Thrombus remnant despite intra-arterial thrombolysis for thrombus formation during endovascular treatment of ruptured cerebral aneurysms: Does it harm?

作者: Hyo Sub Jun , Jun Hyong Ahn , Ji Hee Kim , Jae Keun Oh , Joon Ho Song

DOI: 10.1177/1591019916641314

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摘要: BackgroundThe fate and safety of thrombus remnant despite intra-arterial thrombolysis for unexpected formation has rarely been reported.MethodsFrom January 2010 to May 2015, 131 consecutive patients with ruptured intracranial aneurysms were treated by endovascular methods at our institution. Among the 21 (16%) during procedure, nine (nine aneurysms) suffered from remnant. We reviewed clinical radiologic outcomes as well intraoperative postoperative management formation.ResultsThrombus occurred near coiled aneurysm in eight patients, distal embolic occlusion was observed one patient. All initially managed tirofiban. One patient persistent two migration after additio...

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