Enterprise Deployment Through PulseRider To Treat Anterior Communicating Artery Aneurysm Recurrence

Area of Science:

• Neurosurgery
• Endovascular techniques
• Cerebrovascular disease

Background:

• The PulseRider is an endovascular device for wide-neck bifurcation intracranial aneurysms.
• Treating aneurysm recurrence after PulseRider placement is a clinical challenge.

Observation:

• A case report details treating a recurrent anterior communicating artery aneurysm.
• An Enterprise 2 stent was successfully deployed through a previously placed PulseRider.

Findings:

• The Enterprise stent expanded correctly after deployment through the PulseRider.
• This facilitated adequate re-coiling of the recurrent aneurysm.

Implications:

• This technique demonstrates the feasibility of safely opening a stent through a PulseRider.
• It offers a potential solution for managing aneurysm recurrence after initial treatment with PulseRider.