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American Journal of Neuroradiology, Vol 18, Issue 3 507-509, Copyright © 1997 by American Society of Neuroradiology


ARTICLES

Covered stent placement for neurovascular disease

RJ Singer, MD Dake, A Norbash, T Abe, ML Marcellus and MP Marks
Department of Radiology, Stanford University Medical Center, CA 94305, USA.

We describe an endovascular technique in which covered stents were used to occlude a parent vessel. In one patient, with a giant paraclinoid aneurysm, a Gortex-covered Palmaz stent was used to occlude the cervical internal carotid artery and to create thrombosis in the aneurysm. In the second patient, with a high-flow vertebrojugular fistula, a hooded stent provided definitive treatment after an attempt to close the fistula by detachable balloon therapy failed. Follow-up of these patients revealed stable stent position and no untoward effects of permanent vessel occlusion.


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