| Intracranial stenting as monotherapy in subarachnoid hemorrhage and sickle cell disease. | |
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MedLine Citation:
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PMID: 22248629 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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Asiri Ediriwickrema; Theresa Williamson; Ryan Hebert; Charles Matouk; Michele H Johnson; Ketan R Bulsara |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-16 |
Journal Detail:
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Title: Journal of neurointerventional surgery Volume: - ISSN: 1759-8486 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-17 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101517079 Medline TA: J Neurointerv Surg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Yale University School of Medicine, New Haven, Connecticut, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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