Abstract | INTRODUCTION: CASE REPORT: A 57-year-old woman with SAH, underwent coil embolization of a small fenestrated A1-A2 junction aneurysm. The procedure was complicated by downstream coil migration which was then treated with Enterprise stent placement in the pericallosal artery. This required subsequent infusion of a glycoprotein IIb/IIIa inhibitor until the aneurysm could be repaired surgically. CONCLUSIONS: Revascularization with a stent in a distal cerebral vessel may salvage inadvertent coil migration. Although it is undesirable to administer antiplatelet agents to patients with SAH, in these circumstances short acting agents may be used.
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Authors | Nazli Janjua, Sebina Bulic, Benedict C Tan, Kessarin Panichpisal, John Miller |
Journal | BMJ case reports
(BMJ Case Rep)
Vol. 2013
(Mar 27 2013)
ISSN: 1757-790X [Electronic] England |
PMID | 23536645
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Peptides
- Platelet Glycoprotein GPIIb-IIIa Complex
- Eptifibatide
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Topics |
- Aneurysm, Ruptured
(therapy)
- Embolization, Therapeutic
(instrumentation)
- Eptifibatide
- Female
- Humans
- Infusions, Intravenous
- Intracranial Aneurysm
(therapy)
- Middle Aged
- Peptides
(administration & dosage)
- Platelet Glycoprotein GPIIb-IIIa Complex
(administration & dosage)
- Stents
- Subarachnoid Hemorrhage
(therapy)
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