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Transvenous coil embolization for cavernous sinus internal carotid artery ruptured aneurysm after flow diverter placement
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- Fujikawa Seiya
- Department of Neurosurgery, Asahikawa Medical University
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- Wada Hajime
- Department of Neurosurgery, Asahikawa Medical University
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- Ichihara Tomoki
- Department of Neurosurgery, Asahikawa Medical University
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- Takano Chie
- Department of Neurosurgery, Asahikawa Medical University
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- Sato Hirotaka
- Department of Neurosurgery, Asahikawa Medical University
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- Saito Masato
- Department of Neurosurgery, Asahikawa Medical University
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- Anei Ryogo
- Department of Neurosurgery, Asahikawa Medical University
Bibliographic Information
- Other Title
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- Flow diverter 留置後に生じた内頸動脈海綿静脈洞瘻に対して経静脈的動脈瘤コイル塞栓術を施行した1例
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Description
<p>Direct carotid-cavernous fistula (CCF) is a rare complication due to treatment of internal carotid artery (ICA) aneurysms with Pipeline Flex embolization device (PED) placement. We present the case where we were able to treat this condition via transvenous coil embolization. A 69-year-old woman was treated with PED placement for a left ICA aneurysm. Three weeks later, she suffered from severe tinnitus due to direct CCF because of delayed aneurysm rupture. Our initial treatment failed as we could not access the aneurysm through the fistula via venous rout and the patient suffered from left oculomotor nerve palsy one month later. We re-attempted the transvenous coil embolization by reducing the arterial flow from the ICA using a balloon catheter and determining the rupture point by evaluating multiplanar reconstruction (MPR) derived from three-dimensional rotational angiography (3DRA). The procedure enabled us to perform transvenous coil embolization, alleviating the patient’s symptoms. MPR of 3DRA and arterial flow reduction seemed to be a useful technique for transvenous coil embolization in CCF treatment.</p>
Journal
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- Japanese Journal of Stroke
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Japanese Journal of Stroke 44 (1), 12-15, 2022
The Japan Stroke Society
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Keywords
Details 詳細情報について
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- CRID
- 1390572321598820480
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- NII Article ID
- 130008144178
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- ISSN
- 18831923
- 09120726
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed