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 language | English |
|---|---|
| Pages (from-to) | 875-879 |
| Number of pages | 5 |
| Journal | Neurological Surgery |
| Volume | 30 |
| Issue number | 8 |
| Publication status | Published - 2002 |
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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 journal › Article
}
TY - JOUR
T1 - Ruptured fenestrated aneurysm of vertebral artery union successfully treated by endovascular surgery with GDC
AU - Nishiguchi, Mitsuhisa
AU - Sugiu, Kenji
AU - Ohmoto, Takashi
AU - Saijyo, Toshikazu
AU - Fujisawa, Hiroyuki
PY - 2002
Y1 - 2002
N2 - 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.
AB - 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.
KW - Endovascular surgery
KW - Fenestrated aneurysm of VA union
KW - Guglielmi detachable coil
KW - Subarachnoid hemorrhage
UR - http://www.scopus.com/inward/record.url?scp=0036336620&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036336620&partnerID=8YFLogxK
M3 - Article
C2 - 12187734
AN - SCOPUS:0036336620
VL - 30
SP - 875
EP - 879
JO - Neurological Surgery
JF - Neurological Surgery
SN - 0301-2603
IS - 8
ER -