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Dr. Lopes Publishes New Story on Stenting in Endovascular Today

Posted on August 27, 2010

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ENDOVASCULAR TODAY – AUGUST 2010 Cover Story

Intracranial Stents in SAH Cases

Intracranial stent placement is a sophisticated but challenging treatment option for subarachnoid hemorrhage as a result of aneurysm rupture.

BY DEMETRIUS LOPES, MD; ERWIN MANGUBAT, MD; KIFFON KEIGHER, APN; AND CHARLIE COGAN

Based on findings from the International Subarachnoid Aneurysm Trial (ISAT), coiling of ruptured cerebral aneurysms is associated with the lowest immediate morbidity and mortality rates compared to other treatment options. Whenever anatomy permits, coiling is the preferred method for repair.

Unfortunately, not all cerebral aneurysms are suitable for coiling, and the best treatment for aneurysms that cannot be coiled remains unclear. Adjunctive techniques such as surgical clipping, balloon remodeling,use of two microcatheters,and intracranial stents can increase the ikelihood of aneurysm thrombosis and parent vessel patency.

The goal of this article is to describe our current practice using intracranial stents in appropriately selected patients with subarachnoid hemorrhage (SAH) as a result of aneurysm rupture.

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