A Case of Suspected Dissecting Anterior Communicating Artery Aneurysm Treated with Parallel Stent-assisted Coiling

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  • Parallel Stent-assisted Coilingで治療した解離性前交通動脈瘤が疑われた1例
  • Parallel Stent-assisted Coiling デ チリョウ シタ カイリセイ ゼン コウツウ ドウミャクリュウ ガ ウタガワレタ 1レイ

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Description

<p>Objective: We report a rare case of a suspected dissecting aneurysm of the anterior communicating artery (ACoA) from intraoperative findings who underwent endovascular internal trapping using a parallel stent-assisted technique for bilateral anterior cerebral arteries.</p><p>Case Presentations: A 21 year-old male presented with a subarachnoid hemorrhage. Emergent neck clipping failed due to difficulty in hemostasis, indicating dissection of ACoA. Parallel stent-assisted internal trapping was performed on the following day. Even though he recovered well without re-rupture, additional embolization was required fourteen days later because of recanalization on the follow-up angiography.</p><p>Conclusion: This is the first report of parallel stenting for internal trapping of ACoA to the best of our knowledge; however, careful follow-up is necessary for a dissecting aneurysm is suspected.</p>

Journal

  • No Kekkannai Chiryo

    No Kekkannai Chiryo 8 (1), 16-23, 2023

    The Japanese Society for Neuroendovascular Therapy

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