[Advanced Setup and Techniques for Endovascular Treatment of Ruptured Intracranial Aneurysms].
No Shinkei Geka
; 52(5): 1003-1010, 2024 Sep.
Article
de Ja
| MEDLINE
| ID: mdl-39285550
ABSTRACT
Despite advancements in neurosurgical techniques, subarachnoid hemorrhage(SAH) caused by the rupture of a partially thrombosed intracranial giant aneurysm remains a challenging clinical entity. This report describes the successful treatment of an 80-year-old male patient with SAH due to a ruptured, partially thrombosed intracranial giant aneurysm. The patient underwent a staged endovascular strategy using a flow diverter. The patient presented with SAH secondary to a ruptured, partially thrombosed intracranial giant aneurysm located at the C2 portion of the internal carotid artery and involving the origin of the posterior communicating artery(Pcom). Imaging revealed a dorsomedial rupture point on the aneurysm. A two-stage endovascular intervention(IVR) was performed. The first stage involved coil embolization aimed at covering the rupture point. Following the resolution of the vasospasm and the acute phase of SAH, the second stage involved the deployment of a pipeline embolization device. Digital subtraction angiography performed one month after the second stage IVR demonstrated a significant reduction in aneurysm filling, with preserved flow to the Pcom artery. We will discuss the technical details and rationale behind the staged endovascular approach in this complex case.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Anévrysme intracrânien
/
Rupture d'anévrysme
/
Procédures endovasculaires
Limites:
Aged80
/
Humans
/
Male
Langue:
Ja
Journal:
No Shinkei Geka
Année:
2024
Type de document:
Article
Pays de publication:
Japon