Abstract
Two cases of acutely ruptured cerebral aneurysm of low dome/neck ratio treated by stent-assisted GDC embolization using balloon-expandable coronary stent, and also their long-term follow-up results are reported. After embolization, the basilar trunk aneurysm was completely occluded, and partial occlusion was obtained for the internal carotid (IC)-paraclinoid aneurysm. Oral ticropidine (200 mg/day) was given after the embolization, and no neurological events were seen during long-term follow-up (64–68 months). Follow-up angiograms of the basilar trunk aneurysm at 20 months showed complete occlusion and no in-stent stenosis. Follow-up angiograms of the IC-paraclinoid aneurysm at 52 months showed complete occlusion of the aneurysm, but mild stenosis at the distal end of the stent graft. These cases suggested that stent-assisted GDC embolization is effective for prevention of rebleeding from ruptured aneurysm during long-term observation even with suffi- cient dose of antiplatelets therapy. Caution should be taken on aneurysmal recanalization and parent artery stenosis due to stent deployment during long-term period.
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References
Fiorella D, Albuquerque FC, Deshmukh VR, McDougall CG (2005) Usefulness of the Neuroform stent for the treatment of cerebral aneurysms: results at initial (3–6 mo) follow-up. Neurosurgery 56: 1191–1202
Fiorella D, Albuquerque FC, Deshmukh VR, McDougall CG (2004) In-stent stenosis as a delayed complication of Neuroform stentsupport coil embolization of an incidental carotid terminal aneurysm. Am J Neuroradiol 25: 1764–1767
Hoffmann R, Mintz GS (2000) Coronary in-stent restenosis-predictors, treatment and prevention. Review. Eur Heart J 21: 1739–1749
Lee YJ, Kim DJ, Suh SH, Lee SK, Kim J, Kim DI (2005) Stentassisted coil embolization of intracranial wide-necked aneurysms. Neuroradiology 47: 680–689
Lopes DK, Ringer AJ, Boulos AS, Qureshi AI, Lieber BB, Guterman LR, Hopkins LN (2003) Fate of branch arteries after intracranial stenting. Neurosurgery 52: 1275–1279
Lowe HC, Oesterle SN, Khachigian LM (2002) Coronary in-stent restenosis: current status and future strategies. Review. J Am Coll Cardiol 39: 183–193
Lylyk P, Ferrario A, Pasbon B, Miranda C, Doroszuk G (2005) Buenos Aires experience with the neuroform self-expandable stent for the treatment of intracranial aneurysms. J Neurosurg 102: 235–241
Masuo O, Terada T, Walker G, Tsuura M, Nakai K, Itakura T (2005) Patency of perforating arteries after stent placement? A study using an in vivo experimental atherosclerosis-induced model. Am J Neuroradiol 26: 543–548
Masuo O, Terada T, Walker G, Tsuura M, Matsumoto H, Tohya K, Kimura M, Nakai K, Itakura T (2002) Study of the patency of small arterial branches after stent placement with an experimental in vivo model. Am J Neuroradiol 23: 706–710
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© 2008 Springer-Verlag
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Manabe, H. (2008). Ruptured cerebral aneurysms treated by stent-assisted GDC embolization — two case reports with long-term follow-up. In: Yonekawa, Y., Tsukahara, T., Valavanis, A., Khan, N. (eds) Changing Aspects in Stroke Surgery: Aneurysms, Dissections, Moyamoya Angiopathy and EC-IC Bypass. Acta Neurochirurgica Supplements, vol 103. Springer, Vienna. https://doi.org/10.1007/978-3-211-76589-0_2
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DOI: https://doi.org/10.1007/978-3-211-76589-0_2
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-76588-3
Online ISBN: 978-3-211-76589-0
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