Document Detail


Successful coil embolization for a "three-hump" internal carotid artery anterior wall aneurysm: a case report.
MedLine Citation:
PMID:  20569593     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Summary: We describe an unusually shaped aneurysm arising from the anterior wall of the internal carotid artery (ICA) that was treated successfully with Guglielmi detachable coils (GDCs). A 38-year-old woman presented with sudden onset of headache and was transferred to our hospital. Computed tomography revealed thin subarachnoid hemorrhage in the basal cisterns. Three-dimensional rotational angiography clearly showed a "three-hump" anterior wall aneurysm of the ICA. The two distal humps of the aneurysm were successfully obliterated with GDCs, but the proximal hump was too small to treat by coil embolization. The patient was discharged without neurological deficit. Anterior wall (blisterlike) aneurysms of the ICA have a high risk of rupture due to fragility of the wall. These aneurysms are considered difficult to manage by traditional surgical approaches. Our experience suggests that endovascular GDC embolization is a good alternative treatment modality for patients with such an aneurysm.
Authors:
Y Fukushima; Y Miyasaka; H Takagi; A Kurata; S Suzuki; K Fujii
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Publication Detail:
Type:  Journal Article     Date:  2007-01-19
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  12     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2010-06-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  345-50     Citation Subset:  -    
Affiliation:
Department of Neurosurgery, Kitasato University School of Medicine, Japan.
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