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Delayed Remote Intracerebral Hemorrhage after Wingspan Stenting for Internal Carotid Artery Stenosis Following the On-Label Usage Guidelines

Authors
 Jae Ho Kim  ;  Joonho Chung 
Citation
 YONSEI MEDICAL JOURNAL, Vol.61(8) : 736-738, 2020-08 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2020-08
MeSH
Aged ; Carotid Artery, Internal / diagnostic imaging ; Carotid Artery, Internal / pathology* ; Carotid Artery, Internal / surgery* ; Carotid Stenosis / diagnostic imaging ; Carotid Stenosis / surgery* ; Cerebral Hemorrhage / diagnostic imaging ; Cerebral Hemorrhage / etiology* ; Diffusion Magnetic Resonance Imaging ; Humans ; Middle Aged ; Stents / adverse effects* ; Tomography, X-Ray Computed ; Treatment Outcome
Keywords
Atherosclerosis ; hemorrhage ; stenosis ; stent
Abstract
Remote intracerebral hemorrhage (ICH) is defined as an ICH that occurs at a distant site from the treated lesion and is a considerable post-neurointerventional complication. Because such a life-threatening complication should not be neglected, we report our experience with delayed remote ICH in a patient with symptomatic intracranial atherosclerotic stenosis (ICAS) treated by Wingspan stenting following on-label usage guidelines. A middle-aged person suffered a lobar-type subcortical hemorrhage on the left temporal lobe 22 days after Wingspan stenting in the left internal carotid artery. The present case seemed to correspond with a previous report in which remote ICH tended to occur as an ipsilateral lobar-type hemorrhage in patients with unruptured intracranial aneurysm on the internal carotid artery undergoing treatment with stents or flow diverters. Delayed remote ICH should be considered as a potential risk of using a Wingspan stent covering the carotid siphon for ICAS.
Files in This Item:
T202003071.pdf Download
DOI
10.3349/ymj.2020.61.8.736
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Chung, Joon Ho(정준호)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/179664
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