Ruptured fenestrated aneurysm of vertebral artery union successfully treated by endovascular surgery with GDC

Mitsuhisa Nishiguchi, Kenji Sugiu, Takashi Ohmoto, Toshikazu Saijyo, Hiroyuki Fujisawa

Research output: Contribution to journalArticle

Abstract

It is difficult to operate on ruptured basilar artery aneurysms in the acute phase because of the anatomical complexity, brain swelling, patients' medical condition, etc., but because there is some risk of rebleeding and/or vasospasm if surgery is delayed, early surgery is recommended. We encountered a rare case of ruptured fenestrated aneurysm of the vertebral artery (VA) union, treated it safely by endovascular surgery with Guglielmi detachable coils (GDCs) in the acute phase, and obtained a good outcome after intensive care. We therefore conclude that endovascular surgery with GDCs is a first-line therapy for fenestrated aneurysms of the VA union in the acute phase after subarachnoid hemorrhage. Fenestrated aneurysms of the VA union are very rare, and long-term follow-up is mandatory.

Original languageEnglish
Pages (from-to)875-879
Number of pages5
JournalNeurological Surgery
Volume30
Issue number8
Publication statusPublished - 2002

Fingerprint

Ruptured Aneurysm
Vertebral Artery
Aneurysm
Brain Edema
Intracranial Aneurysm
Subarachnoid Hemorrhage
Critical Care
Therapeutics

Keywords

  • Endovascular surgery
  • Fenestrated aneurysm of VA union
  • Guglielmi detachable coil
  • Subarachnoid hemorrhage

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Ruptured fenestrated aneurysm of vertebral artery union successfully treated by endovascular surgery with GDC. / Nishiguchi, Mitsuhisa; Sugiu, Kenji; Ohmoto, Takashi; Saijyo, Toshikazu; Fujisawa, Hiroyuki.

In: Neurological Surgery, Vol. 30, No. 8, 2002, p. 875-879.

Research output: Contribution to journalArticle

Nishiguchi, Mitsuhisa ; Sugiu, Kenji ; Ohmoto, Takashi ; Saijyo, Toshikazu ; Fujisawa, Hiroyuki. / Ruptured fenestrated aneurysm of vertebral artery union successfully treated by endovascular surgery with GDC. In: Neurological Surgery. 2002 ; Vol. 30, No. 8. pp. 875-879.
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