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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 84(4)

Abnormal foreshortening of a Flow Re-Direction Endoluminal Device caused by in-stent thrombosis immediately after deployment

https://doi.org/10.18999/nagjms.84.4.884
https://doi.org/10.18999/nagjms.84.4.884
c62fa611-8031-4111-8176-aad0b1d5ed23
名前 / ファイル ライセンス アクション
20_Otsuka.pdf 20_Otsuka.pdf (1.3 MB)
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Item type itemtype_ver1(1)
公開日 2022-11-22
タイトル
タイトル Abnormal foreshortening of a Flow Re-Direction Endoluminal Device caused by in-stent thrombosis immediately after deployment
言語 en
著者 Otsuka, Takafumi

× Otsuka, Takafumi

en Otsuka, Takafumi

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Izumi, Takashi

× Izumi, Takashi

en Izumi, Takashi

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Nishihori, Masahiro

× Nishihori, Masahiro

en Nishihori, Masahiro

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Tsukada, Tetsuya

× Tsukada, Tetsuya

en Tsukada, Tetsuya

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Goto, Shunsaku

× Goto, Shunsaku

en Goto, Shunsaku

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Ikezawa, Mizuka

× Ikezawa, Mizuka

en Ikezawa, Mizuka

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Kato, Naoki

× Kato, Naoki

en Kato, Naoki

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Nakano, Mizuki

× Nakano, Mizuki

en Nakano, Mizuki

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Uda, Kenji

× Uda, Kenji

en Uda, Kenji

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Yokoyama, Kinya

× Yokoyama, Kinya

en Yokoyama, Kinya

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Araki, Yoshio

× Araki, Yoshio

en Araki, Yoshio

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Saito, Ryuta

× Saito, Ryuta

en Saito, Ryuta

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
キーワード
主題Scheme Other
主題 flow diverter
キーワード
主題Scheme Other
主題 Flow Re-Direction Endoluminal Device
キーワード
主題Scheme Other
主題 thromboembolic complications
内容記述
内容記述 Thromboembolic complications are a concern in the treatment of cerebral aneurysms using a flow diverter. In this study, we report a case of abnormal foreshortening of a Flow Re-Direction Endoluminal Device (FRED) caused by in-stent thrombosis immediately after its deployment. A 72-year-old woman had a large cavernous carotid aneurysm, which caused ptosis and diplopia. FRED deployment was planned, and dual antiplatelet therapy was initiated 2 weeks before the procedure. Under systemic heparinization, FRED was deployed with local compaction over the aneurysm orifice. Cone-beam computed tomography subsequently revealed slightly poor wall apposition at the proximal side. While the balloon catheter was prepared for angioplasty, the stent became abnormally foreshortened, the proximal side slipped into the aneurysm, and the internal carotid artery became occluded. FRED was removed using a snare wire, and recanalization was obtained. The lumen of the removed FRED was filled with thrombus. The antiplatelet therapy was changed to triple regimen, and a Pipeline Flex embolization device was placed 1 month later. At that time, no thromboembolic complications were noted. It was considered that thrombotic occlusion was followed by foreshortening of FRED on the distal side because of antegrade blood flow. Multiple factors, such as increased mesh density by locally compacted stent deployment, slightly poor wall apposition, clopidogrel resistance, and the dual-layer structure of FRED, may have been involved in thrombus formation.
言語 en
内容記述タイプ Abstract
出版者
言語 en
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.84.4.884
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/844.html
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0027-7622
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 84, 号 4, p. 884-889, 発行日 2022-11
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