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Biodegradable Magnesium Stent Treatment of Saccular Aneurysms in a Rat Model - Introduction of the Surgical Technique
Published on: October 1, 2017
Stenting as monotherapy for uncoilable intracranial aneurysms
Ketan R Bulsara1, Gregory A Kuzmik, Ryan Hebert
1Department of Neurosurgery, Yale School of Medicine, New Haven, Connecticut, USA. ketan.bulsara@yale.edu
Neurosurgery
|December 5, 2012
Summary
Oversized self-expanding stents effectively treat small, blister-like aneurysms (BLAs) as monotherapy. This promising approach offers an alternative to traditional methods, achieving complete aneurysm occlusion in all patients.
Area of Science:
- Endovascular neurosurgery
- Cerebrovascular disease management
Background:
- Small, blister-like aneurysms (BLAs) present unique morphological challenges for conventional treatment.
- Oversized self-expanding stents are an emerging monotherapy for BLAs.
Observation:
- A series of five consecutive patients with BLAs were treated using oversized self-expanding stents as monotherapy.
- Clinical and radiographic outcomes were assessed for all patients.
Findings:
- All five patients achieved complete aneurysm occlusion at the most recent radiographic follow-up.
- Mean follow-up was 13.6 months, with outcomes assessed up to 4.5 years.
- Patients were discharged in good clinical condition.
Implications:
- Oversized self-expanding stents are an effective monotherapy for BLAs, redirecting blood flow.
- This technique provides a viable alternative to flow diverters for BLA treatment.
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