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Subarachnoid hemorrhage from a dissecting aneurysm of the posterior cerebral artery in a child : rebleeding after stent-assisted coiling followed by stent-within-stent technique.
MedLine Citation:
PMID:  21519506     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Pediatric patients with dissecting aneurysms usually present with ischemia rather than bleeding. We report a case of a 15-year-old boy with a dissecting aneurysm of the posterior cerebral artery (PCA) presenting with hemorrhage. He was first treated with stent-assisted coil embolization, in an attempt to avoid trapping of the PCA and preserve the perforators. After the procedure, he recovered well from general anesthesia, but rebleeding occurred from the same lesion 6 hours after the procedure, therefore endovascular segmental occlusion of the parent artery was performed secondarily. Apparently, a reconstructive method of stent-assisted coiling is worth trying to preserve the parent vessel and perforators, but it is not always efficient and durable for dissecting aneurysms.
Authors:
Ji Yeoun Lee; Bae Ju Kwon; Hyun-Seung Kang; Kyu-Chang Wang
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Publication Detail:
Type:  Journal Article     Date:  2011-02-28
Journal Detail:
Title:  Journal of Korean Neurosurgical Society     Volume:  49     ISSN:  1598-7876     ISO Abbreviation:  J Korean Neurosurg Soc     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-04-26     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101467054     Medline TA:  J Korean Neurosurg Soc     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  134-8     Citation Subset:  -    
Affiliation:
Division of Pediatric Neurosurgery, Department of Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea.
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