Flow alteration surgery using a radial artery graft for recurrent ruptured vertebral artery dissecting aneurysm after stent-assisted coil embolization: A case report - 08/06/24
Abstract |
Background |
Ruptured vertebral artery dissecting aneurysm (VADA) is often treated surgically with coil embolization and sometimes recurs. We herein report a case of recurrent ruptured VADA after stent-assisted coil embolization (SAC) that was successfully treated with flow alteration surgery using a radial artery (RA) graft.
Case Description |
A 67-year-old woman presented with headache and coma. Enhanced CT revealed subarachnoid hemorrhage due to right VADA. Since the left VA was hypoplastic, the aneurysm was treated with SAC. However, follow-up angiography revealed recurrence of the aneurysm. Additional embolization was not considered due to the small size of the recurrent lesion and the presence of a stent; therefore, flow alteration surgery was performed using a RA graft. There were no neurological deficits after surgery or recurrence.
Conclusion |
Flow alteration surgery using a RA graft is useful for recurrent VADA after SAC.
Le texte complet de cet article est disponible en PDF.Keywords : Subarachnoid hemorrhage, Vertebral artery dissection, Radial artery, Cerebral revascularization, Intracranial aneurysm
Plan
Vol 70 - N° 5
Article 101574- septembre 2024 Retour au numéro
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