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Erschienen in: Neuroradiology 11/2003

01.11.2003 | Interventional Neuroradiology

Treatment of a spontaneous intracranial dissecting aneurysm with stent-assisted coil embolization

verfasst von: Keiko Irie, Makoto Negoro, Motoharu Hayakawa, Junichi Hayashi, Tetsuo Kanno

Erschienen in: Neuroradiology | Ausgabe 11/2003

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Abstract

Arterial dissection is now recognized as an important cause of stroke. Most reported dissections involve the extracranial portion of the internal carotid artery (ICA) and vertebral arteries. Spontaneous dissecting aneurysms of the intracranial ICA are uncommon. Endovascular treatment for cerebral aneurysms has become widespread; however, the dissecting aneurysm is still difficult to treat if the parent artery has to be preserved. More recently, stenting has been advocated for use with endosaccular coiling, with the coils held in place by the stent. We herein report a spontaneous intracranial ICA dissecting aneurysm in a 51-year-old woman who was treated using a new technique of combined stent and coils.
Literatur
1.
Zurück zum Zitat Ohkuma H, Suzuki S, Ogane K (2002) Dissecting aneurysms of intracranial carotid circulation. Stroke 33:941–947CrossRefPubMed Ohkuma H, Suzuki S, Ogane K (2002) Dissecting aneurysms of intracranial carotid circulation. Stroke 33:941–947CrossRefPubMed
2.
Zurück zum Zitat Chaves C, Estol C, Esnaola MM, Gorson K, O’Donoghune M, Witt LD, Caplan LR (2002) Spontaneous intracranial internal carotid artery dissection. Report of 10 cases. Arch Neurol 59:977–981CrossRefPubMed Chaves C, Estol C, Esnaola MM, Gorson K, O’Donoghune M, Witt LD, Caplan LR (2002) Spontaneous intracranial internal carotid artery dissection. Report of 10 cases. Arch Neurol 59:977–981CrossRefPubMed
3.
Zurück zum Zitat Hedge V, Coutinho CM, Mitchell JD (2002) Dissection of the intracranial internal carotid artery producing isolated oculomotor nerve palsy with sparing of pupil. Acta Neurol Scand 105:330–332CrossRefPubMed Hedge V, Coutinho CM, Mitchell JD (2002) Dissection of the intracranial internal carotid artery producing isolated oculomotor nerve palsy with sparing of pupil. Acta Neurol Scand 105:330–332CrossRefPubMed
4.
Zurück zum Zitat Guglielmi G, Vinuela F, Sepetka I, Macellari V (1991) Electrothrombosis of saccular aneurysms via endovascular approach: part 1 electrochemical basis, technique, and experimental results. J Neurosurg 75:1–7PubMed Guglielmi G, Vinuela F, Sepetka I, Macellari V (1991) Electrothrombosis of saccular aneurysms via endovascular approach: part 1 electrochemical basis, technique, and experimental results. J Neurosurg 75:1–7PubMed
5.
Zurück zum Zitat Fernandez-Zubillaga A, Guglielmi G, Vinuela F, Duckwiler GR (1994) Endovascular occlusion of intracranial aneurysms with electrically detachable coils: correlatoin of aneurysm neck size and treatment results. Am J Neuroradiol 15:815–820PubMed Fernandez-Zubillaga A, Guglielmi G, Vinuela F, Duckwiler GR (1994) Endovascular occlusion of intracranial aneurysms with electrically detachable coils: correlatoin of aneurysm neck size and treatment results. Am J Neuroradiol 15:815–820PubMed
6.
Zurück zum Zitat Gobin YP, Vinuela F, Gurian JH, Guglielmi G, Duckwiler GR, Massound TF, Martin NA (1996) Treatment of large and giant fusiform intracranial aneurysms with Guglielmi detachable coils. J Neurosurg 84:55–62PubMed Gobin YP, Vinuela F, Gurian JH, Guglielmi G, Duckwiler GR, Massound TF, Martin NA (1996) Treatment of large and giant fusiform intracranial aneurysms with Guglielmi detachable coils. J Neurosurg 84:55–62PubMed
7.
Zurück zum Zitat Halbach VV, Higashida RT, Dowd CF, Fraser KW, Smith TP, Teitelbaum GP, Wilson CB, Hieshima GB (1993) Endovascular treatment of vertebral artery dissections and pseudoaneurysms. J Neurosurg 79:183–191PubMed Halbach VV, Higashida RT, Dowd CF, Fraser KW, Smith TP, Teitelbaum GP, Wilson CB, Hieshima GB (1993) Endovascular treatment of vertebral artery dissections and pseudoaneurysms. J Neurosurg 79:183–191PubMed
8.
Zurück zum Zitat Phatouros CC, Sasaki TY, Higashida RT, Malek AM, Meyers PM, Dowd CF, Halbach VV (2000) Stent-supported coil embolization: the treatment of fusiform and wide-neck aneurysms and pseudoaneurysms. Neurosurgery 47:107–115PubMed Phatouros CC, Sasaki TY, Higashida RT, Malek AM, Meyers PM, Dowd CF, Halbach VV (2000) Stent-supported coil embolization: the treatment of fusiform and wide-neck aneurysms and pseudoaneurysms. Neurosurgery 47:107–115PubMed
9.
Zurück zum Zitat Mericle RA, Lanzino G, Wakhloo AK, Guterman LR, Hopkins LN (1998) Stenting and secondary coiling of intracranial internal carotid artery aneurysm: technical case report. Neurosurgery 43:1229–1234 Mericle RA, Lanzino G, Wakhloo AK, Guterman LR, Hopkins LN (1998) Stenting and secondary coiling of intracranial internal carotid artery aneurysm: technical case report. Neurosurgery 43:1229–1234
10.
Zurück zum Zitat Lylyk P, Ceratto R, Hurvitz D, Basso A (1998) Treatment of a vertebral dissecting aneurysm with stent and coils: technical case report. 43:385–388 Lylyk P, Ceratto R, Hurvitz D, Basso A (1998) Treatment of a vertebral dissecting aneurysm with stent and coils: technical case report. 43:385–388
11.
Zurück zum Zitat Pessin MS, Adelman LS, Barbas NR (1989) Spontaneous intracranial carotid artery dissection. Stroke 20:1100–1103PubMed Pessin MS, Adelman LS, Barbas NR (1989) Spontaneous intracranial carotid artery dissection. Stroke 20:1100–1103PubMed
12.
Zurück zum Zitat Massound TF, Anslow P, Molyneux AJ (1992) Subarachnoid hemorrhage following spontaneous intracranial carotid artery dissection. 34:33–35 Massound TF, Anslow P, Molyneux AJ (1992) Subarachnoid hemorrhage following spontaneous intracranial carotid artery dissection. 34:33–35
13.
Zurück zum Zitat Fisher CM, Ojermann RG, Robertson GH (1978) Spontaneous dissection of cervicocerebral arteries. Can J Neurol Sci 5:9–19PubMed Fisher CM, Ojermann RG, Robertson GH (1978) Spontaneous dissection of cervicocerebral arteries. Can J Neurol Sci 5:9–19PubMed
14.
Zurück zum Zitat Mizutani T, Golberg HI, Parr J, Harper C, Thompson CJ (1982) Cerebral dissecting aneurysm and internal fibroelastic thickening of cerebral arteries, case report. J Neurosurg 56:571–576PubMed Mizutani T, Golberg HI, Parr J, Harper C, Thompson CJ (1982) Cerebral dissecting aneurysm and internal fibroelastic thickening of cerebral arteries, case report. J Neurosurg 56:571–576PubMed
15.
Zurück zum Zitat Grosman H, Fomasier VL, Bonder D, Livingston KE, Plattis ME (1980) Dissecting aneurysm of the cerebral arteries, case report. J Neurosurg 53:693–697PubMed Grosman H, Fomasier VL, Bonder D, Livingston KE, Plattis ME (1980) Dissecting aneurysm of the cerebral arteries, case report. J Neurosurg 53:693–697PubMed
16.
Zurück zum Zitat Amagasa M, Sato S, Otabe K (1988) Posttraumatic dissecting aneurysm of the anterior cerebral artery: a case report. Neurosurgery 23:221–225PubMed Amagasa M, Sato S, Otabe K (1988) Posttraumatic dissecting aneurysm of the anterior cerebral artery: a case report. Neurosurgery 23:221–225PubMed
17.
Zurück zum Zitat Manz HJ, Luessenhop AJ (1983) Dissecting aneurysm of intracranial vertebral artery: a case report and review of literature. J Neurol 230:25–35PubMed Manz HJ, Luessenhop AJ (1983) Dissecting aneurysm of intracranial vertebral artery: a case report and review of literature. J Neurol 230:25–35PubMed
18.
Zurück zum Zitat Szikora I, Guterman LR, Wells KM, Hopkins LN (1994) Combined use of stents and coils to treat experimental wide-necked carotid aneurysms: preliminary results. Am J Neuroradiol 15:1091–1102PubMed Szikora I, Guterman LR, Wells KM, Hopkins LN (1994) Combined use of stents and coils to treat experimental wide-necked carotid aneurysms: preliminary results. Am J Neuroradiol 15:1091–1102PubMed
19.
Zurück zum Zitat Turjman F, Massound TF, Ji C, Guglielmi G, Vinuela F, Robert J (1994) Combined stent implantation and endosaccular coil placement for treatment of experimental wide-necked aneurysms: a feasibility study in swine. Am J Neuroradiol 15:1087–1090PubMed Turjman F, Massound TF, Ji C, Guglielmi G, Vinuela F, Robert J (1994) Combined stent implantation and endosaccular coil placement for treatment of experimental wide-necked aneurysms: a feasibility study in swine. Am J Neuroradiol 15:1087–1090PubMed
Metadaten
Titel
Treatment of a spontaneous intracranial dissecting aneurysm with stent-assisted coil embolization
verfasst von
Keiko Irie
Makoto Negoro
Motoharu Hayakawa
Junichi Hayashi
Tetsuo Kanno
Publikationsdatum
01.11.2003
Verlag
Springer-Verlag
Erschienen in
Neuroradiology / Ausgabe 11/2003
Print ISSN: 0028-3940
Elektronische ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-003-0972-6

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