Stent-Assisted Coil Embolization for Acute Ruptured Dissecting Aneurysm at the P2 Segment of the Posterior Cerebral Artery: A Case Report

Takashi Mitsuhashi; Hidenori Oishi; Kensaku Makino; Joji Tokugawa; Atsuhito Fuse; Makoto Hishii

doi:10.5797/jnet.cr.2021-0054

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Stent-Assisted Coil Embolization for Acute Ruptured Dissecting Aneurysm at the P2 Segment of the Posterior Cerebral Artery: A Case Report

Takashi Mitsuhashi, Hidenori Oishi, Kensaku Makino, Joji Tokugawa, Atsuhito Fuse, Makoto Hishii

著者情報

キーワード: posterior cerebral artery, dissecting aneurysm, stent-assisted coil embolization, subarachnoid hemorrhage

ジャーナルオープンアクセス早期公開

論文ID: cr.2021-0054

DOI https://doi.org/10.5797/jnet.cr.2021-0054

この記事には本公開記事があります。

The final version of this article is now available: Vol. 16 (2022), No. 3 pp. 157-162

詳細

抄録

Objective: We report a case of ruptured posterior cerebral artery (PCA) dissecting aneurysm treated with stent-assisted coil embolization in the acute phase of ruptured aneurysm.

Case Presentation: A 60-year-old woman presented with sudden onset of severe headache followed by unconsciousness. CT showed severe subarachnoid hemorrhage. Digital subtraction angiography showed a dissecting aneurysm at the P2 segment of the right PCA. Stent-assisted coil embolization was performed for the ruptured dissecting aneurysm. Since thrombus was observed in the stent, ozagrel was administered intravenously, and the thrombus gradually disappeared during the follow-up period. She was discharged without neurological deficit.

Conclusion: Parent artery occlusion is widely performed for acute ruptured PCA dissecting aneurysm, but reconstruction with stent-assisted coiling is considered to be an effective therapeutic strategy.

責任著者(Corresponding author)

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