Detachable Balloon Treatment of Dissecting Vertebral Aneurysm in Its Acute Stage of Subarachnoid Hemorrhage

Takahashi, Akira; Sugawara, Takayuki; Suga, Toshihiro; Su, Chin Chang; Kawakami, Kiyoshi; Yoshimoto, Takashi

doi:10.2335/scs1987.17.1_44

Cited by 9 publications

(2 citation statements)

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“…When using proximal occlusion of the parent artery to treat a dissecting aneurysm, 3,5,6,11,25,26 it takes time for the distal progression of thrombus from the proximal occlu-sion site to occlude the dissected site if the endovascular occlusion of the parent artery is far from the aneurysm. Consequently, the dissecting aneurysm may rebleed even after proximal occlusion, particularly if retrograde flow from the distal VA and its branches prevents the distal progression of thrombus to the dissected site of the aneurysm.…”

Section: Discussionmentioning

confidence: 99%

Endovascular treatment of ruptured dissecting aneurysms aimed at occlusion of the dissected site by using Guglielmi detachable coils

Yamaura¹,

Tani²,

Yokota³

et al. 1999

Journal of Neurosurgery

160

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Section: Discussionmentioning

confidence: 99%

Endovascular treatment of ruptured dissecting aneurysms aimed at occlusion of the dissected site by using Guglielmi detachable coils

Yamaura¹,

Tani²,

Yokota³

et al. 1999

Journal of Neurosurgery

160

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“…Proximal VA occlusion with intravascular surgery [1,2,4,6,11] or clipping or ligation [5,9,12,13] under the operative microscope are often used to treat dissecting aneurysms of the VA.…”

Section: Introductionmentioning

confidence: 99%

Development of a dissecting aneurysm on the vertebral artery immediately after occlusion of the contralateral vertebral artery: A case report

et al. 1998

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A 49 year old female presented with subarachnoid hemorrhage due to a ruptured dissecting aneurysm on the left vertebral artery (VA). Following an occlusion test, we performed proximal occlusion of the left VA with detachable balloons. However, a dissecting aneurysm on the right VA developed three weeks later. After an occlusion test had showed no change in cerebral blood flow, auditory brain stem response, or neurological status, proximal occlusion of the right VA was performed. The patient has returned to normal life without neurological deficits. Bilateral dissecting aneurysms of the VA are quite common, but de novo VA dissecting aneurysms or enlargement of such aneurysms after occlusion of contralateral VA are rare. This case suggests that hemodynamics stress may be a causal factor in the development of VA dissecting aneurysms. Careful pre- and post-operative neuroradiological examination of the contralateral VA are required in patients undergoing VA occlusion for dissecting aneurysms.

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Nontraumatic Intracranial Arterial Dissection

Yamaura¹

2004

Stroke

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Detachable Balloon Treatment of Dissecting Vertebral Aneurysm in Its Acute Stage of Subarachnoid Hemorrhage

Cited by 9 publications

References 0 publications

Endovascular treatment of ruptured dissecting aneurysms aimed at occlusion of the dissected site by using Guglielmi detachable coils

Endovascular treatment of ruptured dissecting aneurysms aimed at occlusion of the dissected site by using Guglielmi detachable coils

Development of a dissecting aneurysm on the vertebral artery immediately after occlusion of the contralateral vertebral artery: A case report

Nontraumatic Intracranial Arterial Dissection

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