A case of simple stenting for ruptured basilar perforator aneurysm.


Journal

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633

Informations de publication

Date de publication:
Aug 2020
Historique:
received: 22 02 2020
accepted: 29 03 2020
pubmed: 21 5 2020
medline: 28 10 2020
entrez: 21 5 2020
Statut: ppublish

Résumé

Ruptured aneurysms in perforating arteries are uncommon. We report a case of a basilar perforator artery aneurysm that was treated successfully using simple stenting to induce a rectifying effect without using a coil. In this case, coiling for the aneurysm was attempted initially, but it failed because of anatomical and practical problems. After placement of two stents in the basilar artery, the aneurysm was occluded completely without any neurological deficits at 100 days after the procedure. Although superselective coil embolization is ideal even in a small perforator aneurysm, simple stenting for a parent artery is a preferable treatment, especially in challenging cases for coil embolization of the aneurysmal dome.

Identifiants

pubmed: 32430235
pii: S1052-3057(20)30246-9
doi: 10.1016/j.jstrokecerebrovasdis.2020.104855
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

104855

Informations de copyright

Copyright © 2020. Published by Elsevier Inc.

Déclaration de conflit d'intérêts

Declaration of Competing Interest None.

Auteurs

Yohei Inoue (Y)

Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, 1-1-1 Atago-machi Iwakuni City, Yamaguchi 740-8510, Japan. Electronic address: yohei.inoue.okj@gmail.com.

Noboru Kusaka (N)

Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, 1-1-1 Atago-machi Iwakuni City, Yamaguchi 740-8510, Japan. Electronic address: nob.kusaka@gmail.com.

Kenta Ikushima (K)

Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, 1-1-1 Atago-machi Iwakuni City, Yamaguchi 740-8510, Japan. Electronic address: pjyv72c4@s.okayama-u.ac.jp.

Hisanori Edaki (H)

Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, 1-1-1 Atago-machi Iwakuni City, Yamaguchi 740-8510, Japan. Electronic address: daki.99e1t@gmail.com.

Yukei Shinji (Y)

Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, 1-1-1 Atago-machi Iwakuni City, Yamaguchi 740-8510, Japan. Electronic address: ukshinji39@gmail.com.

Hisakazu Itami (H)

Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, 1-1-1 Atago-machi Iwakuni City, Yamaguchi 740-8510, Japan. Electronic address: itamih@gmail.com.

Shinji Otsuka (S)

Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, 1-1-1 Atago-machi Iwakuni City, Yamaguchi 740-8510, Japan. Electronic address: oshinji@iwakuni-nh.go.jp.

Tsukasa Nishiura (T)

Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, 1-1-1 Atago-machi Iwakuni City, Yamaguchi 740-8510, Japan. Electronic address: nishiura@iwakuni-nh.go.jp.

Kotaro Ogihara (K)

Department of Neurosurgery, National Hospital Organization Iwakuni Clinical Center, 1-1-1 Atago-machi Iwakuni City, Yamaguchi 740-8510, Japan. Electronic address: ogihara@iwakuni-nh.go.jp.

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