Journal of Korean Neurosurgical Society

  • 제56권4호
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  • Pages.344-347
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  • 2014
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Very Late Stent Thrombosis after Sole Stent-Assisted Coiling at the Paraclinoid Giant Aneurysm : Could Prophylactic Antiplatelet Therapy Be Ceased at the Only 1 Year after Procedure?

  • Shin, Jung-Hoon (Department of Neurosurgery, Keimyung University School of Medicine) ;
  • Park, Seong-Ho (Department of Neurosurgery, Keimyung University School of Medicine) ;
  • Kim, Chang-Hyun (Department of Neurosurgery, Keimyung University School of Medicine) ;
  • Lee, Chang-Young (Department of Neurosurgery, Keimyung University School of Medicine)
  • 투고 : 2013.11.09
  • 심사 : 2014.09.29
  • 발행 : 2014.10.28
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초록

Stent thrombosis is a major limitation of stent-assisted coiling, which is an effective method for treating wide-necked aneurysms. Although early in-stent thrombosis has been reported, very late stent thrombosis (VLST) (>1 year) has not been reported following implantation of a single self-expandable stent designed for coiling. Herein, the authors present a case of VLST that occurred 14 months after single stent implantation in a large paraclinoid aneurysm with an ultra-wide neck involving the parent artery circumferentially. This case indicates the need for establishing guidelines regarding the optimal duration of prophylactic antiplatelet therapy following stent-assisted coiling, which remains undefined in the neuroendovascular field.

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참고문헌

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