Enlargement of Asymptomatic VA Dissecting Aneurysm after Initial Treatment with Stent-assisted Coil Embolization with Contra Lateral Ruptured VA Dissecting Aneurysm Treated by Parent Artery Occlusion: A Case Report

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  • Gaber Karim
    Department of Neurosurgery, Sendai Medical Center, Sendai, Miyagi, Japan Department of Neurosurgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt
  • Ezura Masayuki
    Department of Neurosurgery, Sendai Medical Center, Sendai, Miyagi, Japan
  • Narisawa Ayumi
    Department of Neurosurgery, Sendai Medical Center, Sendai, Miyagi, Japan
  • Takahashi Yusuke
    Department of Neurosurgery, Sendai Medical Center, Sendai, Miyagi, Japan
  • Inoue Takashi
    Department of Neurosurgery, Sendai Medical Center, Sendai, Miyagi, Japan
  • Uenohara Hiroshi
    Department of Neurosurgery, Sendai Medical Center, Sendai, Miyagi, Japan

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<p>Objective: A rare case of enlargement of asymptomatic dissecting aneurysm after its initial treatment with stent-assisted coiling with parent artery occlusion for the ruptured contra lateral side is reported.</p><p>Case Presentation: A 52-year-old male patient presented with a subarachnoid hemorrhage resulting from a bilateral vertebral artery dissecting aneurysms. The patient was treated within 24 hours of the hemorrhage to prevent re-rupture by parent artery occlusion of the right vertebral artery and stent-assisted coiling of the left side. A 6-month follow-up showed an enlargement of the left side dissecting aneurysm. A second treatment was done to the left side also using stent-assisted coiling. The patient was discharged with no neurological deficit.</p><p>Conclusion: To our knowledge, parent artery occlusion for ruptured vertebral artery dissecting aneurysms (VADA) may cause contra lateral VADA enlargement even after its initial treatment by stent-assisted coil embolization in the same setting.</p>

収録刊行物

  • 脳神経血管内治療

    脳神経血管内治療 13 (6), 262-267, 2019

    特定非営利活動法人 日本脳神経血管内治療学会

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