THROMBOSIS OF A FUSIFORM INTRACRANIAL ANEURYSM INDUCED BY OVERLAPPING NEUROFORM STENTS: CASE REPORT.

(Neurosurgery. 60(5):E950-E951, May 2007.Ansari, Sameer A. M.D., Ph.D.; Lassig, Jeffrey P. M.D.; Nicol, Ewen M.S., P.A-C.; Thompson, B. Gregory M.D.; Gemmete, Joseph J. M.D.; Gandhi, Dheeraj M.D. )
This was a very intresting article in which the doctors were attempting to embolize this anuerism in the basilar artery. The were not able to do that but they put two Neuroform stents inplace. They found six weeks later after doing MRI and MRA’s the pt. had developed a thrombis in the Anuerysm sac, and the vessel was very patent. A DSA Cerebral Arteriogram confirmed this at 12 months.
CONCLUSION: Overlapping Neuroform stents may induce spontaneous thrombosis of intracranial aneurysms and facilitate parent artery reconstruction through flow remodeling and stent endothelialization. Double stent placement may be a viable option in dissecting or fusiform intracranial aneurysms that are not amenable to open surgical treatment or endovascular coil embolization.(Source)
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