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100 Interesting Case Studies in Neurointervention: Tips and Tricks pp 61–63Cite as

Dissecting Aneurysm of MCA: Stent-Assisted Coiling

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Abstract

A 54-year-old hypertensive female presented with subarachnoid hemorrhage (Fisher grade III). She was clinically well preserved (Hunt and Hess grade II). DSA revealed a fusiform aneurysm at left MCA bifurcation. The aneurysm was extending into the lower division, which showed fusiform dilatation. A small lobule was projecting laterally from the aneurysm (Fig. 16.1a, b).

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Suggested Reading

  • Bodily KD, Cloft HJ, Lanzino G, et al. Stent-assisted coiling in acutely ruptured intracranial aneurysms: a qualitative, systematic review of the literature. AJNR Am J Neuroradiol. 2011;32(7):1232–6.

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  • Consoli A, Vignoli C, Renieri L, et al. Assisted coiling of saccular wide-necked unruptured intracranial aneurysms: stent versus balloon. J Neurointerv Surg. 2014;8:52.

    Article  Google Scholar 

  • Nishido H, Piotin M, Bartolini B, et al. Analysis of complications and recurrences of aneurysm coiling with special emphasis on the stent-assisted technique. AJNR Am J Neuroradiol. 2014;35(2):339–44.

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  • Raymond J, Darsaut TE, Bing F, et al. Stent-assisted coiling of bifurcation aneurysms may improve endovascular treatment: a critical evaluation in an experimental model. AJNR Am J Neuroradiol. 2013;34(3):570–6.

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Authors and Affiliations

  1. Neurointerventional Surgery, Stroke unit, Artemis Agrim Institute of Neuroscience, Gurgaon, India

    Vipul Gupta

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  1. Vipul Gupta
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Correspondence to Vipul Gupta .

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Editors and Affiliations

  1. Neurointerventional Surgery, Stroke Unit, Artemis Agrim Institute of Neuroscience, Gurgaon, India

    Vipul Gupta

  2. Division of Neurointerventional Surgery, University of Massachusetts Medical Center, Worcester, MA, USA

    Ajit S. Puri

  3. Department of Vascular Neurology and Neurointerventional Surgery, Artemis Agrim Institute of Neuroscience, Gurgaon, India

    Rajsrinivas Parthasarathy

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Gupta, V. (2019). Dissecting Aneurysm of MCA: Stent-Assisted Coiling. In: Gupta, V., Puri, A., Parthasarathy, R. (eds) 100 Interesting Case Studies in Neurointervention: Tips and Tricks. Springer, Singapore. https://doi.org/10.1007/978-981-13-1346-2_16

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  • DOI: https://doi.org/10.1007/978-981-13-1346-2_16

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1345-5

  • Online ISBN: 978-981-13-1346-2

  • eBook Packages: MedicineMedicine (R0)

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