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Published in: Neuroradiology 1/2011

01-01-2011 | Interventional Neuroradiology

Early fatal hemorrhage after endovascular cerebral aneurysm treatment with a flow diverter (SILK-Stent)

Do we need to rethink our concepts?

Authors: Bernd Turowski, Stephan Macht, Zolt Kulcsár, Daniel Hänggi, Walter Stummer

Published in: Neuroradiology | Issue 1/2011

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Abstract

A 69-year-old woman presenting with short lasting recent episodes of visual impairment was treated uneventfully with a flow diverter covering the neck of a large paraophthalmic aneurysm. As angiography showed immediate flow reduction we abstained from additional coiling which was initially planned. Eleven days later CT demonstrated nearly complete thrombosis of the aneurysm. Twenty days after treatment the patient suffered a lethal subarachnoid hemorrhage after rupture of the aneurysm. All available data were reviewed and beside hemodynamic factors instability of the intra-aneurysmal thrombus is discussed as a possible cofactor leading to this disastrous event.
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Metadata
Title
Early fatal hemorrhage after endovascular cerebral aneurysm treatment with a flow diverter (SILK-Stent)
Do we need to rethink our concepts?
Authors
Bernd Turowski
Stephan Macht
Zolt Kulcsár
Daniel Hänggi
Walter Stummer
Publication date
01-01-2011
Publisher
Springer-Verlag
Published in
Neuroradiology / Issue 1/2011
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-010-0676-7

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