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Erschienen in:
27.07.2018 | Technical Note - Vascular Neurosurgery - Aneurysm
Wrap-clipping as a rescue surgical technique for vessel perforation due to stent strut: a technical note
Erschienen in: Acta Neurochirurgica | Ausgabe 10/2018
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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.