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

中村 普彦; 大久保 卓; 渡邉 竜馬; 河野 隆幸; 大倉 章生; 近藤 大佑; 園田 隆弘; 廣畑 優; 森岡 基浩

doi:10.20626/nkc.cr.2022-0024

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

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

Yukihiko NAKAMURA , Taku OHKUBO, Ryouma WATANABE, Takayuki KAWANO, Akira OKURA, Daisuke KONDO, Takahiro SONODA, Masaru HIROHATA, Motohiro MORIOKA

Author information

Yukihiko NAKAMURA Corresponding author
Department of Neurosurgery, Saiseikai Fukuoka General Hospital
Taku OHKUBO
Department of Neurosurgery, Saiseikai Fukuoka General Hospital
Ryouma WATANABE
Department of Neurosurgery, Saiseikai Fukuoka General Hospital
Takayuki KAWANO
Department of Neurosurgery, Saiseikai Fukuoka General Hospital
Akira OKURA
Department of Neurosurgery, Saiseikai Fukuoka General Hospital
Daisuke KONDO
Department of Neurology, Saiseikai Fukuoka General Hospital
Takahiro SONODA
Department of Neurology, Saiseikai Fukuoka General Hospital
Masaru HIROHATA
Department of Neurosurgery, Kurume University Hospital
Motohiro MORIOKA
Department of Neurosurgery, Kurume University Hospital

Keywords: anterior communicating artery, dissecting aneurysm, stent-assisted coiling, subcallosal artery

JOURNAL OPEN ACCESS Advance online publication

Article ID: cr.2022-0024

DOI https://doi.org/10.20626/nkc.cr.2022-0024

The final version of this article is now available: Vol. 8 (2023), No. 1 pp. 16-23

Details

Abstract

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.

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.

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.

Corresponding author

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