Safety, Feasibility and Clinical Outcome of Patients Who Underwent Enterprise Stent Assisted Repair of Intracranial Aneurysm Using Loading Dose of Aspirin and Clopidogrel -A Single Center Experience (original) (raw)

Abstract

Introduction Antiplatelet regimen in stent-assisted treatment of intracranial aneurysm is not universal and varies from center to center. Objectives: To determine the safety, feasibility and clinical outcome of patients who underwent Enterprise stent-assisted repair of intracranial aneurysm using acute loading doses of aspirin and clopidogrel. Methods Consecutive patients underwent enterprise stent-assisted repair of aneurysm using loading doses of aspirin 324 mg and clopidogrel 300 mg were enrolled.The outcome was measured using national institute of health stroke scale (NIHSS) and modified Rankin Scale (mRS) Results 47 patients with mean age of 53 ± 13 underwent 56 stent-assisted procedures to treat 53 (2 ruptured cases) aneurysms. Stent deployed in (98%) but one who underwent aneurysm coiling. There was no intra-operative hemorrhagic event. Small left subtrachnoid hemorrhage was observed in one with right middle cerebral artery aneurysm (MCA). Intra-operative asymptomatic MCA bra...

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