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mohd shafie abdullah – April 26, 2013
“I'm thinking of deploying telescoping approach of 2 Leos and jailing technique with loose packing...” -
Pakrit Jittapiromsak – April 16, 2013
“Thank you for your comment. Honestly, in my experience, if the stent(s) is(are) placed and oppose...” -
Steve Dechan – April 13, 2013
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- Delayed Ipsilateral Parenchymal Hemorrhage Following Flow Diversion for the Treatment...
Delayed Ipsilateral Parenchymal Hemorrhage Following Flow Diversion for the Treatment of Anterior Circulation Aneurysms
Selected in
American Journal of Neuroradiology by
Pakrit JITTAPIROMSAK
- Authors: J.P. Cruz, M. Chow, C. O'Kelly, B. Marotta, J. Spears, W. Montanera, D. Fiorella and T. Marotta
- Reference: AJNR Am J Neuroradiol 2012 33: 603-608
- Published: March 2012
- Link: Access the abstract here
Flow diverting strategy is now using progressively in many centers due to its preliminary impressive result. Delayed parenchymal hemorrhage is one of known complications. The report of these 4 cases will remind the interventionists for this dreadful possibility. Even though we are not clearly understand the cause of this bleeding, the rate of 8.5% might be reasonable if all risks of the procedure were combined. Dual antiplatelet treatment, manipulation of the guidewires and stents, effect of flow diversion, and post-procedural manipulation of physiology in the ICU should be all taken into account. With a higher case volume, the result of non-side related hemorrhage would be interesting to differentiate the local or systemic effect of the treatment.
