Fenestration using a novel cutting balloon for acute vessel occlusion secondary to intramural hematoma following stent implantation

Author(s):  
Yusuke Miura ◽  
Kohei Koyama ◽  
Ken Kongoji ◽  
Kyoko Soejima
2012 ◽  
Vol 4 (2) ◽  
pp. 103-105
Author(s):  
András Komócsi ◽  
Gyöngyvér Költô ◽  
Iván G. Horváth ◽  
Attila Kónyi

2000 ◽  
Vol 139 (2) ◽  
pp. 1E-4E ◽  
Author(s):  
Seong-Wook J. Park ◽  
Cheol Whan Lee ◽  
Myeong-Ki Whan Hong ◽  
Jae-Joong Whan Kim ◽  
Nae-Hee Whan Lee ◽  
...  

2010 ◽  
Vol 16 (2) ◽  
pp. 151-160 ◽  
Author(s):  
T. Krings ◽  
I-S. Choi

Intracranial arterial dissecting diseases are rare and challenging diseases with a high associated morbidity and mortality. Their common pathomechanic origin is related to blood entering the vessel wall via an endothelial and intimal tear. Depending on the fate of the thus established intramural hematoma, different symptoms may ensue including mass effect, subarachnoid hemorrhage or ischemia. If the mural hematoma ruptures all vascular layers of the intradural artery, a subarachnoid hemorrhagic will occur. If the intramural hematoma reopens distally into the parent vessel on the other hand, ischemic embolic events may happen following intramural clot formation. If the mural hematoma does neither open itself into the parent vessel nor into the subarachnoid space, the vessel wall may dilate leading to occlusion of perforator branches and local ischemia. Organization of the mural hematoma may result in a chronic dissecting process which may eventually lead to formation of a “giant partially thrombosed” aneurysm with thrombus of varying ages within the vessel wall, ingrowth of vasa vasorum and recurrent dissections with subsequent growth of the aneurysm from the periphery. Treatment strategies of these diseases should take the underlying pathomechanism into consideration and include, depending on the presentation medical treatment, parent vessel occlusion, flow reversal or diversion, surgical options or a combined treatment protocol.


2009 ◽  
Vol 32 (4) ◽  
pp. 183-186 ◽  
Author(s):  
Hisham Nassar ◽  
Israel Gotsman ◽  
Penko Gerganski ◽  
Morris Moseri ◽  
Chaim Lotan ◽  
...  

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