A Case of Ruptured Vertebral Artery Dissection Involving the Origin of the Posterior Inferior Cerebellar Artery Was Conserved by Placing a Stent via the Contralateral Vertebral Artery

JNET Pub Date : 2019-10-18 DOI:10.5797/jnet.cr.2019-0043
A. Tsuji, H. Kayatani, K. Tsuji, Y. Yoshimura, T. Yokoi, T. Nakazawa, K. Nozaki
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引用次数: 0

Abstract

Objective: We report the first case of a vertebral artery (VA) dissecting aneurysm involving the posterior inferior cerebellar artery (PICA) treated by placing a stent on the PICA from the contralateral VA and parent artery occlusion in the acute hemorrhagic phase. Case Presentation: The patient was a 47-year-old man with World Federation of Neurosurgical Societies (WFNS) grade 3 subarachnoid hemorrhage (SAH) and a VA dissecting aneurysm involving the origin of the PICA. We approached from the contralateral VA, and placed a stent from the PICA to VA to preserve the PICA, and parent artery occlusion of the VA was performed. As of 6 months postoperatively, no rebleeding or recurrence of aneurysm has been observed. Conclusion: Although the use of stents in the acute phase is difficult, they can fully preserve the PICA and parent artery occlusion, and may be an effective treatment method to prevent rebleeding and chronic phase recurrence.
一例涉及小脑后下动脉起源的椎动脉破裂夹层通过对侧椎动脉放置支架得以保存
目的:我们报告第一例涉及小脑后下动脉(PICA)的椎动脉夹层动脉瘤,在急性出血期由对侧小脑后下动脉和母动脉闭塞的PICA上放置支架治疗。病例介绍:患者是一名47岁的男性,患有世界神经外科学会联合会(WFNS)三级蛛网膜下腔出血(SAH)和一个涉及异食癖起源的VA夹层动脉瘤。我们从对侧VA入路,从异位静脉到VA放置支架以保存异位静脉,并对VA进行母动脉闭塞。术后6个月未见动脉瘤再出血或复发。结论:虽然急性期支架使用困难,但支架能充分保留异食静脉和母动脉闭塞,是预防再出血和慢性期复发的有效治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
0.00%
发文量
38
审稿时长
17 weeks
期刊介绍: JNET Journal of Neuroendovascular Therapy is the official journal of the Japanese Society for Neuroendovascular Therapy (JSNET). The JNET publishes peer-reviewed original research related to neuroendovascular therapy, including clinical studies, state-of-the-art technology, education, and basic sciences.
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