Bilateral Vertebral Artery Dissecting Aneurysms: A Long Term Follow-up Results of Microsurgical Trapping and Proximal Occlusion
Journal of Korean Neurosurgical Society
;
: 318-322, 2007.
Article
Dans Anglais
| WPRIM
| ID: wpr-200264
ABSTRACT
Regarding the bilateral vertebral artery (VA) dissecting aneurysms, treatment strategy remains controversial because there have not been enough cases to reach a conclusion on the best treatment. We present a patient underwent staged microsurgical trapping and endovascular coiling for each dissecting aneurysm of bilateral VA presenting subarachnoid hemorrhage (SAH). The ruptured side was managed by VA trapping procedure without any neurological deficit. Postoperative cerebral angiography revealed patent right PICA without filling of previous right dissecting aneurysm and spontaneous occlusion of the left dissecting aneurysm one month after trapping procedure. However, follow-up angiography revealed recanalization and growing of the left VA dissecting aneurysm one year after the operation. The patient underwent endovascular embolization using GDC for the proximal occlusion of the left VA and postoperative course was uneventful.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Hémorragie meningée
/
Artère vertébrale
/
Angiographie cérébrale
/
Angiographie
/
Pica
/
Études de suivi
/
Anévrysme
/
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Journal of Korean Neurosurgical Society
Année:
2007
Type:
Article
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