A Case of Ruptured Anterior Communicating Artery Aneurysm Treated in Which Residual Aneurysm after Coil Embolization was Treated by Placement of LVIS Jr. Stent

Takumi Asai; Takuma Miyazawa; Mizuka Ikezawa; Kazunori Shintai; Takahiro Oyama; Masasuke Ohno; Noriyuki Susaki; Tatsuo Takahashi; Yasukazu Kajita

doi:10.5797/jnet.cr.2017-0106

This article has now been updated. Please use the final version.

A Case of Ruptured Anterior Communicating Artery Aneurysm Treated in Which Residual Aneurysm after Coil Embolization was Treated by Placement of LVIS Jr. Stent

Takumi Asai, Takuma Miyazawa, Mizuka Ikezawa, Kazunori Shintai, Takahiro Oyama, Masasuke Ohno, Noriyuki Susaki, Tatsuo Takahashi, Yasukazu Kajita

Author information

Takumi Asai
Department of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan
Takuma Miyazawa
Department of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan
Mizuka Ikezawa
Department of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan
Kazunori Shintai
Department of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan
Takahiro Oyama
Department of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan
Masasuke Ohno
Department of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan
Noriyuki Susaki
Department of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan
Tatsuo Takahashi
Department of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan
Yasukazu Kajita
Department of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Aichi, Japan

Keywords: ruptured intracranial aneurysm, small parent vessel, low-profile visualized intraluminal support junior device, flow diverter

JOURNAL OPEN ACCESS Advance online publication

Article ID: cr.2017-0106

DOI https://doi.org/10.5797/jnet.cr.2017-0106

The final version of this article is now available: Vol. 12 (2018), No. 7 pp. 348-354

Details

Abstract

Objective: We report a case of ruptured anterior communicating artery aneurysm in which residual aneurysm after coil embolization could be completely occluded by LVIS Jr. stent placement.

Case Presentation: A 73-year-old woman underwent coil embolization in the acute phase of ruptured anterior communicating artery aneurysm. Since the parent artery was narrow with a diameter of 1 mm, and since the bifurcation angle of the A1 segment was sharp, manipulation of the microcatheter was difficult, and the treatment was terminated after partial embolization. After 40 days, retreatment was performed by LVIS Jr. stent placement. No intra- or postprocedural complication was observed, and complete occlusion of the aneurysm was confirmed by angiography after 3 months.

Conclusion: Complete occlusion of the residual aneurysm could be achieved due to the flow diversion effect of LVIS Jr. stent. This procedure can be an option in retreatment.

Corresponding author

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