Sole Stenting Technique for the Treatment of Uncoilable Very Small Aneurysms in the Intracranial Internal Carotid Artery
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概要
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The treatment of very small aneurysms with diameter of less than 3 mm remains a challenge for both endovascular and surgical treatment. Endovascular treatment of these lesions may be difficult and is associated with a high risk of complications because of their small size. The present study evaluated the safety, feasibility, and efficacy of the endovascular treatment using sole stenting technique for uncoilable very small aneurysms of the intracranial internal carotid artery (ICA). From August 2004 through January 2010, eight very small aneurysms of intracranial ICA in eight patients were treated with endovascular sole stenting technique. All very small aneurysms were ruptured (n = 3) or aneurysms associated with another ruptured (n = 2) and unruptured aneurysms (n = 3) in the same artery. Stents were Neuroform and balloon expandable coronary stents. Stent deployment was carried out without difficulty in all patients. Single stent deployment was done for six aneurysms, and double stents in two aneurysms. The immediate angiographic results were partial occlusion in one case and no occlusion in seven cases. One direct carotid-cavernous fistula occurred during coronary stenting without permanent neurological deficit. No neurological deterioration or hemorrhagic complication was seen during the follow-up period in seven patients. Follow-up angiography (mean 9 months) was available in six patients and revealed complete occlusion in four and no occlusion in two cases. Sole stenting technique may be a feasible and effective therapeutic alternative for uncoilable very small aneurysms. The long-term efficacy and durability of stenting for these lesions remains to be determined in a large series.
著者
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Lee Tae
Department Of Agricultural Chemistry College Of Agriculture University Of Osaka Prefecture
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Lee Jae
Department Of Acupuncture & Moxibustion College Of Oriental Medicine
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Cho Won
Department Of Biology I Botany Ludwigs-maximilians-university
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LEE Sang
Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University
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Choi Chang
Department of Advanced Material Engineering, Korea Polytechnic University, Siheung 429-793, Korea
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LEE Jae
Department of Neurosurgery, Pusan National University Hospital, Medical Research Institute
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KO Jun
Department of Neurosurgery, Pusan National University Hospital, Medical Research Institute
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CHO Won
Department of Neurosurgery, Pusan National University Hospital, Medical Research Institute
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CHOI Chang
Department of Neurosurgery, Pusan National University Yangsan Hospital
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