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<meta name="DC.Title" content="Histopathologic Findings in Human Cerebral Aneurysms Embolized with Platinum Coils: Report of Two Cases and Review of the Literature" />
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<meta name="DC.Description" content="Summary: This report describes 2-week and 20-month histopathologic findings in small aneurysms embolized with platinum coils. Electron microscopy showed the presence of endothelial cells encroaching on the platinum coils at the orifice of the aneurysm in both cases. We confirm that endothelial growth can be induced as early as 2 weeks after embolization of small human aneurysms with platinum coils, similar to previous observations in animal models and human cases." />
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<meta name="citation_reference" content="Casasco AE, Aymard A, Gobin YP, et al. Selective endovascular treatment of 71 intracranial aneurysms with platinum coils. J Neurosurg 1993;79:3–10" />
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    <div class="highwire-article-citation highwire-citation-type-highwire-article node10155--5" data-node-nid="10155" id="top-node-10155--61422032637" data-pisa="ajnr;23/6/970" data-pisa-master="ajnr;23/6/970" data-apath="/ajnr/23/6/970.atom" data-hw-author-tooltip-instance="highwire_author_tooltip"><div class="highwire-cite highwire-cite-highwire-article highwire-citation-jcore-article-title-complete clearfix has-author-tooltip highwire-citation-highwire-article-top-a">
  
  
      <div class="highwire-cite-overline"><span  class="highwire-cite-metadata-article-type highwire-cite-metadata">Other</span><span class="separator-pipe"></span><span  class="highwire-cite-metadata-art-cat highwire-cite-metadata"><span class="wrapper">INTERVENTIONAL</span></span></div>
  
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      <h1 class="highwire-cite-title" id="page-title">Histopathologic Findings in Human Cerebral Aneurysms Embolized with Platinum Coils: Report of Two Cases and Review of the Literature</h1>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">Shoichiro Ishihara</span>, <span class="highwire-citation-author" data-delta="1">Michel E. Mawad</span>, <span class="highwire-citation-author" data-delta="2">Kentaro Ogata</span>, <span class="highwire-citation-author" data-delta="3">Chihiro Suzuki</span>, <span class="highwire-citation-author" data-delta="4">Nobusuke Tsuzuki</span>, <span class="highwire-citation-author" data-delta="5">Hiroshi Katoh</span>, <span class="highwire-citation-author" data-delta="6">Akira Ohnuki</span>, <span class="highwire-citation-author" data-delta="7">Takahito Miyazawa</span>, <span class="highwire-citation-author" data-delta="8">Hiroshi Nawashiro</span>, <span class="highwire-citation-author" data-delta="9">Tatsumi Kaji</span> and <span class="highwire-citation-author" data-delta="10">Katsuji Shima</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">June 2002,  </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">23 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(6) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">970-974; </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-10155--61422032637" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">Shoichiro Ishihara </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>Department of Neurosurgery, National Defense Medical College, Tokorozawa, Japan</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Shoichiro%2BIshihara%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Ishihara%20S&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AShoichiro%2BIshihara%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">Michel E. Mawad </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>e</span>Department of Neuroradiology, The Methodist Hospital, Baylor College of Medicine, Houston, TX</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Michel%2BE.%2BMawad%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Mawad%20ME&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AMichel%2BE.%2BMawad%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-2"><div class="author-tooltip-name">Kentaro Ogata </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>c</span>Department of Pathology, National Defense Medical College, Tokorozawa, Japan</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Kentaro%2BOgata%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Ogata%20K&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AKentaro%2BOgata%2B" rel="nofollow" class="" 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    <div class="highwire-markup"><div xmlns="http://www.w3.org/1999/xhtml" xmlns:xhtml="http://www.w3.org/1999/xhtml" class="section ref-list" id="ref-list-1"><h2 class="">References</h2><ol class="cit-list"><li><a class="rev-xref-ref" href="#xref-ref-1-1" title="View reference 1 in text" id="ref-1">↵</a><div class="cit ref-cit ref-other" id="cit-23.6.970.1"><div class="cit-metadata"><cite>Mawad ME, Mawad JK, Cartwright J Jr, Gokaslan Z. <strong>Long-term histopathologic changes in canine aneurysms embolized with Guglielmi detachable coils.</strong> <span class="cit-source">AJNR Am J Neuroradiol</span> <span class="cit-pub-date">1995</span>;<span class="cit-vol">16</span>:<span class="cit-fpage">7</span>–13</cite></div><div class="cit-extra"><a href="/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6NDoiYWpuciI7czo1OiJyZXNpZCI7czo2OiIxNi8xLzciO3M6NDoiYXRvbSI7czoxOToiL2FqbnIvMjMvNi85NzAuYXRvbSI7fXM6ODoiZnJhZ21lbnQiO3M6MDoiIjt9" class="cit-ref-sprinkles cit-ref-sprinkles-ijlink"><span><span class="cit-reflinks-abstract">Abstract</span></span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-2-1" title="View reference 2 in text" id="ref-2">↵</a><div class="cit ref-cit ref-other" id="cit-23.6.970.2"><div class="cit-metadata"><cite>Tenjin H, Fushiki S, Nakahara Y, et al. <strong>Effect of Guglielmi detachable coils on experimental carotid artery aneurysms in primates.</strong> <span class="cit-source">Stroke</span> <span class="cit-pub-date">1995</span>;<span class="cit-vol">26</span>:<span class="cit-fpage">2057</span>–2080</cite></div><div class="cit-extra"></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-3-1" title="View reference 3 in text" id="ref-3">↵</a><div class="cit ref-cit ref-other" id="cit-23.6.970.3"><div class="cit-metadata"><cite>Reul J, Weis J, Spetzger U, Konert T, Fricke C, Thron A. <strong>Long-term angiographic and histopathologic findings in experimental aneurysms of the carotid bifurcation embolized with platinum and tungsten coils.</strong> <span class="cit-source">AJNR Am J Neuroradiol</span> <span class="cit-pub-date">1997</span>;<span class="cit-vol">18</span>:<span class="cit-fpage">35</span>–42</cite></div><div class="cit-extra"><a href="/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6NDoiYWpuciI7czo1OiJyZXNpZCI7czo3OiIxOC8xLzM1IjtzOjQ6ImF0b20iO3M6MTk6Ii9ham5yLzIzLzYvOTcwLmF0b20iO31zOjg6ImZyYWdtZW50IjtzOjA6IiI7fQ==" class="cit-ref-sprinkles cit-ref-sprinkles-ijlink"><span><span class="cit-reflinks-abstract">Abstract</span></span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-4-1" title="View reference 4 in text" id="ref-4">↵</a><div class="cit ref-cit ref-other" id="cit-23.6.970.4" data-doi="10.3171/jns.1996.85.3.0488"><div class="cit-metadata"><cite>Spetzger U, Reul J, Weis J, Bertalanffy H, Thron A, Gilsbach J. <strong>Microsurgically produced bifurcation aneurysms in a rabbit model for endovascular coil embolization.</strong> <span class="cit-source">J Neurosurg</span> <span class="cit-pub-date">1996</span>;<span class="cit-vol">85</span>:<span class="cit-fpage">488</span>–495</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=10.3171/jns.1996.85.3.0488&amp;link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=8751637&amp;link_type=MED&amp;atom=%2Fajnr%2F23%2F6%2F970.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a><a href="/lookup/external-ref?access_num=A1996VD34700020&amp;link_type=ISI" class="cit-ref-sprinkles cit-ref-sprinkles-newisilink cit-ref-sprinkles-webofscience"><span>Web of Science</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-5-1" title="View reference 5 in text" id="ref-5">↵</a><div class="cit ref-cit ref-other" id="cit-23.6.970.5"><div class="cit-metadata"><cite>Mizoi K, Yoshimoto T, Takahashi A, Nagamine Y. <strong>A pitfall in the surgery of a recurrent aneurysm after coil embolization and its histological observation: technical case report.</strong> <span class="cit-source">Neurosurgery</span> <span class="cit-pub-date">1996</span>;<span class="cit-vol">39</span>:<span class="cit-fpage">65</span>–69</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=A1996VP95600001&amp;link_type=ISI" class="cit-ref-sprinkles cit-ref-sprinkles-newisilink cit-ref-sprinkles-webofscience"><span>Web of Science</span></a></div></div></li><li><div class="cit ref-cit ref-other no-rev-xref" id="cit-23.6.970.6"><div class="cit-metadata"><cite>Otawara Y, Sugawara T, Seki H, Fujimura M, Tomichi N. <strong>An autopsy case of a ruptured cerebral aneurysm treated with interlocking detachable coils [in Japanese].</strong> <span class="cit-source">No Shinkei Geka</span> <span class="cit-pub-date">1997</span>;<span class="cit-vol">25</span>:<span class="cit-fpage">829</span>–833</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=9300453&amp;link_type=MED&amp;atom=%2Fajnr%2F23%2F6%2F970.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><div class="cit ref-cit ref-other no-rev-xref" id="cit-23.6.970.7"><div class="cit-metadata"><cite>Manabe H, Fujita S, Hatayama T, Ohkuma H, Suzuki S, Yagihashi S. <strong>Embolization of ruptured cerebral aneurysms with interlocking detachable coils in acute stage.</strong> <span class="cit-source">Intervent Neuroradiol</span> <span class="cit-pub-date">1997</span>;<span class="cit-vol">3</span>:<span class="cit-fpage">49</span>–63</cite></div><div class="cit-extra"></div></div></li><li><div class="cit ref-cit ref-other no-rev-xref" id="cit-23.6.970.8"><div class="cit-metadata"><cite>Molyneux AJ, Ellison DW, Morris J, Byrne JV. <strong>Histological findings in giant aneurysms treated with Guglielmi detachable coils: report of two cases with autopsy correlation.</strong> <span class="cit-source">J Neurosurg</span> <span class="cit-pub-date">1996</span>;<span class="cit-vol">83</span>:<span class="cit-fpage">129</span>–132</cite></div><div class="cit-extra"></div></div></li><li><div class="cit ref-cit ref-other no-rev-xref" id="cit-23.6.970.9" data-doi="10.1097/00006123-199811000-00106"><div class="cit-metadata"><cite>Stiver SI, Porter PJ, Willinsky RA, Wallace MC. <strong>Acute human histopathology of an intracranial aneurysm treated using Guglielmi detachable coils: case report and review of the literature.</strong> <span class="cit-source">Neurosurgery</span> <span class="cit-pub-date">1998</span>;<span class="cit-vol">43</span>:<span class="cit-fpage">1203</span>–1208</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=10.1097/00006123-199811000-00106&amp;link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=9802864&amp;link_type=MED&amp;atom=%2Fajnr%2F23%2F6%2F970.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a><a href="/lookup/external-ref?access_num=000076507400094&amp;link_type=ISI" class="cit-ref-sprinkles cit-ref-sprinkles-newisilink cit-ref-sprinkles-webofscience"><span>Web of Science</span></a></div></div></li><li><div class="cit ref-cit ref-other no-rev-xref" id="cit-23.6.970.10"><div class="cit-metadata"><cite>Koizumi T, Kawano T, Kazekawa K, et al. <strong>Histological findings in aneurysm treated with IDC: scanning electron microscopical study [in Japanese].</strong> <span class="cit-source">No Shinkei Geka</span> <span class="cit-pub-date">1997</span> :<span class="cit-vol">25</span>:<span class="cit-fpage">1027</span>–1103</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=9387168&amp;link_type=MED&amp;atom=%2Fajnr%2F23%2F6%2F970.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a></div></div></li><li><div class="cit ref-cit ref-other no-rev-xref" id="cit-23.6.970.11"><div class="cit-metadata"><cite>Horowitz MB, Purdy PD, Burns D, Bellotto D. <strong>Scanning electron microscopic findings in a basilar tip aneurysm embolized with Guglielmi detachable coils.</strong> <span class="cit-source">AJNR Am J Neuroradiol</span> <span class="cit-pub-date">1997</span>;<span class="cit-vol">18</span>:<span class="cit-fpage">688</span>–690</cite></div><div class="cit-extra"><a href="/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6NDoiYWpuciI7czo1OiJyZXNpZCI7czo4OiIxOC80LzY4OCI7czo0OiJhdG9tIjtzOjE5OiIvYWpuci8yMy82Lzk3MC5hdG9tIjt9czo4OiJmcmFnbWVudCI7czowOiIiO30=" class="cit-ref-sprinkles cit-ref-sprinkles-ijlink"><span><span class="cit-reflinks-abstract">Abstract</span><span class="cit-sep cit-reflinks-variant-name-sep">/</span><span class="cit-reflinks-full-text"><span class="free-full-text">FREE </span>Full Text</span></span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-12-1" title="View reference 12 in text" id="ref-12">↵</a><div class="cit ref-cit ref-other" id="cit-23.6.970.12" data-doi="10.3171/jns.1999.91.2.0284"><div class="cit-metadata"><cite>Bavinzski G, Talazoglu V, Killer M, et al. <strong>Gross and microscopic histopathological findings in aneurysms of the human brain treated with Guglielmi detachable coils.</strong> <span class="cit-source">J Neurosurg</span> <span class="cit-pub-date">1999</span>;<span class="cit-vol">91</span>:<span class="cit-fpage">284</span>–293</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=10.3171/jns.1999.91.2.0284&amp;link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=10433317&amp;link_type=MED&amp;atom=%2Fajnr%2F23%2F6%2F970.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a><a href="/lookup/external-ref?access_num=000081681800015&amp;link_type=ISI" class="cit-ref-sprinkles cit-ref-sprinkles-newisilink cit-ref-sprinkles-webofscience"><span>Web of Science</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-13-1" title="View reference 13 in text" id="ref-13">↵</a><div class="cit ref-cit ref-other" id="cit-23.6.970.13" data-doi="10.3171/jns.1997.86.3.0475"><div class="cit-metadata"><cite>Viñuela F, Duckwiler G, Mawad M, et al. <strong>Guglielmi detachable coil embolization in acute intracranial aneurysm: perioperative anatomical and clinical outcome in 403 patients.</strong> <span class="cit-source">J Neurosurg</span> <span class="cit-pub-date">1997</span>;<span class="cit-vol">86</span>:<span class="cit-fpage">475</span>–482</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=10.3171/jns.1997.86.3.0475&amp;link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=9046305&amp;link_type=MED&amp;atom=%2Fajnr%2F23%2F6%2F970.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a><a href="/lookup/external-ref?access_num=A1997WJ26700008&amp;link_type=ISI" class="cit-ref-sprinkles cit-ref-sprinkles-newisilink cit-ref-sprinkles-webofscience"><span>Web of Science</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-14-1" title="View reference 14 in text" id="ref-14">↵</a><div class="cit ref-cit ref-other" id="cit-23.6.970.14" data-doi="10.3171/jns.1993.79.1.0003"><div class="cit-metadata"><cite>Casasco AE, Aymard A, Gobin YP, et al. <strong>Selective endovascular treatment of 71 intracranial aneurysms with platinum coils.</strong> <span class="cit-source">J Neurosurg</span> <span class="cit-pub-date">1993</span>;<span class="cit-vol">79</span>:<span class="cit-fpage">3</span>–10</cite></div><div class="cit-extra"><a href="/lookup/external-ref?access_num=10.3171/jns.1993.79.1.0003&amp;link_type=DOI" class="cit-ref-sprinkles cit-ref-sprinkles-doi cit-ref-sprinkles-crossref"><span>CrossRef</span></a><a href="/lookup/external-ref?access_num=8315465&amp;link_type=MED&amp;atom=%2Fajnr%2F23%2F6%2F970.atom" class="cit-ref-sprinkles cit-ref-sprinkles-medline"><span>PubMed</span></a><a href="/lookup/external-ref?access_num=A1993LJ01200002&amp;link_type=ISI" class="cit-ref-sprinkles cit-ref-sprinkles-newisilink cit-ref-sprinkles-webofscience"><span>Web of Science</span></a></div></div></li><li><a class="rev-xref-ref" href="#xref-ref-15-1" title="View reference 15 in text" id="ref-15">↵</a><div class="cit ref-cit ref-other" id="cit-23.6.970.15"><div class="cit-metadata"><cite>Mawad ME, Mawad JK, Klucznik RP, Rose JE, Vermani R. <strong>Long-term (1-1 1/2 year) histopathological findings in experimental canine aneurysms treated with Guglielmi detachable coils: the presence of new endothelial layer.</strong> <span class="cit-source">Intervent Neuroradiol</span> <span class="cit-pub-date">1997</span>;<span class="cit-vol">3(Suppl 1)</span>:<span class="cit-fpage">80</span></cite></div><div class="cit-extra"></div></div></li></ol></div></div>  </div>

  
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        	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-volume highwire-cite-metadata">Vol. 23</span>, <span  class="highwire-cite-metadata-issue highwire-cite-metadata">Issue 6 </span><div  class="highwire-cite-metadata-pubdate highwire-cite-metadata">1 Jun 2002 </div></div>
      
      
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    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Jun 2002, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">23 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(6) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">970-974; </span></div>
  
  
  
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      <div class="highwire-cite-title">Histopathologic Findings in Human Cerebral Aneurysms Embolized with Platinum Coils: Report of Two Cases and Review of the Literature</div>  
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    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Jun 2002, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">23 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(6) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">970-974; </span></div>
  
  
  
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