tailieunhanh - Báo cáo y học: "Zenteno et al. Journal of Medical Case Reports 2010, 4:64 http://www.jmedicalcasereports.com/content/4/1/64 JOURNAL OF MEDICAL CASE REPORTS Open Access CASE REPORT Ten-year follow-up of giant basilar aneurysm treated by sole stenting technique: a case report Marco Zenteno1*, Camilo R Gómez2, JA Santos-Franco3, Fernando Vinuela4, Y Aburto-Murrieta5, Angel Lee6 Abstract Introduction: The sole stenting technique has emerged as a new tool for the management of intracranial aneury

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Ten-year follow-up of giant basilar aneurysm treated by sole stenting technique: a case report. | Zenteno et al. Journal of Medical Case Reports 2010 4 64 http content 4 1 64 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Ten-year follow-up of giant basilar aneurysm treated by sole stenting technique a case report Marco Zenteno1 Camilo R Gomez2 JA Santos-Franco3 Fernando Vinuela4 Y Aburto-Murrieta5 Angel Lee6 Abstract Introduction The sole stenting technique has emerged as a new tool for the management of intracranial aneurysms. However several concerns have emerged about the long-term behavior of intracranial stents particularly their safety and efficacy. Case presentation We present the first case of an intracranial aneurysm intentionally treated with the sole stenting technique. After ten years of clinical and imaging follow-up the lesion has healed and no intrastent stenosis is observed. Several issues concerning this technique are discussed. For instance the modification of the angle and intra-aneur-ysmal thrombosis may account as positive effects negative outcomes include in-stent thrombosis or stenosis. Conclusions This case report involving a long clinical and imaging follow-up provides an example of the effectiveness safety durability and simplicity of the sole stenting technique in the management of intracranial aneurysms. Introduction Giant aneurysms of the posterior circulation are uncommon. However they have a high incidence of morbidity and mortality. The sole stenting of intracranial aneurysms has been recently introduced in the armamentarium of their management 1 2 and is backed up by experimental and clinical studies 3-5 . This suggests that the intra-aneurysmal flow is shifted by the placement of a stent within the parent vessel. Case presentation A 43-year-old Mexican Hispanic man arrived in our hospital with a chronic headache. His neurological examination was unremarkable. The imaging workup showed a giant basilar artery aneurysm dimensions 32 mm X 20 mm Figure 1A and that the lesion was located .