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KMID : 1005420160180010038
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Journal of Cerebrovascular and Endovascular Neurosurgery
2016 Volume.18 No. 1 p.38 ~ p.41
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Open-cell Stent Deployment across the Wide Neck of a Large Middle Cerebral Aneurysm Using the Stent Anchor Technique
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Shigeyuki Sakamoto
Masaaki Shibukawa
Itaru Tani
Shuichi Oki
Kaoru Kurisu
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Abstract
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We describe a case of successful open-cell stent deployment across the wide neck of a large middle cerebral artery aneurysm using the stent anchor technique. A microcatheter was looped through the aneurysm and navigated into a distal vessel across the aneurysm neck. Although the loop of the microcatheter in the aneurysm straightened as it was gently withdrawn, the microcatheter again protruded into the aneurysm by open-cell stent navigation. The stent was partially deployed in a vessel distal to the aneurysm neck, withdrawn slowly to straighten the loop of the microcatheter in the aneurysm, and completely deployed across the aneurysm neck. After successful stent deployment, stent-assisted coil embolization was performed without complications. The stent anchor technique was successfully used to deploy an open-cell stent across the aneurysm neck in this case of microcatheter protrusion into the aneurysm during stent navigation.
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KEYWORD
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Endovascular procedures, Endovascular techniques, Intracranial aneurysm, Stent, Subarachnoid hemorrhage
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Listed journal information
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