a modified \\\"waffle cone technique\\\" using a Solitaire AB stent to successfully secure the aneurysm while preserving parent vessel patency. This case highlights the importance of prompt recognition and innovative problem-solving strategies in managing stent-related complications during neuro-interventions. The rescue waffle cone technique represents a viable alternative for addressing complex stent dislodgement scenarios and improving patient outcomes.</p>\",\"PeriodicalId\":94072,\"journal\":{\"name\":\"Journal of cerebrovascular and endovascular neurosurgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of cerebrovascular and endovascular neurosurgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.7461/jcen.2025.E2025.03.001\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of cerebrovascular and endovascular neurosurgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7461/jcen.2025.E2025.03.001","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Rescue waffle cone technique for managing stent dislodgement into a target aneurysm.
Stent-assisted coiling is an essential technique for managing wide-neck intracranial aneurysms. However, complications such as stent dislodgement can pose significant challenges, potentially compromising procedural success and patient outcomes. We present the case of a 73-year-old woman with an unruptured basilar tip aneurysm who experienced intra-procedural stent dislodgement into the target aneurysm during a Y-stent-assisted coiling attempt. Recognizing the instability of the displaced stent and the risk of further complications, we employed a modified "waffle cone technique" using a Solitaire AB stent to successfully secure the aneurysm while preserving parent vessel patency. This case highlights the importance of prompt recognition and innovative problem-solving strategies in managing stent-related complications during neuro-interventions. The rescue waffle cone technique represents a viable alternative for addressing complex stent dislodgement scenarios and improving patient outcomes.