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J Neurointerv Surg. 2013 Mar;5(2):e4. doi: 10.1136/neurintsurg-2011-010224. Epub 2012 Jan 16.

Intracranial stenting as monotherapy in subarachnoid hemorrhage and sickle cell disease.

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  • 1Yale University School of Medicine, New Haven, Connecticut, USA.

Abstract

INTRODUCTION:

Although there have been a few reports of coiling intracranial aneurysms in patients with sickle cell disease (SCD), there are no reports of intracranial stent placement in this patient population. A patient in whom stent placement was utilized as monotherapy to treat a blister-like aneurysm is described and the implications of SCD and endovascular treatment are discussed.

CASE REPORT:

A 37-year-old man with SCD presented with diffuse subarachnoid hemorrhage. Angiography confirmed a 2 mm irregular aneurysm on the posterior cerebral artery which was treated with an oversized Neuroform 3 stent that was placed across the aneurysm neck by the senior author (KRB). Follow-up CT angiography showed no residual aneurysmal filling. The patient was discharged home in a stable condition, and he continues to do well 4 weeks following the procedure with no recurrence of the aneurysm.

DISCUSSION:

This report reviews hypercoagulability in SCD and the treatment options for intracranial aneurysms in patients with SCD. Additionally, the reported case suggests that intracranial stent placement may be a viable option for treating complex intracranial aneurysms in SCD patients.

PMID:
22248629
[PubMed - indexed for MEDLINE]
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