Document Detail

Intracranial stenting as monotherapy in subarachnoid hemorrhage and sickle cell disease.
MedLine Citation:
PMID:  22248629     Owner:  NLM     Status:  Publisher    
IntroductionAlthough there have been a few reports of coiling intracranial aneurysms in patients with sickle cell disease (SCD), there are no reports of intracranial stent placement in this patient population. A patient in whom stent placement was utilized as monotherapy to treat a blister-like aneurysm is described and the implications of SCD and endovascular treatment are discussed.Case reportA 37-year-old man with SCD presented with diffuse subarachnoid hemorrhage. Angiography confirmed a 2 mm irregular aneurysm on the posterior cerebral artery which was treated with an oversized Neuroform 3 stent that was placed across the aneurysm neck by the senior author (KRB). Follow-up CT angiography showed no residual aneurysmal filling. The patient was discharged home in a stable condition, and he continues to do well 4 weeks following the procedure with no recurrence of the aneurysm.DiscussionThis report reviews hypercoagulability in SCD and the treatment options for intracranial aneurysms in patients with SCD. Additionally, the reported case suggests that intracranial stent placement may be a viable option for treating complex intracranial aneurysms in SCD patients.
Asiri Ediriwickrema; Theresa Williamson; Ryan Hebert; Charles Matouk; Michele H Johnson; Ketan R Bulsara
Related Documents :
22172589 - Possible association between non-invasive parameter of flow-mediated dilatation in brac...
15227079 - Massive coronary gas embolism managed by retrograde coronary sinus perfusion.
20971229 - Axillary-coronary sequential vein graft for total endoscopic triple coronary artery byp...
22059099 - Surgical strategies and outcomes for distal anterior cerebral arteries aneurysms.
14989399 - Coronary artery bypass grafting and aortic valve replacement with cold cardioplegia in ...
21891799 - Vascular antispastic medication should take priority over other antihypertensives after...
15321349 - Carotid artery puncture, airway obstruction and the laryngeal mask airway in a preeclam...
16904629 - In-vitro analysis of normal and aneurismal human ascending aortic tissues using ft-ir m...
21850579 - Treatment for pulmonary hypertension including lung transplantation.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-16
Journal Detail:
Title:  Journal of neurointerventional surgery     Volume:  -     ISSN:  1759-8486     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101517079     Medline TA:  J Neurointerv Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Yale University School of Medicine, New Haven, Connecticut, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  An advanced multi-orbital impurity solver for dynamical mean field theory based on the equation of m...
Next Document:  Onyx embolization of an extensive mandibular arteriovenous malformation via a dual lumen balloon cat...