Document Detail

Intravascular balloon embolization of a large mid-basilar artery aneurysm. Case report.
MedLine Citation:
PMID:  3783243     Owner:  NLM     Status:  MEDLINE    
A patient who presented with multiple episodes of subarachnoid hemorrhage was diagnosed as having a large mid-basilar artery aneurysm that had no definable surgical neck. Balloon embolization was performed utilizing two detachable silicone balloons to occlude the mid-basilar artery and the aneurysm. The procedure was carried out with the patient fully awake and alert. One day after the procedure, the patient developed pontine and cerebellar ischemia which completely resolved after 5 days on heparin therapy. A follow-up angiogram performed immediately after the procedure and at 3 months demonstrated complete occlusion of the mid-basilar artery and the aneurysm. The patient was intact neurologically upon discharge 5 days after the embolization procedure and has since resumed his normal activities. Balloon embolization therapy may offer some advantages over surgical methods for the treatment of such therapeutically challenging aneurysms.
G B Hieshima; R T Higashida; J Wapenski; V V Halbach; J R Bentson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  66     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1987 Jan 
Date Detail:
Created Date:  1987-01-22     Completed Date:  1987-01-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  124-7     Citation Subset:  AIM; IM    
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MeSH Terms
Aneurysm / radiography,  therapy*
Basilar Artery* / radiography
Embolization, Therapeutic / methods*
Tomography, X-Ray Computed

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

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