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OtherNeurointervention

Local Intra-Arterial Eptifibatide for Intraoperative Vessel Thrombosis during Aneurysm Coiling

V. Katsaridis, C. Papagiannaki, N. Skoulios, I. Achoulias and D. Peios
American Journal of Neuroradiology August 2008, 29 (7) 1414-1417; DOI: https://doi.org/10.3174/ajnr.A1068
V. Katsaridis
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C. Papagiannaki
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N. Skoulios
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I. Achoulias
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D. Peios
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    Fig 1.

    A, Digital subtraction angiography, right vertebral artery, working projection, showing a broad-based aneurysm of the basilar tip. The distal vertebral and the basilar arteries demonstrate areas of severe stenosis. B, Occlusion of the aneurysm with thrombosis of the distal part of the stent and total occlusion of the left PCA. C, Final result, with recanalization of the stent and of the PCA following the administration of 15-mg eptifibatide on the clot and balloon angioplasty of the stenotic lesions. Note that there are no signs of aneurysm recanalization.

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    Fig 2.

    A, Digital subtraction angiography, left ICA, working projection showing an aneurysm at the bifurcation of the MCA. The aneurysm is wide-necked and incorporates the origin of the temporal branch in its base. The MCA and its branches show signs of severe posthemorrhagic vasospasm. B, Subtotal occlusion of the aneurysm with preservation of the patency of the temporal branch of the MCA. C, Total occlusion of the MCA due to thrombus formation. The microcatheter is still in the aneurysm. D, Final result with total recanalization of the MCA following the administration of 10-mg eptifibatide on the clot. Note that there are no signs of aneurysm recanalization

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American Journal of Neuroradiology: 29 (7)
American Journal of Neuroradiology
Vol. 29, Issue 7
August 2008
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V. Katsaridis, C. Papagiannaki, N. Skoulios, I. Achoulias, D. Peios
Local Intra-Arterial Eptifibatide for Intraoperative Vessel Thrombosis during Aneurysm Coiling
American Journal of Neuroradiology Aug 2008, 29 (7) 1414-1417; DOI: 10.3174/ajnr.A1068

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Local Intra-Arterial Eptifibatide for Intraoperative Vessel Thrombosis during Aneurysm Coiling
V. Katsaridis, C. Papagiannaki, N. Skoulios, I. Achoulias, D. Peios
American Journal of Neuroradiology Aug 2008, 29 (7) 1414-1417; DOI: 10.3174/ajnr.A1068
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