BA-SCA嚢状動脈瘤とSCA紡錘状動脈瘤の合併症例に対し塞栓術を施行した1例

間中 浩; 酒井 秀樹; 中原 一郎; 坂井 信幸; 柳本 広二; 秋山 義典; 東 登志夫; 高橋 淳; 石澤 錠二; 林 直樹; 森実 飛鳥; 永田 泉; 菊池 晴彦

doi:10.7887/jcns.9.738

A Case of Endovascular Embolization of BA-SCA Saccular Aneurysm associated with SCA Fusiform Aneurysm

Hiroshi Manaka, Hideki Sakai, Ichiro Nakahara, Nobuyuki Sakai, Hiroji Yanamoto, Yoshinori Akiyama, Toshio Higashi, Jun C. Takahashi, Jouji Kokuzawa, Naoki Hayashi, Asuka Morizane, Izumi Nagata, Haruhiko Kikuchi

Author information

Hiroshi Manaka
Department of Neurosurgery, National Cardio-vascular Center
Hideki Sakai
Department of Neurosurgery, National Cardio-vascular Center
Ichiro Nakahara
Department of Neurosurgery, National Cardio-vascular Center
Nobuyuki Sakai
Department of Neurosurgery, National Cardio-vascular Center
Hiroji Yanamoto
Department of Neurosurgery, National Cardio-vascular Center
Yoshinori Akiyama
Department of Neurosurgery, National Cardio-vascular Center
Toshio Higashi
Department of Neurosurgery, National Cardio-vascular Center
Jun C. Takahashi
Department of Neurosurgery, National Cardio-vascular Center
Jouji Kokuzawa
Department of Neurosurgery, National Cardio-vascular Center
Naoki Hayashi
Department of Neurosurgery, National Cardio-vascular Center
Asuka Morizane
Department of Neurosurgery, National Cardio-vascular Center
Izumi Nagata
Department of Neurosurgery, National Cardio-vascular Center
Haruhiko Kikuchi
Department of Neurosurgery, National Cardio-vascular Center

Keywords: distal SCA aneurysm, embolization, occlusion test

JOURNAL FREE ACCESS

2000 Volume 9 Issue 11 Pages 738-742

DOI https://doi.org/10.7887/jcns.9.738

Details

Abstract

A 52-year-old male who complained of a headache was admitted to our hospital. A left basilar artery-superior cerebral artery (BA-SCA) saccular aneurysm and a left distal SCA fusiform aneurysm were detected. As the high position BA-SCA aneurysm was difficult to treat with direct surgery, coil embolization was selected. By inserting a microcatheter into the left SCA, we were able to examine the collateral flows of the distal SCA (occlusion test). After the occlusion test, the BA-SCA aneurysm was totally embolized with detachable coils including the orifice of the left SCA. Using these strategies, we were able to safely treat both aneurysms after the collateral flow of the distal SCA was evaluated by endovascular surgery.

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