Ten-year follow-up of giant basilar aneurysm treated by sole stenting technique: a case report. 2010

Marco Zenteno, and Camilo R Gómez, and Ja Santos-Franco, and Fernando Vinuela, and Y Aburto-Murrieta, and Angel Lee
Departamento de Terapia Endovascular Neurológica, Instituto Nacional de Neurología y Neurocirugía, Universidad Nacional Autónoma de México, Av, Insurgentes Sur 3877, 14269 Mexico City, Mexico. mazente@yahoo.com.mx.

BACKGROUND 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. METHODS 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. 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.

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