Endovascular Treatment Using a Small Amount of Contrast Medium in a Patient with a Posterior Communicating Artery Ruptured Dissecting Aneurysm and Chronic Kidney Disease: A Case Report

Hiroaki Yasuda; Suguru Nagamitsu; Natsue Kaneko; Toshikazu Nagatsuna; Manabu Urakawa; Masami Fujii; Tetsuo Yamashita; Shuuji Okamoto

doi:10.5797/jnet.cr.2021-0044

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

Endovascular Treatment Using a Small Amount of Contrast Medium in a Patient with a Posterior Communicating Artery Ruptured Dissecting Aneurysm and Chronic Kidney Disease: A Case Report

Hiroaki Yasuda, Suguru Nagamitsu, Natsue Kaneko, Toshikazu Nagatsuna, Manabu Urakawa, Masami Fujii, Tetsuo Yamashita, Shuuji Okamoto

Author information

Hiroaki Yasuda
Department of Neurosurgery, Yamaguchi Prefectural Grand Medical Center, Hofu, Yamaguchi, Japan
Suguru Nagamitsu
Department of Neurosurgery, Yamaguchi Prefectural Grand Medical Center, Hofu, Yamaguchi, Japan
Natsue Kaneko
Department of Neurosurgery, Yamaguchi Prefectural Grand Medical Center, Hofu, Yamaguchi, Japan
Toshikazu Nagatsuna
Department of Neurosurgery, Yamaguchi Prefectural Grand Medical Center, Hofu, Yamaguchi, Japan
Manabu Urakawa
Department of Neurosurgery, Yamaguchi Prefectural Grand Medical Center, Hofu, Yamaguchi, Japan
Masami Fujii
Department of Neurosurgery, Yamaguchi Prefectural Grand Medical Center, Hofu, Yamaguchi, Japan
Tetsuo Yamashita
Department of Neurosurgery, Yamaguchi Prefectural Grand Medical Center, Hofu, Yamaguchi, Japan
Shuuji Okamoto
Department of Radiation, Yamaguchi Prefectural Grand Medical Center, Hofu, Yamaguchi, Japan

Keywords: dissecting aneurysm, posterior communicating artery, coil embolization, chronic kidney disease, contrast medium

JOURNAL OPEN ACCESS Advance online publication

Article ID: cr.2021-0044

DOI https://doi.org/10.5797/jnet.cr.2021-0044

The final version of this article is now available: Vol. 16 (2022), No. 6 pp. 301-306

Details

Abstract

Objective: We report a rare case of a patient with a ruptured posterior communicating artery (P-com A) dissecting aneurysm and chronic kidney disease (CKD) treated by endovascular embolization using a small amount of contrast medium.

Case Presentation: An 88-year-old female patient had sudden onset of headache and vomit due to subarachnoid hemorrhage. MRI revealed a ruptured dissecting aneurysm of the right P-com A. The patient had CKD of severity grade 4. Endovascular treatment was performed using only 10 mL of diluted contrast medium with injection through a microcatheter. The postoperative course was uneventful, and no deterioration of renal function occurred.

Conclusion: With minimal amount of contrast medium, endovascular treatment could be safely and effectively performed for patients with P-com A dissecting aneurysms and severe CKD.

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