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Recanalization with subsequent near-total occlusion of an internal carotid artery aneurysm after immediate thrombotic occlusion using a flow-diverting stent.

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Recanalization with subsequent near-total occlusion of an internal carotid artery aneurysm after immediate thrombotic occlusion using a flow-diverting stent.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Wong, George Kwok Chu Yu, Simon Chun Ho Siu, Deyond Yung Woon Poon, Wai Sang
Description	Country affiliation: China Author Affiliation: Wong GK ( Department of Neurosurgery, the Chinese University of Hong Kong, China. georgewong@surgery.cuhk.edu.hk)
Abstract	A flow-diverting stent is placed in the parent artery to reduce blood flow in the aneurysm sac to facilitate progressive thrombosis and neointimal remodeling while maintaining outflow in the side branches and perforators. All international multicenter registries have reported on the progressive occlusion of aneurysms with time and have implied that an occluded aneurysm would not recanalize given the protective effect of the altered hemodynamics. Recanalization of an occluded aneurysm after placement of a flow-diverting stent has not been reported in the literature. The authors here describe a case of aneurysm recanalization after immediate thrombotic occlusion of the aneurysm with a flow-diverting stent. A 46-year-old male chronic smoker with chronic hypertension and hypercholesterolemia had a recurrent internal carotid artery aneurysm 1 year after embolization. Immediate thrombotic occlusion of the aneurysm and cessation of blood flow to the posterior communicating artery (PCoA) occurred immediately after activating a flow-diverting stent, with corresponding ischemic complications. However, 3 months after insertion of the stent, follow-up MR angiography showed recanalization of the aneurysm as well as of the PCoA. Additional angiography studies at 6 months showed near-total occlusion of the aneurysm with the restoration of blood flow to the PCoA.
File Format	HTM / HTML
ISSN	00223085
e-ISSN	19330693
Journal	Journal of Neurosurgery
Issue Number	4
Volume Number	116
Language	English
Publisher	American Association of Neurological Surgeons
Publisher Date	2012-04-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Neurosurgery Aneurysm Therapy Carotid Artery Diseases Carotid Artery Thrombosis Carotid Artery, Internal Stents Angiography, Digital Subtraction Cerebral Angiography Embolization, Therapeutic Equipment Failure Recurrence Retreatment Subarachnoid Hemorrhage Tomography, X-ray Computed Treatment Failure
Content Type	Text
Resource Type	Case study Article
Subject	Neurology (clinical) Surgery

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