Stent-Assisted Coil Embolization for the Proximal Middle Cerebral Artery Fusiform Aneurysm
Journal of Korean Neurosurgical Society
; : 406-408, 2010.
Article
在 En
| WPRIM
| ID: wpr-93638
Responsible library:
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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.
Key words
全文:
1
索引:
WPRIM
主要主题:
Syncope
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Angiography
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Magnetic Resonance Spectroscopy
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Angiography, Digital Subtraction
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Stents
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Follow-Up Studies
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Middle Cerebral Artery
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Embolization, Therapeutic
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Headache
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Anesthesia, General
研究类型:
Observational_studies
/
Prognostic_studies
限制:
Adult
/
Humans
语言:
En
期刊:
Journal of Korean Neurosurgical Society
年:
2010
类型:
Article