title: Should we use stents in subarachnoid hemorrhage?
abstract: Based on findings from the International Subarachnoid Aneurysm Trial (ISAT), coiling of ruptured cerebral aneurysms is associated with the lowest immediate morbidity and mortality rates compared to other treatment options.1, 2 Whenever anatomy permits, coiling is the preferred method for repair. Unfortunately, not all cerebral aneurysms are suitable for coiling, and the best treatment for aneurysms that cannot be coiled remains unclear. Adjunctive techniques such as surgical clipping, balloon remodeling,3 use of two microcatheters,4 and intracranial stents 5 can increase the likelihood of aneurysm thrombosis and parent vessel patency. The goal of this article is to describe our current practice using intracranial stents in appropriately selected patients with subarachnoid hemorrhage (SAH) as a result of aneurysm rupture.
authors.affiliation: Cerebrovascular Neurosurgery RUSH University Medical Center, Chicago, IL 60614, USA.
authors.forename: D
authors.initials: D
authors.lastname: Lopes
authors.forename: E
authors.initials: E
authors.lastname: Mangubat
authors.forename: K
authors.initials: K
authors.lastname: Keigher
authors.forename: C
authors.initials: C
authors.lastname: Cogan
mesh_terms: D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D017130:Angioplasty / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D011859:Radiography; D015607:Stents / Q000009:adverse effects; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D014696:Ventriculostomy / Q000379:methods