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Considering the unfavorable anatomy and irregular shape of the aneurysm, a flow diverter (FD) stent was positioned in addition to coils in an acute setting. Cangrelor (Kengreal, Chiesi, USA) IV bolus followed by maintenance IV infusion was administered in addition to ASA at the time of intervention. Transitioning from cangrelor to thienopyridine (clopidogrel) was done the day after the procedure without any ischemic or hemorrhagic complications. The patient was discharged symptom-free 24\u00a0days later. We discuss technical considerations focusing specifically on antiplatelet therapy management.<\/jats:p>","DOI":"10.1177\/19714009241303122","type":"journal-article","created":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T12:48:39Z","timestamp":1732279719000},"page":"501-505","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Cangrelor use in a pediatric patient with aneurysmal subarachnoid hemorrhage"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9091-7394","authenticated-orcid":false,"given":"Riccardo","family":"Russo","sequence":"first","affiliation":[{"name":"Department of Neuroscience, Neuroradiological Unit, University of Turin, Azienda Ospedaliera Citt\u00e0 della Salute e della Scienza Hospital, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Molinaro","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Neuroradiological Unit, University of Turin, Azienda Ospedaliera Citt\u00e0 della Salute e della Scienza Hospital, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Mistretta","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Neuroradiological Unit, University of Turin, Azienda Ospedaliera Citt\u00e0 della Salute e della Scienza Hospital, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umberto","family":"Gava","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Neuroradiological Unit, University of Turin, Azienda Ospedaliera Citt\u00e0 della Salute e della Scienza Hospital, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Morana","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Neuroradiological Unit, University of Turin, Azienda Ospedaliera Citt\u00e0 della Salute e della Scienza Hospital, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Peretta","sequence":"additional","affiliation":[{"name":"Pediatric Neurosurgery Unit, Ospedale Infantile Regina Margherita, Azienda Ospedaliera Citt\u00e0 della Salute e della Scienza Hospital, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Del Borrello","sequence":"additional","affiliation":[{"name":"Pediatric Oncohematology Department, Azienda Ospedaliera Citt\u00e0 della Salute e della Scienza Hospital, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Zeppa","sequence":"additional","affiliation":[{"name":"Pediatric Neurosurgery Unit, Ospedale Infantile Regina Margherita, Azienda Ospedaliera Citt\u00e0 della Salute e della Scienza Hospital, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Bergui","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Neuroradiological Unit, University of Turin, Azienda Ospedaliera Citt\u00e0 della Salute e della Scienza Hospital, Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,22]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-018-3818-6"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-019-04159-3"},{"key":"e_1_3_4_4_2","volume-title":"StatPearls","author":"Levy ML","year":"2023","unstructured":"Levy ML, Levy DM, Manna B. 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