Journal article
Stenting as Monotherapy for Uncoilable Intracranial Aneurysms
Operative neurosurgery (Hagerstown, Md.), Vol.73(suppl_1), pp.ons80-ons85
09/01/2013
DOI: 10.1227/NEU.0b013e31827fcaba
PMID: 23208063
Abstract
Abstract BACKGROUND: Small, blister-like aneurysms (BLAs), by virtue of their unique morphology, are difficult to treat with conventional modalities. The use of oversized self-expanding stents as monotherapy for BLAs is a relatively new and promising concept that warrants further investigation. OBJECTIVE: To clarify the role of oversized self-expanding stents as monotherapy for BLAs. METHODS: Five consecutive patients were treated for BLAs with oversized self-expanding stents alone by the senior author (K.R.B.). We report on their clinical and radiographic outcomes. RESULTS: All 5 patients in our series were discharged in good clinical condition. Complete aneurysm occlusion was observed in all patients at the time of most recent radiographic follow-up. Mean follow-up time was 13.6 months (range, 1 month to 4.5 years). CONCLUSION: The use of oversized self-expanding stents to redirect flow away from aneurysms is an effective option for patients with BLAs. This approach represents an alternative to the use of flow diverters.
Details
- Title: Subtitle
- Stenting as Monotherapy for Uncoilable Intracranial Aneurysms
- Creators
- Ketan R Bulsara - Department of Neurosurgery, Yale School of Medicine, New Haven, ConnecticutGregory A Kuzmik - Department of Neurosurgery, Yale School of Medicine, New Haven, ConnecticutRyan Hebert - Department of Neurosurgery, Yale School of Medicine, New Haven, ConnecticutVincent Cheung - Division of Neurosurgery, University of California, San Diego, CaliforniaCharles C Matouk - Department of Neurosurgery, Yale School of Medicine, New Haven, ConnecticutPascal Jabbour - Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PennsylvaniaDavid Hasan - Department of Neurosurgery, College of Medicine, University of Iowa, Iowa City, IowaJoshua Pepper - Department of Neurosurgery, Yale School of Medicine, New Haven, Connecticut
- Resource Type
- Journal article
- Publication Details
- Operative neurosurgery (Hagerstown, Md.), Vol.73(suppl_1), pp.ons80-ons85
- DOI
- 10.1227/NEU.0b013e31827fcaba
- PMID
- 23208063
- ISSN
- 2332-4252
- eISSN
- 2332-4260
- Language
- English
- Date published
- 09/01/2013
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Neurosurgery; Otolaryngology
- Record Identifier
- 9984040459802771
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