{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T06:52:50Z","timestamp":1780555970630,"version":"3.54.1"},"reference-count":26,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","license":[{"start":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:00:00Z","timestamp":1722816000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,8,5]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>A systematic review and meta-analysis of flow-diverter stents (FDSs) for the treatment of middle cerebral artery (MCA) aneurysms reported concerns about ischemic complications during treatment. The authors report on the intraoperative and postoperative complications of unruptured MCA aneurysms and their control strategies at their hospital, with detailed information on the aneurysms and a review of the previous literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>Intraoperative and perioperative in-stent thrombus occlusion occurred in 3 (37.5%) of the 8 patients evaluated. In cases with in-stent thrombus formation, rapid administration of 10 mg argatroban led to improvement in blood flow, as seen on angiography. Only 1 patient (12.5%) had a symptomatic stroke postoperatively. This patient was admitted for rehabilitation and drug therapy but was discharged from the hospital 10 days postoperatively with a modified Rankin Scale (mRS) score of 1. The patient had an mRS score of 0 at 90 days after surgery and at the last observation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Ischemic complications require attention during FDS treatment for MCA aneurysms. The use of argatroban in cases of in-stent thrombosis may contribute to a good neurological prognosis.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24237\">https:\/\/thejns.org\/doi\/10.3171\/CASE24237<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24237","type":"journal-article","created":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T03:01:32Z","timestamp":1722826892000},"source":"Crossref","is-referenced-by-count":2,"title":["Neurological outcomes of flow-diverter stent placement for middle cerebral artery aneurysms, with reference to the effects of argatroban on ischemic events: patient series"],"prefix":"10.3171","volume":"8","author":[{"given":"Shinichiro","family":"Yoshida","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery, Fukuoka Neurosurgical Hospital, Fukuoka, Japan"},{"name":"Department of Neurosurgery, Takarazuka Hospital, Takarazuka, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoshi","family":"Kazekawa","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Fukuoka Neurosurgical Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaisei","family":"Kamatani","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Fukuoka Neurosurgical Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kousei","family":"Maruyama","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Fukuoka Neurosurgical Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kousuke","family":"Takigawa","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Fukuoka Neurosurgical Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriaki","family":"Tashiro","sequence":"additional","affiliation":[{"name":"Departments of Cerebrovascular Medicine, Fukuoka Neurosurgical Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiya","family":"Hashiguchi","sequence":"additional","affiliation":[{"name":"Departments of Cerebrovascular Medicine, Fukuoka Neurosurgical Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Yasaka","sequence":"additional","affiliation":[{"name":"Departments of Cerebrovascular Medicine, Fukuoka Neurosurgical Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Aikawa","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Fukuoka Neurosurgical Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Go","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Fukuoka Neurosurgical Hospital, Fukuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"12","key":"bib1","series-title":"AJNR Am J Neuroradiol","first-page":"2289","article-title":"Treatment of middle cerebral artery aneurysms with flow-diverter stents: a systematic review and meta-analysis","volume":"38","author":"Cagnazzo","year":"2017","unstructured":"Cagnazzo FMantilla DLefevre PHDargazanli CGascou GCostalat V. Treatment of middle cerebral artery aneurysms with flow-diverter stents: a systematic review and meta-analysis. AJNR Am J Neuroradiol. 2017;38(12):2289-2294."},{"key":"bib2","series-title":"CVIT Jpn Ed","first-page":"81","article-title":"The effectiveness of intra coronary infusion of argatroban in case of acute myocardial infarction with recurrent coronary obstruction by thrombosis","volume":"1","author":"Suzuki","year":"2009","unstructured":"Suzuki AAizawa YYoshimura H. The effectiveness of intra coronary infusion of argatroban in case of acute myocardial infarction with recurrent coronary obstruction by thrombosis. CVIT Jpn Ed. 2009;1:81-84."},{"issue":"3","key":"bib3","series-title":"Stroke","first-page":"770","article-title":"The argatroban and tissue-type plasminogen activator stroke study: final results of a pilot safety study","volume":"43","author":"Barreto","year":"2012","unstructured":"Barreto ADAlexandrov AVLyden P, et al. The argatroban and tissue-type plasminogen activator stroke study: final results of a pilot safety study. Stroke. 2012;43(3):770-775."},{"issue":"2","key":"bib4","series-title":"JAMA Neurol","first-page":"118","article-title":"Argatroban in patients with acute ischemic stroke with early neurological deterioration: a randomized clinical trial","volume":"81","author":"Zhang","year":"2024","unstructured":"Zhang XZhong WXue R,et al. Argatroban in patients with acute ischemic stroke with early neurological deterioration: a randomized clinical trial. JAMA Neurol. 2024;81(2):118-125."},{"issue":"4","key":"bib5","series-title":"AJNR Am J Neuroradiol","first-page":"474","article-title":"The FRESH study: treatment of intracranial aneurysms with the new FRED X flow diverter with antithrombotic surface treatment technology\u2014first multicenter experience in 161 patients","volume":"44","author":"Vollherbst","year":"2023","unstructured":"Vollherbst DFL\u00fccking HDuPlessis J, et al. The FRESH study: treatment of intracranial aneurysms with the new FRED X flow diverter with antithrombotic surface treatment technology\u2014first multicenter experience in 161 patients. AJNR Am J Neuroradiol. 2023;44(4):474-480."},{"key":"bib6","series-title":"Surg Neurol Int","first-page":"81","article-title":"Distal migration of the flow-redirection endoluminal device immediately after treatment: a case report and literature review","volume":"13","author":"Nariai","year":"2022","unstructured":"Nariai YTakigawa THyodo ASuzuki K. Distal migration of the flow-redirection endoluminal device immediately after treatment: a case report and literature review. Surg Neurol Int. 2022;13:81."},{"issue":"11","key":"bib7","series-title":"Stroke","first-page":"1540","article-title":"Regression of intracardiac thrombus after embolic stroke","volume":"21","author":"Yasaka","year":"1990","unstructured":"Yasaka MYamaguchi TMiyashita TTsuchiya T. Regression of intracardiac thrombus after embolic stroke. Stroke. 1990;21(11):1540-1544."},{"issue":"4","key":"bib8","series-title":"Nagoya J Med Sci","first-page":"884","article-title":"Abnormal foreshortening of a Flow Re-Direction Endoluminal Device caused by in-stent thrombosis immediately after deployment","volume":"84","author":"Otsuka","year":"2022","unstructured":"Otsuka TIzumi TNishihori M, et al. Abnormal foreshortening of a Flow Re-Direction Endoluminal Device caused by in-stent thrombosis immediately after deployment. Nagoya J Med Sci. 2022;84(4):884-889."},{"issue":"5","key":"bib9","series-title":"J Neurosurg","first-page":"1158","article-title":"Flow Re-direction Endoluminal Device in treatment of cerebral aneurysms: initial experience with short-term follow-up results","volume":"120","author":"Kocer","year":"2014","unstructured":"Kocer NIslak CKizilkilic OKocak BSaglam MTureci E. Flow Re-direction Endoluminal Device in treatment of cerebral aneurysms: initial experience with short-term follow-up results. J Neurosurg. 2014;120(5):1158-1171."},{"issue":"10","key":"bib10","series-title":"J Neurointerv Surg","first-page":"1006","article-title":"Thrombogenicity of flow diverters in an ex vivo shunt model: effect of phosphorylcholine surface modification","volume":"9","author":"Hagen","year":"2017","unstructured":"Hagen MWGirdhar GWainwright JHinds MT. Thrombogenicity of flow diverters in an ex vivo shunt model: effect of phosphorylcholine surface modification. J Neurointerv Surg. 2017;9(10):1006-1011."},{"issue":"4","key":"bib11","series-title":"No Shinkei Geka","first-page":"383","article-title":"Aneurysms at the early branch of middle cerebral artery. Article in Japanese","volume":"34","author":"Abe","year":"2006","unstructured":"Abe TOhnishi MKatsumata ANishio SKawauchi MMatsumoto Y. Aneurysms at the early branch of middle cerebral artery. Article in Japanese. No Shinkei Geka. 2006;34(4):383-388."},{"issue":"11","key":"bib12","series-title":"Stroke","first-page":"2750","article-title":"Anatomy and functionality of leptomeningeal anastomoses: a review","volume":"34","author":"Brozici","year":"2003","unstructured":"Brozici Mvan der Zwan AHillen B. Anatomy and functionality of leptomeningeal anastomoses: a review. Stroke. 2003;34(11):2750-2762."},{"issue":"6","key":"bib13","series-title":"Neurosurgery","first-page":"623","article-title":"Flow-diverting stents for intracranial bifurcation aneurysm treatment","volume":"75","author":"Saleme","year":"2014","unstructured":"Saleme SIosif CPonomarjova S, et al. Flow-diverting stents for intracranial bifurcation aneurysm treatment. Neurosurgery. 2014;75(6):623-631."},{"issue":"12","key":"bib1","series-title":"AJNR Am J Neuroradiol","first-page":"2289","article-title":"Treatment of middle cerebral artery aneurysms with flow-diverter stents: a systematic review and meta-analysis","volume":"38","author":"Cagnazzo","year":"2017","unstructured":"Cagnazzo FMantilla DLefevre PHDargazanli CGascou GCostalat V. Treatment of middle cerebral artery aneurysms with flow-diverter stents: a systematic review and meta-analysis. AJNR Am J Neuroradiol. 2017;38(12):2289-2294."},{"key":"bib2","series-title":"CVIT Jpn Ed","first-page":"81","article-title":"The effectiveness of intra coronary infusion of argatroban in case of acute myocardial infarction with recurrent coronary obstruction by thrombosis","volume":"1","author":"Suzuki","year":"2009","unstructured":"Suzuki AAizawa YYoshimura H. The effectiveness of intra coronary infusion of argatroban in case of acute myocardial infarction with recurrent coronary obstruction by thrombosis. CVIT Jpn Ed. 2009;1:81-84."},{"issue":"3","key":"bib3","series-title":"Stroke","first-page":"770","article-title":"The argatroban and tissue-type plasminogen activator stroke study: final results of a pilot safety study","volume":"43","author":"Barreto","year":"2012","unstructured":"Barreto ADAlexandrov AVLyden P, et al. The argatroban and tissue-type plasminogen activator stroke study: final results of a pilot safety study. Stroke. 2012;43(3):770-775."},{"issue":"2","key":"bib4","series-title":"JAMA Neurol","first-page":"118","article-title":"Argatroban in patients with acute ischemic stroke with early neurological deterioration: a randomized clinical trial","volume":"81","author":"Zhang","year":"2024","unstructured":"Zhang XZhong WXue R,et al. Argatroban in patients with acute ischemic stroke with early neurological deterioration: a randomized clinical trial. JAMA Neurol. 2024;81(2):118-125."},{"issue":"4","key":"bib5","series-title":"AJNR Am J Neuroradiol","first-page":"474","article-title":"The FRESH study: treatment of intracranial aneurysms with the new FRED X flow diverter with antithrombotic surface treatment technology\u2014first multicenter experience in 161 patients","volume":"44","author":"Vollherbst","year":"2023","unstructured":"Vollherbst DFL\u00fccking HDuPlessis J, et al. The FRESH study: treatment of intracranial aneurysms with the new FRED X flow diverter with antithrombotic surface treatment technology\u2014first multicenter experience in 161 patients. AJNR Am J Neuroradiol. 2023;44(4):474-480."},{"key":"bib6","series-title":"Surg Neurol Int","first-page":"81","article-title":"Distal migration of the flow-redirection endoluminal device immediately after treatment: a case report and literature review","volume":"13","author":"Nariai","year":"2022","unstructured":"Nariai YTakigawa THyodo ASuzuki K. Distal migration of the flow-redirection endoluminal device immediately after treatment: a case report and literature review. Surg Neurol Int. 2022;13:81."},{"issue":"11","key":"bib7","series-title":"Stroke","first-page":"1540","article-title":"Regression of intracardiac thrombus after embolic stroke","volume":"21","author":"Yasaka","year":"1990","unstructured":"Yasaka MYamaguchi TMiyashita TTsuchiya T. Regression of intracardiac thrombus after embolic stroke. Stroke. 1990;21(11):1540-1544."},{"issue":"4","key":"bib8","series-title":"Nagoya J Med Sci","first-page":"884","article-title":"Abnormal foreshortening of a Flow Re-Direction Endoluminal Device caused by in-stent thrombosis immediately after deployment","volume":"84","author":"Otsuka","year":"2022","unstructured":"Otsuka TIzumi TNishihori M, et al. Abnormal foreshortening of a Flow Re-Direction Endoluminal Device caused by in-stent thrombosis immediately after deployment. Nagoya J Med Sci. 2022;84(4):884-889."},{"issue":"5","key":"bib9","series-title":"J Neurosurg","first-page":"1158","article-title":"Flow Re-direction Endoluminal Device in treatment of cerebral aneurysms: initial experience with short-term follow-up results","volume":"120","author":"Kocer","year":"2014","unstructured":"Kocer NIslak CKizilkilic OKocak BSaglam MTureci E. Flow Re-direction Endoluminal Device in treatment of cerebral aneurysms: initial experience with short-term follow-up results. J Neurosurg. 2014;120(5):1158-1171."},{"issue":"10","key":"bib10","series-title":"J Neurointerv Surg","first-page":"1006","article-title":"Thrombogenicity of flow diverters in an ex vivo shunt model: effect of phosphorylcholine surface modification","volume":"9","author":"Hagen","year":"2017","unstructured":"Hagen MWGirdhar GWainwright JHinds MT. Thrombogenicity of flow diverters in an ex vivo shunt model: effect of phosphorylcholine surface modification. J Neurointerv Surg. 2017;9(10):1006-1011."},{"issue":"4","key":"bib11","series-title":"No Shinkei Geka","first-page":"383","article-title":"Aneurysms at the early branch of middle cerebral artery. Article in Japanese","volume":"34","author":"Abe","year":"2006","unstructured":"Abe TOhnishi MKatsumata ANishio SKawauchi MMatsumoto Y. Aneurysms at the early branch of middle cerebral artery. Article in Japanese. No Shinkei Geka. 2006;34(4):383-388."},{"issue":"11","key":"bib12","series-title":"Stroke","first-page":"2750","article-title":"Anatomy and functionality of leptomeningeal anastomoses: a review","volume":"34","author":"Brozici","year":"2003","unstructured":"Brozici Mvan der Zwan AHillen B. Anatomy and functionality of leptomeningeal anastomoses: a review. Stroke. 2003;34(11):2750-2762."},{"issue":"6","key":"bib13","series-title":"Neurosurgery","first-page":"623","article-title":"Flow-diverting stents for intracranial bifurcation aneurysm treatment","volume":"75","author":"Saleme","year":"2014","unstructured":"Saleme SIosif CPonomarjova S, et al. Flow-diverting stents for intracranial bifurcation aneurysm treatment. Neurosurgery. 2014;75(6):623-631."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/6\/article-CASE24237.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/6\/article-CASE24237.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/6\/article-CASE24237.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:55:00Z","timestamp":1769687700000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/6\/article-CASE24237.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,5]]},"references-count":26,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/case24237","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,5]]}}}