Camilo Gómez

Publications (2)2.96 Total impact

• Article: Ten-year follow-up of giant basilar aneurysm treated by sole stenting technique: a case report

  Marco Zenteno, Camilo Gómez, JA Santos-Franco, Fernando Vinuela, Y Aburto-Murrieta, Angel Lee
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  ABSTRACT: Abstract Introduction The sole stenting technique has emerged as a new tool for the management of intracranial aneurysms. However, several concerns have emerged about the long-term behavior of intracranial stents, particularly their safety and efficacy. Case presentation We present the first case of an intracranial aneurysm intentionally treated with the sole stenting technique. After ten years of clinical and imaging follow-up, the lesion has healed and no intrastent stenosis is observed. Several issues concerning this technique are discussed. For instance, the modification of the angle and intra-aneurysmal thrombosis may account as positive effects; negative outcomes include in-stent thrombosis or stenosis. Conclusions This case report, involving a long clinical and imaging follow-up, provides an example of the effectiveness, safety, durability and simplicity of the sole stenting technique in the management of intracranial aneurysms.
  Journal of Medical Case Reports. 01/2010;
• Source

  Available from: Angel Lee

  Article: Use of the sole stenting technique for the management of aneurysms in the posterior circulation in a prospective series of 20 patients.

  Marco Antonio Zenteno, Jorge Arturo Santos-Franco, Jose Maria Freitas-Modenesi, Camilo Gómez, Luis Murillo-Bonilla, Yolanda Aburto-Murrieta, Ricardo Díaz-Romero, Edgar Nathal, Sergio Gómez-Llata, Angel Lee
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  ABSTRACT: The use of intracranial stents in stent-assisted coil embolization is now a current neurosurgical practice worldwide. The clinical utility of these stents in the sole stenting (SS) technique, however, has not been thoroughly described, and the published reports of this experience are scarce. This study was designed to evaluate SS treatment of dissecting and nondissecting aneurysms of the posterior circulation. This prospective and descriptive study was conducted in 20 consecutive patients who harbored single aneurysms of the posterior circulation and who were treated using the SS approach in the last 3 years. The clinical and radiological assessment and follow-up of the patients were evaluated using the modified Rankin scale as well as with computed tomography angiography and digital subtraction angiography at discharge and at 1, 3, 6, and 12 months. Eleven of the 20 patients had subarachnoid hemorrhages, 3 presented with ischemia, 1 presented with brainstem compression, and the remaining 5 patients had incidentally discovered, asymptomatic lesions. Only 1 patient had a complication (occipital infarction) attributable to the SS procedure. One patient died of rebleeding 2 weeks after the procedure. At 1 month, 40% of the patients had a subtotal or total occlusion, which increased to 55% at 3 months and 85% at 6 months, with a final subtotal or total occlusion rate of 80% at 1 year. The SS procedure in 1 case was considered a failure at 6 months because no change had been noted since the 1-month follow-up. One case showed partial occlusion and 1 case showed recanalization. Use of SS for aneurysms in the posterior circulation complex is a safe and effective technique, demonstrating an occlusion rate of 80% at the 1-year follow up.
  Journal of Neurosurgery 06/2008; 108(6):1104-18. · 2.96 Impact Factor