Document Detail

Aneurysm rupture after parent vessel sacrifice: treatment with Guglielmi detachable coil embolization via retrograde catheterization: case report.
MedLine Citation:
PMID:  8584166     Owner:  NLM     Status:  MEDLINE    
We report a patient with rupture of a giant distal vertebral artery aneurysm after balloon occlusion of the parent vertebral artery. We were able to occlude the residual lumen by endosaccular embolization and trapping with Guglielmi detachable coils via the anterior circulation. We suspect that either alterations in flow patterns or partial thrombosis of the aneurysm may have contributed to at least two subarachnoid hemorrhages within 2 days after the initial embolization. We still considered endovascular parent vessel sacrifice to be an excellent therapeutic option, particularly in distal vertebral aneurysms. We recommend a detailed evaluation of angiographic flow patterns and aneurysm patency during test occlusion. If the aneurysm continues to fill from the collateral circulation, or if marked alterations in flow patterns are present, aneurysm trapping or concurrent endosaccular embolization and parent vessel sacrifice may be necessary. Certainly, continued surveillance is required as long as any residual aneurysm is present.
J H Gurian; F Viñuela; Y P Gobin; V E Waston; G R Duckwiler; G Gulielmi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  37     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-03-21     Completed Date:  1996-03-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1216-20; discussion 1220-1     Citation Subset:  IM    
Neuroradiology/Endovascular Therapy Service, University of California Los Angeles Center for the Health Sciences, USA.
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MeSH Terms
Aneurysm, Ruptured / radiography,  therapy*
Cerebral Angiography
Embolization, Therapeutic / instrumentation*
Intracranial Aneurysm / radiography,  therapy*
Subarachnoid Hemorrhage / radiography,  therapy
Tomography, X-Ray Computed
Vertebral Artery* / radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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