Document Detail


Intracranial pseudoaneurysms, fusiform aneurysms and carotid-cavernous fistulas. Repair with percutaneous implantation of endovascular covered stents.
MedLine Citation:
PMID:  20557743     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
The study assessed the effectiveness and safety of endovascular covered stents in the management of intracranial pseudoaneurysms, fusiform aneurysms and direct carotid-cavernous fistulas. Fourteen endovascular covered stents were used to repair three pseudoaneurysms, six fusiform aneurysms and six direct carotid-cavernous fistulas. Aneurysms were in the carotid artery in seven cases, in the vertebral artery two cases. It was not possible to treat two additional cases transcutaneously for technical reasons (2/15). Percutaneous closure of the lesions with an endovascular covered stent was successful in 13 of 15 cases. Initial follow-up showed good stent patency. No complications were observed after stent implantation. During follow-up, stent thromboses were detected in two of nine patients with follow-up digital subtracted angiography. One carotid-cavernous fistula of Barrow Type A transformed into Barrow Type D at nine month follow-up study was cured with a procudure of Onyx-18 injection. Endovascular covered stents may be an option for percutaneous closure of intracranial pseudoaneurysms, fusiform aneurysms and direct carotid-cavernous fistulas. Endoluminal vascular repair with covered stents offers an alternative therapeutic approach to conventional modalities.
Authors:
Xianli Lv; Chuhan Jiang; Youxiang Li; Ming Lv; Jingbo Zhang; Zhongxue Wu
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Publication Detail:
Type:  Journal Article     Date:  2009-01-05
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  14     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2010-06-18     Completed Date:  2012-10-02     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  435-40     Citation Subset:  -    
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