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Staged hybrid treatment for giant thrombosed fusiform aneurysm
Article de En | WPRIM | ID: wpr-914849
Bibliothèque responsable: WPRO
ABSTRACT
Partially thrombosed intracranial aneurysm was difficult to treat because of higher recurrence rate compared to non-thrombosed saccular aneurysm. The author reports a case of partially thrombosed intracranial aneurysm causing transient ischemic symptom. A 40-year-old man presented with transient right hemiparesis. Brain magnetic resonance imaging (MRI) depicted low-signal intensity target-like mass lesion on left sylvian fissure, and magnetic resonance angiography (MRA) showed aneurysm on left middle cerebral artery bifurcation (MCBF), suggested thrombosed aneurysm. On operative finding, aneurysm wall had thick and atherosclerotic change, and it was fusiform aneurysm not saccular type. We initially planned direct clip for the aneurysm, but it was failed due to collapse of parent artery after clipping on aneurysm neck. To prevent ischemia, extracranial-intracranial bypass was performed and then thrombectomy with clip reconstruction. To remodeling the fusiform aneurysm, stent-assisted coiling was performed for remnant portion of aneurysm. With staged hybrid technique, giant thrombosed fusiform aneurysm was completely obliterated and the patient did not suffer any neurologic symptoms no longer.
Texte intégral: 1 Base de données: WPRIM Langue: En Journal: Journal of Cerebrovascular and Endovascular Neurosurgery Année: 2021 Type de document: Article
Texte intégral: 1 Base de données: WPRIM Langue: En Journal: Journal of Cerebrovascular and Endovascular Neurosurgery Année: 2021 Type de document: Article