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 | Journal of neurointerventional surgery
(J Neurointerv Surg)
Vol. 6
Issue 3
Pg. e21
(Apr 01 2014)
ISSN: 1759-8486 [Electronic] England |
PMID | 23558865
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Peptides
- Platelet Aggregation Inhibitors
- Eptifibatide
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Topics |
- Administration, Intravenous
- Aneurysm, Ruptured
(complications, diagnostic imaging, therapy)
- Blood Vessel Prosthesis
- Embolization, Therapeutic
(instrumentation, methods)
- Eptifibatide
- Equipment Failure
- Female
- Humans
- Intracranial Aneurysm
(diagnostic imaging, therapy)
- Middle Aged
- Peptides
(administration & dosage)
- Platelet Aggregation Inhibitors
(administration & dosage)
- Radiography
- Salvage Therapy
(instrumentation, methods)
- Stents
(adverse effects)
- Subarachnoid Hemorrhage
(diagnostic imaging, etiology)
- Treatment Outcome
- Ventriculoperitoneal Shunt
(statistics & numerical data)
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