Stent-Assisted Coil Embolization for the Proximal Middle Cerebral Artery Fusiform Aneurysm
Journal of Korean Neurosurgical Society
;
: 406-408, 2010.
Article
in English
| WPRIM
| ID: wpr-93638
ABSTRACT
Middle cerebral artery (MCA) fusiform aneurysms often have an unfavorable geometry that may limit surgical or endovascular treatment. Herein, we present a case of a fusiform aneurysm of the proximal MCA, which was successfully treated using stent-assisted coil embolization. A 42-year-old man presented with repeated headache and syncope. Five years earlier, a right MCA aneurysm had been treated by aneurismal wrapping. Magnetic resonance images (MRI) revealed a partially-thrombosed proximal MCA aneurysm at the right perisylvian region. Digital subtraction angiography (DSA) revealed a multilobulated fusiform-shaped aneurysm. The patient underwent stent-assisted coil embolization under general anesthesia and symptoms resolved postoperatively. A three-month follow-up angiography revealed no recanalization of the aneurysm and indicated tolerable blood flow through the right MCA, as compared to the preoperative angiography. We suggest that in selected patients, stent-assisted coil embolization of proximal MCA fusiform aneurysms can be an effective treatment modality.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Syncope
/
Angiography
/
Magnetic Resonance Spectroscopy
/
Angiography, Digital Subtraction
/
Stents
/
Follow-Up Studies
/
Middle Cerebral Artery
/
Embolization, Therapeutic
/
Headache
/
Anesthesia, General
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2010
Type:
Article
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