Computed tomography angiography, perfusion computed tomography, and a drug-eluting stent for the treatment of in-stent restenosis of the middle cerebral artery.

Abstract:

:The authors report a case of in-stent restenosis (ISR) of the middle cerebral artery (MCA) following bare-metal stent (BMS) deployment and subsequent treatment using a drug-eluting stent (DES). This 65-year-old woman presented with frequent transient ischemic attacks. Initial studies revealed occlusion of the left internal carotid artery and severe stenosis of the right MCA with decreased cerebral perfusion in the bilateral MCA territories. Stent-assisted angioplasty of the right MCA was performed using a BMS, and satisfactory results were obtained with no complications. Six months after the procedure the patient presented with recurrent symptoms, and workups revealed ISR with decreased cerebral perfusion. A DES was successfully placed without complications. Follow-up studies at 3 and 8 months after retreatment showed sustained luminal integrity and cerebral perfusion. A combination of CT angiography and perfusion CT exhibited the anatomical results and hemodynamic status of the stenotic lesion, and these findings coincided with the patient's clinical symptoms and the results of conventional cerebral angiography. In-stent restenosis of the MCA after placement of a BMS can be treated using a DES. A combination of CT angiography and perfusion CT can be an alternative to conventional angiography. Low-profile devices with an amelioration of trackability are essential for the further incorporation of the DES into the field of endovascular neurosurgery. More clinical experiences and long-term follow-ups are mandatory to evaluate the safety, efficacy, and durability of the DES.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Kim SR,You SH,Yoon WK,Kim YW,Kim SD,Park IS,Baik MW

doi

10.3171/2009.8.JNS081609

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

729-33

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

112

pub_type

杂志文章
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    journal_title:Journal of neurosurgery

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    doi:10.3171/2012.7.JNS12263

    authors: Satoer D,Vork J,Visch-Brink E,Smits M,Dirven C,Vincent A

    更新日期:2012-11-01 00:00:00

  • Deep brain stimulation outcomes in patients implanted under general anesthesia with frame-based stereotaxy and intraoperative MRI.

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    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.7.JNS171166

    authors: Matias CM,Frizon LA,Nagel SJ,Lobel DA,Machado AG

    更新日期:2018-12-01 00:00:00

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    doi:10.3171/spi.2002.97.3.0281

    authors: Kristof RA,Aliashkevich AF,Schuster M,Meyer B,Urbach H,Schramm J

    更新日期:2002-10-01 00:00:00

  • Pressure-dependent effect of shock waves on rat brain: induction of neuronal apoptosis mediated by a caspase-dependent pathway.

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    authors: Kato K,Fujimura M,Nakagawa A,Saito A,Ohki T,Takayama K,Tominaga T

    更新日期:2007-04-01 00:00:00

  • Clinical prediction of delayed cerebral ischemia in aneurysmal subarachnoid hemorrhage.

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    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2018.1.JNS172715

    authors: Lee H,Perry JJ,English SW,Alkherayf F,Joseph J,Nobile S,Zhou LL,Lesiuk H,Moulton R,Agbi C,Sinclair J,Dowlatshahi D

    更新日期:2018-06-01 00:00:00

  • Stereotactic radiosurgery for intracranial hemangiopericytomas: a multicenter study.

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    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.3171/2016.1.JNS152860

    authors: Cohen-Inbar O,Lee CC,Mousavi SH,Kano H,Mathieu D,Meola A,Nakaji P,Honea N,Johnson M,Abbassy M,Mohammadi AM,Silva D,Yang HC,Grills I,Kondziolka D,Barnett GH,Lunsford LD,Sheehan J

    更新日期:2017-03-01 00:00:00

  • Early history of neurosurgery in Manitoba: threads in the tapestry of world neurosurgery.

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    journal_title:Journal of neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.3171/jns.1995.82.5.0900

    authors: Parkinson D

    更新日期:1995-05-01 00:00:00

  • Removal of broken pedicle screws. Technical note.

    abstract::The authors describe a simple, new method for removing broken pedicle screws. Under microscopic visualization a straight, narrow slot is etched in the broken surface of the pedicle screw by using a power drill with a 2-mm diamond burr. A minus screwdriver is then inserted into the slot, and the broken screw is rotated...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2001.95.1.0150

    authors: Miyamoto K,Shimizu K,Kouda K,Hosoe H

    更新日期:2001-07-01 00:00:00

  • In vivo measurement of the frame-based application accuracy of the Neuromate neurosurgical robot.

    abstract:OBJECT:The application accuracy of the Neuromate neurosurgical robot has been validated in vitro but has not been evaluated in vivo for deep brain stimulation (DBS) electrode implantations. The authors conducted a study to evaluate this application accuracy in routine frame-based DBS procedures, with an independent sys...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.9.JNS14256

    authors: von Langsdorff D,Paquis P,Fontaine D

    更新日期:2015-01-01 00:00:00

  • Preirradiation methotrexate chemotherapy of primary central nervous system lymphoma: long-term outcome.

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    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1994.81.2.0188

    authors: Glass J,Gruber ML,Cher L,Hochberg FH

    更新日期:1994-08-01 00:00:00

  • Brain invasion and the risk of seizures in patients with meningioma.

    abstract:OBJECTIVE:Identification of risk factors for perioperative epilepsy remains crucial in the care of patients with meningioma. Moreover, associations of brain invasion with clinical and radiological variables have been largely unexplored. The authors hypothesized that invasion of the cortex and subsequent increased edema...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2017.11.JNS172265

    authors: Hess K,Spille DC,Adeli A,Sporns PB,Brokinkel C,Grauer O,Mawrin C,Stummer W,Paulus W,Brokinkel B

    更新日期:2018-04-27 00:00:00

  • Arachnoid membranes in the posterior half of the incisural space: an inverted Liliequist membrane-like arachnoid complex.

    abstract:OBJECT:The aim of this study was to describe the similarity of configuration between the arachnoid complex in the posterior half of the incisural space and the Liliequist membrane. METHODS:Microsurgical dissection and anatomical observation were performed in 20 formalin-fixed adult cadaver heads. The origin, distribut...

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    pub_type: 杂志文章

    doi:10.3171/2014.3.JNS132206

    authors: Zhang XA,Qi ST,Fan J,Huang GL,Peng JX

    更新日期:2014-08-01 00:00:00

  • Indications and results of combined anterior-posterior approaches for spine tumor surgery.

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    pub_type: 杂志文章

    doi:10.3171/jns.1996.85.3.0438

    authors: Sundaresan N,Steinberger AA,Moore F,Sachdev VP,Krol G,Hough L,Kelliher K

    更新日期:1996-09-01 00:00:00

  • Falcine sinus and occipital encephalocele: a magnetic resonance venography study.

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    pub_type: 杂志文章

    doi:10.3171/jns.1998.89.5.0738

    authors: Bartels RH,Merx JL,van Overbeeke JJ

    更新日期:1998-11-01 00:00:00

  • Motor areas of the frontal cortex in patients with motor eloquent brain lesions.

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    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2015.11.JNS152103

    authors: Bulubas L,Sabih J,Wohlschlaeger A,Sollmann N,Hauck T,Ille S,Ringel F,Meyer B,Krieg SM

    更新日期:2016-12-01 00:00:00

  • Alpha-1-antitrypsin in human brain tumors.

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    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1987.67.2.0258

    authors: Sawaya R,Zuccarello M,Highsmith R

    更新日期:1987-08-01 00:00:00

  • Prognosis of severe head injuries.

    abstract::The authors have analyzed retrospectively a series of 288 consecutive patients with severe head injury observed between January, 1977, and May, 1980. Seventy-three patients were excluded as not being compatible with those of the International Data Bank. The remaining 215 patients complied with the definition of coma g...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1982.57.6.0779

    authors: Levati A,Farina ML,Vecchi G,Rossanda M,Marrubini MB

    更新日期:1982-12-01 00:00:00

  • MR imaging of CSF pulsatory flow and its relation to intracranial pressure.

    abstract::In a retrospective study of magnetic resonance (MR) images obtained in 289 neurosurgical patients, loss of signal intensity (signal-void phenomenon, SVP) of the cerebrospinal fluid (CSF) in the mesencephalic aqueduct was observed in 77 patients. This SVP was noted in the MR studies of 12 of 14 patients with communicat...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1988.69.5.0675

    authors: Ohara S,Nagai H,Matsumoto T,Banno T

    更新日期:1988-11-01 00:00:00

  • Stereotaxic reconstruction of the aqueduct of Sylvius.

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    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1981.55.5.0800

    authors: Backlund EO,Grepe A,Lunsford D

    更新日期:1981-11-01 00:00:00

  • The effects of ischemia on long-tract neural conduction in the spinal cord.

    abstract::In this experiment, the effects of ischemia on neural conduction in the monkey spinal cord were studied. In six monkeys generalized ischemia of the spinal cord was created by bleeding the animals to a hypotensive level below the lower limits of autoregulation in the spinal cord. The progressive development of spinal c...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1979.50.5.0639

    authors: Kobrine AI,Evans DE,Rizzoli HV

    更新日期:1979-05-01 00:00:00

  • Reduction of spinal cord injury by administration of iloprost, a stable prostacyclin analog.

    abstract::To investigate whether iloprost, a stable analog of prostacyclin, is useful for the prevention of posttraumatic spinal cord injury, we examined its effects on compression trauma-induced spinal cord injury in rats. Spinal cord injury was induced by applying a 20-g weight for 20 minutes to the spinal cord at the level o...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1997.86.6.1007

    authors: Taoka Y,Okajima K,Uchiba M,Murakami K,Harada N,Johno M,Naruo M,Okabe H,Takatsuki K

    更新日期:1997-06-01 00:00:00

  • Neurotransmitter release from high-frequency stimulation of the subthalamic nucleus.

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    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2004.101.3.0511

    authors: Lee KH,Chang SY,Roberts DW,Kim U

    更新日期:2004-09-01 00:00:00

  • Treatment of spontaneous carotid-cavernous fistula in Ehlers-Danlos syndrome by transvenous occlusion with Guglielmi detachable coils. Case report and review of the literature.

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    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/jns.2000.93.4.0689

    authors: Kanner AA,Maimon S,Rappaport ZH

    更新日期:2000-10-01 00:00:00

  • The nonsurgical nature of patients with subarachnoid or intraparenchymal hemorrhage associated with mild traumatic brain injury.

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    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2014.10.JNS132713

    authors: Ditty BJ,Omar NB,Foreman PM,Patel DM,Pritchard PR,Okor MO

    更新日期:2015-09-01 00:00:00

  • Cerebral aneurysm in an infant with fibromuscular hyperplasia of the renal arteries. Case report.

    abstract::The authors report a case of subarachnoid hemorrhage in an 11-month-old infant with tragic outcome. Radiological investigation showed an anterior communicating aneurysm, and postmortem examination confirmed the aneurysm to be a so-called "berry" aneurysm. There were also typical signs of fibromuscular hyperplasia of t...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1978.49.5.0756

    authors: Bolander H,Hassler O,Liliequist B,West KA

    更新日期:1978-11-01 00:00:00

  • Acute subdural hematoma: morbidity, mortality, and operative timing.

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    pub_type: 杂志文章

    doi:10.3171/jns.1991.74.2.0212

    authors: Wilberger JE Jr,Harris M,Diamond DL

    更新日期:1991-02-01 00:00:00

  • Delayed cyst formation after stereotactic radiosurgery for brain arteriovenous malformations.

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    pub_type: 杂志文章

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    更新日期:2018-10-01 00:00:00

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    pub_type: 临床试验,杂志文章

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    doi:10.3171/jns.2007.106.6.1067

    authors: Utsuki S,Oka H,Sagiuchi T,Shimizu S,Suzuki S,Fujii K

    更新日期:2007-06-01 00:00:00