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Stenting as monotherapy for uncoilable intracranial aneurysms.

Publication ,  Journal Article
Bulsara, KR; Kuzmik, GA; Hebert, R; Cheung, V; Matouk, CC; Jabbour, P; Hasan, D; Pepper, J
Published in: Neurosurgery
September 2013

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.

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Published In

Neurosurgery

DOI

EISSN

1524-4040

Publication Date

September 2013

Volume

73

Issue

1 Suppl Operative

Start / End Page

ons80 / ons85

Location

United States

Related Subject Headings

  • Stents
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Intracranial Aneurysm
  • Humans
  • Female
  • Cerebral Revascularization
  • Adult
  • 5202 Biological psychology
 

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Bulsara, K. R., Kuzmik, G. A., Hebert, R., Cheung, V., Matouk, C. C., Jabbour, P., … Pepper, J. (2013). Stenting as monotherapy for uncoilable intracranial aneurysms. Neurosurgery, 73(1 Suppl Operative), ons80–ons85. https://doi.org/10.1227/NEU.0b013e31827fcaba
Bulsara, Ketan R., Gregory A. Kuzmik, Ryan Hebert, Vincent Cheung, Charles C. Matouk, Pascal Jabbour, David Hasan, and Joshua Pepper. “Stenting as monotherapy for uncoilable intracranial aneurysms.Neurosurgery 73, no. 1 Suppl Operative (September 2013): ons80–85. https://doi.org/10.1227/NEU.0b013e31827fcaba.
Bulsara KR, Kuzmik GA, Hebert R, Cheung V, Matouk CC, Jabbour P, et al. Stenting as monotherapy for uncoilable intracranial aneurysms. Neurosurgery. 2013 Sep;73(1 Suppl Operative):ons80–5.
Bulsara, Ketan R., et al. “Stenting as monotherapy for uncoilable intracranial aneurysms.Neurosurgery, vol. 73, no. 1 Suppl Operative, Sept. 2013, pp. ons80–85. Pubmed, doi:10.1227/NEU.0b013e31827fcaba.
Bulsara KR, Kuzmik GA, Hebert R, Cheung V, Matouk CC, Jabbour P, Hasan D, Pepper J. Stenting as monotherapy for uncoilable intracranial aneurysms. Neurosurgery. 2013 Sep;73(1 Suppl Operative):ons80–ons85.
Journal cover image

Published In

Neurosurgery

DOI

EISSN

1524-4040

Publication Date

September 2013

Volume

73

Issue

1 Suppl Operative

Start / End Page

ons80 / ons85

Location

United States

Related Subject Headings

  • Stents
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Intracranial Aneurysm
  • Humans
  • Female
  • Cerebral Revascularization
  • Adult
  • 5202 Biological psychology