Document Detail

Interventional neurovascular treatment of a giant intracranial aneurysm using platinum microcoils.
MedLine Citation:
PMID:  1983886     Owner:  NLM     Status:  MEDLINE    
A 70-year-old woman presented with symptoms of progressive cerebellar dysfunction due to mass effect from a giant, expanding, posterior fossa aneurysm arising from the distal vertebral artery. The aneurysm contained thrombus and had a broad-based neck. From a transfemoral approach, with the patient under local anesthesia, a 2.2 French microcatheter was guided through the vertebral artery and placed directly into the aneurysm. Six 5 x 15-mm platinum microcoils were deposited into the residual lumen of the aneurysm, resulting in complete thrombosis with obliteration of the aneurysm and preservation of the parent artery. Endovascular coil embolization therapy by interventional neurovascular techniques may provide a therapeutic alternative in the management of surgically difficult symptomatic intracranial aneurysms.
R T Higashida; V V Halbach; C F Dowd; S L Barnwell; G B Hieshima
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical neurology     Volume:  35     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  1991 Jan 
Date Detail:
Created Date:  1991-01-15     Completed Date:  1991-01-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  64-8     Citation Subset:  IM    
Department of Radiology, University of California San Francisco Medical Center 94143-0628.
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MeSH Terms
Cranial Fossa, Posterior / pathology
Embolization, Therapeutic / methods*
Intracranial Aneurysm / diagnosis,  pathology,  therapy*
Magnetic Resonance Imaging
Surgical Instruments
Reg. No./Substance:

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