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Acta Neurochirurgica

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01-10-2018 | Technical Note - Vascular Neurosurgery - Aneurysm

Wrap-clipping as a rescue surgical technique for vessel perforation due to stent strut: a technical note

Authors: Tetsuyoshi Horiuchi, Takafumi Kiuchi, Jun-ichi Koyama, Yoshiki Hanaoka, Kiyoshi Ito, Kazuhiro Hongo

Published in: Acta Neurochirurgica | Issue 10/2018

Abstract

Background

Arterial injury related to stent strut is rare during stent-assisted coil embolization.

Method

The patient underwent stent-assisted coil embolization for a right middle cerebral artery aneurysm. At this time, the parent arterial injury at M1 portion of the middle cerebral artery resulted in subarachnoid hemorrhage. The arterial penetration caused by the stent strut was repaired with wrap-clipping.

Results

Postoperative angiograms demonstrated the complete obliteration of the arterial injury. The patient was discharged without neurological deficits. Neither recurrence nor stenosis was observed after surgery.

Conclusions

Wrap-clipping is a useful procedure to repair the arterial injury due to the stent strut.

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Title: Wrap-clipping as a rescue surgical technique for vessel perforation due to stent strut: a technical note
Authors: Tetsuyoshi Horiuchi
Takafumi Kiuchi
Jun-ichi Koyama
Yoshiki Hanaoka
Kiyoshi Ito
Kazuhiro Hongo
Publication date: 01-10-2018
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 10/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-018-3629-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Wrap-clipping as a rescue surgical technique for vessel perforation due to stent strut: a technical note

Abstract

Background

Method

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Method

Results

Conclusions

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