{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:41:21Z","timestamp":1777876881544,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T00:00:00Z","timestamp":1588118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neuroradiol J"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:p>Preservation of the posterior cerebral arteries during endovascular treatment of wide-neck basilar bifurcation aneurysms remains a technical challenge despite recent device innovations. We present a novel stent deployment technique, the \u2018railroad switch\u2019, to protect both posterior cerebral arteries during treatment of a recurrent basilar bifurcation aneurysm. Following asymmetric basilar\u2013posterior cerebral artery stent deployment, favoring distal placement in a posterior cerebral artery, advancement of a jailed microcatheter will advance the proximal stent into the aneurysm, protecting both posterior cerebral arteries and the native basilar terminus. This novel maneuver offers interventionalists another application of commonly used intracranial stents for endovascular management of complex basilar bifurcation aneurysms.<\/jats:p>","DOI":"10.1177\/1971400920919688","type":"journal-article","created":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T06:11:18Z","timestamp":1588140678000},"page":"324-327","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["\u2018Railroad switch\u2019 technique for stent-assisted coil embolization of a wide-neck bifurcation intracranial aneurysm: technical note"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1302-0655","authenticated-orcid":false,"given":"Daniel M","family":"Heiferman","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Loyola University Stritch School of Medicine, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew R","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Loyola University Stritch School of Medicine, USA"},{"name":"Department of Radiology, Loyola University Stritch School of Medicine, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arra S","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Radiology, Edward Hines Jr VA Hospital, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph C","family":"Serrone","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Loyola University Stritch School of Medicine, USA"},{"name":"Department of Radiology, Loyola University Stritch School of Medicine, USA"},{"name":"Department of Neurological Surgery, Edward Hines Jr VA Hospital, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,4,29]]},"reference":[{"key":"bibr1-1971400920919688","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1997.87.6.0944"},{"key":"bibr2-1971400920919688","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4834"},{"key":"bibr3-1971400920919688","doi-asserted-by":"publisher","DOI":"10.3171\/2014.10.JNS141361"},{"key":"bibr4-1971400920919688","first-page":"258","volume":"58","author":"Horowitz M","year":"2006","journal-title":"Neurosurgery"},{"key":"bibr5-1971400920919688","doi-asserted-by":"publisher","DOI":"10.4103\/2152-7806.109810"},{"key":"bibr6-1971400920919688","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2000.93.4.0561"},{"key":"bibr7-1971400920919688","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1992.77.4.0515"},{"key":"bibr8-1971400920919688","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2016.01.035"},{"key":"bibr9-1971400920919688","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3479"},{"key":"bibr10-1971400920919688","unstructured":"Du EH, Shankar JJ. LVIS Jr \u2018shelf\u2019 technique: an alternative to Y stent-assisted aneurysm coiling.\n                      J Neurointervent Surg\n                      2016; 9: 1191-1196."},{"key":"bibr11-1971400920919688","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyx085"},{"key":"bibr12-1971400920919688","doi-asserted-by":"crossref","unstructured":"Fiorella D, Molyneux A, Coon A, et\u00a0al. Demographic, procedural and 30-day safety results from the WEB Intra-saccular Therapy Study (WEB-IT).\n                      J Neurointervent Surg\n                      2017; 9: 1191-1196.","DOI":"10.1136\/neurintsurg-2016-012841"},{"key":"bibr13-1971400920919688","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2015-011898"}],"container-title":["The Neuroradiology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1971400920919688","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1971400920919688","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1971400920919688","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:35:20Z","timestamp":1777588520000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1971400920919688"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,29]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1177\/1971400920919688"],"URL":"https:\/\/doi.org\/10.1177\/1971400920919688","relation":{},"ISSN":["1971-4009","2385-1996"],"issn-type":[{"value":"1971-4009","type":"print"},{"value":"2385-1996","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,29]]}}}