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KMID : 1005420130150030229
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Journal of Cerebrovascular and Endovascular Neurosurgery
2013 Volume.15 No. 3 p.229 ~ p.234
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The Difference of Each Angiographic Finding After Multiple Stent According to Stent Type in Bilateral Vertebral Artery Dissection
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Lee Dong-Hoon
Baik Min-Woo
Kim Hoon
Yoon Woon-Ki
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Abstract
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We report a case of spontaneous bilateral intracranial vertebral artery dissecting aneurysms with subarachnoid hemorrhage. One dissecting lesion was treated with a coronary balloon-mounted stent (BMS) technique; however, due to differences in access route tortuosity, the other lesion was treated with a self-expandable stent (SES) technique. After 2 months, the angiographic outcome showed complete healing of the dissected segment on the side that was treated with BMS; in contrast, the dissection lesion appeared to be re-growing on the side that was treated with SES. Complete treatment of the aggravated lesion was achieved by additional deployment of BMSs. Therefore, we have provided a discussion of the possible reasons for this difference in outcome according to the stent type.
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KEYWORD
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Aneurysm, Dissection, Stent angioplasty, Vertebral artery
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