Proximal Flow Arrest With Temporary Subclavian Steal for Internal Trapping of a Ruptured Vertebral Artery Dissecting Aneurysm —Case Report—

Takehiro UDA; Keiji MURATA; Kazuhito NAKAMURA; Tsutomu ICHINOSE; Taro KUSAKABE; Masakazu SAKAGUCHI

doi:10.2176/nmc.47.18

Case Reports

Proximal Flow Arrest With Temporary Subclavian Steal for Internal Trapping of a Ruptured Vertebral Artery Dissecting Aneurysm

—Case Report—

Takehiro UDA, Keiji MURATA, Kazuhito NAKAMURA, Tsutomu ICHINOSE, Taro KUSAKABE, Masakazu SAKAGUCHI

著者情報

キーワード: dissecting aneurysm, temporary subclavian steal, internal trapping, proximal flow arrest, vertebral artery, endovascular treatment

ジャーナルオープンアクセス

2007 年 47 巻 1 号 p. 18-21

DOI https://doi.org/10.2176/nmc.47.18

詳細

抄録

A 48-year-old woman presented with subarachnoid hemorrhage originating from a dissecting aneurysm of the left vertebral artery (VA). Internal trapping with proximal flow arrest was planned. The origin of the left VA was too tortuous to allow positioning of an occlusion balloon catheter and a microcatheter in the left VA via the femoral artery. Therefore, the temporary subclavian steal technique was used for proximal flow arrest, by placing an occlusion balloon catheter in the subclavian artery proximal to the VA origin via the femoral artery. Thereafter, coil embolization was achieved through the left axillary artery. The patient recovered well after the procedure.

責任著者(Corresponding author)

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