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A Journal on Neurosurgery

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Journal of Neurosurgical Sciences 2011 March;55(1):35-8

language: English

Should we use stents in subarachnoid hemorrhage?

Lopes D., Mangubat E., Keigher K., Cogan C.

Cerebrovascular Neurosurgery RUSH University Medical Center, Chicago IL, USA


Based on findings from the International Subarachnoid Aneurysm Trial (ISAT), coiling of ruptured cerebral aneurysms is associated with the lowest immediate morbidity and mortality rates compared to other treatment options.1, 2 Whenever anatomy permits, coiling is the preferred method for repair. Unfortunately, not all cerebral aneurysms are suitable for coiling, and the best treatment for aneurysms that cannot be coiled remains unclear. Adjunctive techniques such as surgical clipping, balloon remodeling,3 use of two microcatheters,4 and intracranial stents 5 can increase the likelihood of aneurysm thrombosis and parent vessel patency. The goal of this article is to describe our current practice using intracranial stents in appropriately selected patients with subarachnoid hemorrhage (SAH) as a result of aneurysm rupture.

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