Delayed rupture of a basilar artery aneurysm treated with coils: Case report and review of the literature - 13/03/13
, Yuko Tsurumi b, Makoto Negoro c, Shinichiro Tsugane a, Misaki Ryuge d, Noriyuki Susaki a, Toshiki Fukuoka a, Shigeru Miyachi e
Corresponding author. 4-1-1 San-nomaru, Nakaku, Nagoya, 460-0001, Japan. Tel.: +81 52 951 1111; fax: +81 52 951 0664.Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 8 |
| Iconographies | 6 |
| Vidéos | 0 |
| Autres | 0 |
Summary |
Delayed rupture of a previously unruptured cerebral aneurysm after uneventful saccular coil packing is rare, particularly when the quality of aneurysm occlusion is appropriate (neck remnant or total occlusion). The present report describes the case of a 70-year-old woman with an incidentally detected, asymptomatic, small basilar tip non-thrombosed aneurysm who experienced rupture of the aneurysm 2years after coiling. Cerebral angiography taken on the day of rupture revealed only small recanalization of the aneurysm neck with no dome-filling. This is the first report of delayed rupture due to minor recurrence of a previously unruptured small asymptomatic cerebral aneurysm after saccular coil packing. A literature review of 26 reports of late bleeding after coil embolization of previously unruptured cerebral aneurysms showed that dome-filling after coil embolization, symptomatic aneurysms and large/giant aneurysms all increase the risk of delayed rupture in previously unruptured aneurysms after saccular coil packing.
Le texte complet de cet article est disponible en PDF.Keywords : Aneurysm, Rupture, Complications, Embolization, Intracranial
Plan
Vol 40 - N° 1
P. 54-61 - mars 2013 Retour au numéro
Article précédent
- Combined use of a double-lumen remodeling balloon and a low-profile stent in the treatment of intracranial aneurysms (‘remostent’ technique): A technical note
- Krzysztof Kadziolka, Catherine Tomas, Georges Robin, Laurent Pierot
- Brain metastatic dissemination of choriocarcinoma complicated of aneurysmal rupture
- G. Lefebvre, M. Toledano, M. Saeed Kilani, F. Tempremant, T. Boulanger, X. Leclerc
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?