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J Cerebrovasc Endovasc Neurosurg. 2013 Sep;15(3):229-234. English. Case Report. https://doi.org/10.7461/jcen.2013.15.3.229
Lee DH , Yoon WK , Baik MW , Kim H .
Department of Neurosurgery, Bucheon St. Mary's Hospital, The Catholic University of Korea, Bucheon, Korea. armada1997@naver.com
Department of Neurosurgery, St. Paul's Hospital, The Catholic University of Korea, Seoul, Korea.
Abstract

We report a case of spontaneous bilateral intracranial vertebral artery dissecting aneurysms with subarachnoid hemorrhage. One dissecting lesion was treated with a coronary balloon-mounted stent (BMS) technique; however, due to differences in access route tortuosity, the other lesion was treated with a self-expandable stent (SES) technique. After 2 months, the angiographic outcome showed complete healing of the dissected segment on the side that was treated with BMS; in contrast, the dissection lesion appeared to be re-growing on the side that was treated with SES. Complete treatment of the aggravated lesion was achieved by additional deployment of BMSs. Therefore, we have provided a discussion of the possible reasons for this difference in outcome according to the stent type.

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