Delayed rupture of a basilar artery aneurysm treated with coils: Case report and review of the literature

被引:8
作者
Tsurumi, Arihito [1 ]
Tsurumi, Yuko [2 ]
Negoro, Makoto [3 ]
Tsugane, Shinichiro [1 ]
Ryuge, Misaki [4 ]
Susaki, Noriyuki [1 ]
Fukuoka, Toshiki [1 ]
Miyachi, Shigeru [5 ]
机构
[1] Nagoya Med Ctr, Natl Hosp Org, Dept Neurosurg, Nagoya, Aichi, Japan
[2] Japanese Red Cross Nagoya Daiichi Hosp, Dept Neurosurg, Nagoya, Aichi, Japan
[3] Fujita Hlth Univ, Sch Med, Dept Neurosurg, Toyoake, Aichi 47011, Japan
[4] Nagoya Med Ctr, Natl Hosp Org, Dept Resp Med, Nagoya, Aichi, Japan
[5] Nagoya Univ, Grad Sch Med, Dept Neurosurg, Nagoya, Aichi 4648601, Japan
关键词
Aneurysm; Rupture; Complications; Embolization; Intracranial; UNRUPTURED INTRACRANIAL ANEURYSMS; GUGLIELMI DETACHABLE COILS; POSTERIOR CIRCULATION ANEURYSMS; FLOW-DIVERSION TREATMENT; ENDOVASCULAR TREATMENT; CEREBRAL ANEURYSMS; EMBOLIZATION; EXPERIENCE; HEMODYNAMICS; MORBIDITY;
D O I
10.1016/j.neurad.2012.08.005
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Delayed rupture of a previously unruptured cerebral aneurysm after uneventful saccular coil packing is rare, particularly when the quality of aneurysm occlusion is appropriate (neck remnant or total occlusion). The present report describes the case of a 70-year-old woman with an incidentally detected, asymptomatic, small basilar tip non-thrombosed aneurysm who experienced rupture of the aneurysm 2 years after coiling. Cerebral angiography taken on the day of rupture revealed only small recanalization of the aneurysm neck with no dome-filling. This is the first report of delayed rupture due to minor recurrence of a previously unruptured small asymptomatic cerebral aneurysm after saccular coil packing. A literature review of 26 reports of late bleeding after coil embolization of previously unruptured cerebral aneurysms showed that dome-filling after coil embolization, symptomatic aneurysms and large/giant aneurysms all increase the risk of delayed rupture in previously unruptured aneurysms after saccular coil packing. (C) 2013 Published by Elsevier Masson SAS.
引用
收藏
页码:54 / 61
页数:8
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