Journal of cerebrovascular and endovascular neurosurgery最新文献

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Coil Embolization of Ruptured Proximal Posterior Inferior Cerebellar Artery Aneurysm with Contralateral Retrograde Approach for LVIS Jr. Intraluminal Support Deployment 经对侧逆行入路螺旋栓塞治疗破裂的小脑后下动脉近端动脉瘤

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2018-12-01 DOI: 10.7461/jcen.2018.20.4.235

D. S. Kim, J. Sung, D. H. Lee, H. Yi

{"title":"Coil Embolization of Ruptured Proximal Posterior Inferior Cerebellar Artery Aneurysm with Contralateral Retrograde Approach for LVIS Jr. Intraluminal Support Deployment","authors":"D. S. Kim, J. Sung, D. H. Lee, H. Yi","doi":"10.7461/jcen.2018.20.4.235","DOIUrl":"https://doi.org/10.7461/jcen.2018.20.4.235","url":null,"abstract":"The safety and feasibility of simple coil embolization and stent deployment for the treatment of posterior inferior cerebellar artery (PICA) aneurysms, as well as their radiologic and clinical results, have not been adequately understood. Especially, if dissecting aneurysm of proximal PICA is associated with small caliber PICA and stenosis of ipsilateral vertebral artery orifice (VAO), endovascular coiling with saving of PICA is not always easy. This 64-year-old man presented with subarachnoid hemorrhage due to a ruptured dissecting aneurysm of left proximal PICA. The aneurysm was irregularly fusiform in nature with a shallow PICA orifice (1.4 mm) and narrow caliber (0.9–1.5 mm). Moreover, the ipsilateral VAO showed severe stenosis (1.8 mm). We performed bifemoral puncture and chose additional route from right vertebral artery to left vertebrobasilar junction for retrograde approach and deployment of LVIS Jr. intraluminal support at proximal PICA. And then, the antegrade approach and coiling of aneurysm was done. Despite of transient thrombus of PICA, the aneurysm was successfully secured with preservation of whole PICA course. For preservation of narrow PICA with ipsilateral VAO stenosis, the contralateral approach and deployment of LVIS Jr. intraluminal support may be considered.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":"20 1","pages":"235 - 240"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7461/jcen.2018.20.4.235","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49158808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Delayed Monocular Blindness after Coil Embolization of Large Paraclinoid Aneurysm 大斜旁动脉瘤线圈栓塞后迟发性单眼失明

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2018-12-01 DOI: 10.7461/jcen.2018.20.4.241

Jaehong Han, Tae-Hun Kim, Jae-Sang Oh, Seok-Mann Yoon

{"title":"Delayed Monocular Blindness after Coil Embolization of Large Paraclinoid Aneurysm","authors":"Jaehong Han, Tae-Hun Kim, Jae-Sang Oh, Seok-Mann Yoon","doi":"10.7461/jcen.2018.20.4.241","DOIUrl":"https://doi.org/10.7461/jcen.2018.20.4.241","url":null,"abstract":"Treatment of paraclinoid aneurysms weather by surgery, or endovascular embolization has a risk of visual loss due to optic neuropathy, or diplopia due to cranial nerve palsies. Visual complications occur immediately after the clipping, whereas they can occur variable time after endovascular coiling. Recently, endovascular coiling for paraclinoid aneurysm is regarded as a safe and feasible treatment. But it still has risks of acute thromboembolic complication, or cranial nerve palsies. A 45-year-old woman was referred from local hospital to our hospital due to ruptured large ICA dorsal wall aneurysm. A total of 12 coils (195 cm) were used for obliteration of aneurysm. Postoperative diffusion weighted image showed no abnormal signal intensity lesion and magnetic resonance angiography demonstrated no sign of vasospasm, or vessel narrowing. But, she complained visual problem 23 days after coil embolization. Ophthalmologist confirmed the left optic disc atrophy on fundoscopy. Although steroid was started, but monocular blindness did not recover completely. The endovascular embolization of paraclinoid aneurysm, especially projecting superiorly with large irregular shape, has the risk of progressive visual loss because of the proximity to optic nerve.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":"20 1","pages":"241 - 247"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7461/jcen.2018.20.4.241","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43942116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous Aggressive Conversion of Venous Drainage Pattern in Dural Arteriovenous Fistula Treated with Onyx Embolization. 使用奥尼克斯栓塞术治疗硬脑膜动静脉瘘时静脉引流模式的自发积极转化

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2016-12-01 Epub Date: 2016-12-31 DOI: 10.7461/jcen.2016.18.4.396

Yeongu Chung, Seok Keun Choi, Sung Ho Lee, Eui Jong Kim

引用次数: 0

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