Treatment of In-Stent Stenosis Following Flow Diversion of Intracranial Aneurysms with Cilostazol and Clopidogrel. (Record no. 6769)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02543nam a22004457a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 220124s20212021 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | 2093-9043 |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | 10.5469/neuroint.2021.00290 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | neuroint.2021.00290 [pii] |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | PMC8561031 [pmc] |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| PMID | 34503310 |
| 245 ## - TITLE STATEMENT | |
| Title | Treatment of In-Stent Stenosis Following Flow Diversion of Intracranial Aneurysms with Cilostazol and Clopidogrel. |
| 251 ## - Source | |
| Source | Neurointervention. 16(3):285-292, 2021 Nov. |
| 252 ## - Abbreviated Source | |
| Abbreviated source | Neurointervention. 16(3):285-292, 2021 Nov. |
| 253 ## - Journal Name | |
| Journal name | Neurointervention |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Year | 2021 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Manufacturer | FY2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Publication date | 2021 Nov |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
| Publication status | ppublish |
| 266 ## - Date added to catalog | |
| Date added to catalog | 2021-11-01 |
| 520 ## - SUMMARY, ETC. | |
| Abstract | In-stent stenosis is a feared complication of flow diversion treatment for cerebral aneurysms. We present 2 cases of patients treated with pipeline flow diversion for unruptured cerebral aneurysms. Initial perioperative dual antiplatelet therapy (DAPT) consisted of standard aspirin plus clopidogrel. At 6-month follow-up cerebral angiography, the patients were noted to have developed significant in-stent stenosis (63% and 53%). The patients were treated with cilostazol and clopidogrel for at least 6 months. Subsequent angiography at 1-year post-treatment showed significant improvement of the in-stent stenosis from 63% to 34% and 53% to 21%. The role of cilostazol as treatment of intracranial in-stent stenosis has not been previously described. Cilostazol's vasodilatory effect and suppression of vascular smooth muscle proliferation provides ideal benefits in this setting. Cilostazol plus clopidogrel may be a safe and effective alternative to standard DAPT for treatment of in-stent stenosis following flow diversion and warrants further consideration and investigation. |
| 546 ## - LANGUAGE NOTE | |
| Language note | English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
| Institution | MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION | |
| Department | Neurosurgery |
| 656 ## - INDEX TERM--OCCUPATION | |
| Department | Neurosurgery Residency |
| 656 ## - INDEX TERM--OCCUPATION | |
| Department | Radiology |
| 656 ## - INDEX TERM--OCCUPATION | |
| Department | Surgery/Surgical Critical Care |
| 657 ## - INDEX TERM--FUNCTION | |
| Medline publication type | Case Reports |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Armonda, Rocco A |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Chang, Jason J |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Dowlati, Ehsan |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Liu, Ai-Hsi |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Mai, Jeffrey C |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Sur, Samir |
| 790 ## - Authors | |
| All authors | Armonda RA, Chang JJ, Dowlati E, Felbaum DR, Liu AH, Liu J, Mai JC, Miller CA, Pasko KBD, Sur S |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| DOI | <a href="https://dx.doi.org/10.5469/neuroint.2021.00290">https://dx.doi.org/10.5469/neuroint.2021.00290</a> |
| Public note | https://dx.doi.org/10.5469/neuroint.2021.00290 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Journal Article |
| Item type description | Article |
| Withdrawn status | Lost status | Damaged status | Not for loan | Collection | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedStar Authors Catalog | MedStar Authors Catalog | 11/01/2021 | 34503310 | 34503310 | 11/01/2021 | 11/01/2021 | Journal Article |