Risk of hemorrhage in combined neuroform stenting and coil embolization of acutely ruptured intracranial aneurysms.

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

PubMedID: 20557738

Jankowitz B, Thomas AJ, Vora N, Gupta R, Levy E, Yamamoto J, Kassam A, Gologorsky Y, Panapitiya N, Sandhu E, Crago E, Hricik A, Lee K, Gallek M, Jovin T, Horowitz M. Risk of hemorrhage in combined neuroform stenting and coil embolization of acutely ruptured intracranial aneurysms. Interv Neuroradiol. 2008;14(4):385-96.
Summary: Stenting as adjuvant therapy for the coiling of acutely ruptured aneurysms remains controversial due to the necessity of anticoagulation and antiplatelet medications. We report our experience using the Neuroform stent in the management of 41 aneurysms in 40 patients over a period of three years. For aneurysms whose open surgical risk remains excessive with a morphology that would preclude complete embolization, the risks of stenting may be warranted.