Zenteno Marco, Gómez Camilo R, Santos-Franco Ja, Vinuela Fernando, Aburto-Murrieta Y, Lee Angel
Departamento de Terapia Endovascular Neurológica, Instituto Nacional de Neurología y Neurocirugía, Universidad Nacional Autónoma de México, Av, Insurgentes Sur 3877, 14269 Mexico City, Mexico.
J Med Case Rep. 2010 Feb 22;4:64. doi: 10.1186/1752-1947-4-64.
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.
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-aneurysmal thrombosis may account as positive effects; negative outcomes include in-stent thrombosis or stenosis.
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.
单纯支架置入技术已成为治疗颅内动脉瘤的一种新工具。然而,人们对颅内支架的长期性能,尤其是其安全性和有效性产生了一些担忧。
我们展示了首例采用单纯支架置入技术进行治疗的颅内动脉瘤病例。经过十年的临床和影像学随访,病变已愈合,未观察到支架内狭窄。讨论了有关该技术的几个问题。例如,角度改变和瘤内血栓形成可能被视为积极作用;负面结果包括支架内血栓形成或狭窄。
本病例报告进行了长期的临床和影像学随访,为单纯支架置入技术治疗颅内动脉瘤的有效性、安全性、耐久性和简便性提供了一个实例。