Vertebral Artery Dissecting Aneurysm Treated by Proximal Occlusion and Posterior Inferior Cerebellar Artery Reconstruction With Fenestrated Clips

被引：4
作者：
Li, Yuhui [1 ]
Horiuchi, Tetsuyoshi [1 ]
Nakagawa, Fukuo [2 ]
Hongo, Kazuhiro [1 ]
机构：
[1] Shinshu Univ, Sch Med, Dept Neurosurg, Matsumoto, Nagano 3908621, Japan
[2] Azumino Red Cross Hosp, Dept Neurosurg, Nagano, Japan
来源：
NEUROLOGIA MEDICO-CHIRURGICA | 2010年 / 50卷 / 08期
关键词：
dissecting aneurysm; fenestrated clip; reconstruction; posterior inferior cerebellar artery; vertebral artery; MANAGEMENT; REVASCULARIZATION; SURGERY; BYPASS; STENT;
D O I：
10.2176/nmc.50.655
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A 57-year-old man presented with subarachnoid hemorrhage caused by a dissecting aneurysm of the vertebral artery close to the origin of the posterior inferior cerebellar artery (PICA). The aneurysm was treated successfully with two fenestrated clips preserving the efferent artery with anterograde blood flow without PICA anastomosis. The postoperative course was uneventful. Postoperative angiography indicated disappearance of the aneurysm and anterograde blood flow of the PICA.
引用
收藏
页码：655 / 658
页数：4
相关论文
共 24 条
  • [1] Albuquerque Felipe C, 2005, Neurosurg Focus, V18, pE3
  • [2] POSTERIOR INFERIOR TO POSTERIOR INFERIOR CEREBELLAR ARTERY ANASTOMOSIS COMBINED WITH TRAPPING FOR VERTEBRAL ARTERY ANEURYSM - CASE-REPORT
    AUSMAN, JI
    DIAZ, FG
    MULLAN, S
    GEHRING, R
    SADASIVAN, B
    DUJOVNY, M
    [J]. JOURNAL OF NEUROSURGERY, 1990, 73 (03) : 462 - 465
  • [3] DISSECTION OF THE INTRACRANIAL VERTEBRAL ARTERY
    CAPLAN, LR
    BAQUIS, GD
    PESSIN, MS
    DALTON, J
    ADELMAN, LS
    DEWITT, LD
    HO, K
    IZUKAWA, D
    KWAN, ES
    [J]. NEUROLOGY, 1988, 38 (06) : 868 - 877
  • [4] Spontaneous dissection of the extracranial vertebral artery: Indications and long-term outcome of surgical treatment
    Chiche, L
    Praquin, B
    Koskas, F
    Kieffer, E
    [J]. ANNALS OF VASCULAR SURGERY, 2005, 19 (01) : 5 - 10
  • [5] Fiorella D, 2006, NEUROSURGERY, V59, P291, DOI 10.1227/01.NEU.0000223650.11954.6C
  • [6] Neuroform in-stent stenosis: Incidence, natural history, and treatment strategies
    Fiorella, David
    Albuquerque, Felipe C.
    Woo, Henry
    Rasmussen, Peter A.
    Masaryk, Thomas J.
    McDougall, Cameron G.
    [J]. NEUROSURGERY, 2006, 59 (01) : 34 - 41
  • [7] Vertebral artery-posterior inferior cerebellar artery bypass with a superficial temporal artery graft to treat aneurysms involving the posterior inferior cerebellar artery
    Hamada, J
    Todaka, T
    Yano, S
    Kai, Y
    Morioka, M
    Ushio, Y
    [J]. JOURNAL OF NEUROSURGERY, 2002, 96 (05) : 867 - 871
  • [8] Clinical and neuroradiological features of intracranial vertebrobasilar artery dissection
    Hosoya, T
    Adachi, M
    Yamaguchi, K
    Haku, T
    Kayama, T
    Kato, T
    [J]. STROKE, 1999, 30 (05) : 1083 - 1090
  • [9] Dissecting aneurysms of the vertebral artery: a management strategy
    Iihara, K
    Sakai, N
    Murao, K
    Sakai, H
    Higashi, T
    Kogure, S
    Takahashi, JC
    Nagata, I
    [J]. JOURNAL OF NEUROSURGERY, 2002, 97 (02) : 259 - 267
  • [10] Treatment of vertebral artery aneurysms with posterior inferior cerebellar artery-posterior inferior cerebellar artery anastomosis combined with parent artery occlusion
    Kakino, S
    Ogasawara, K
    Kubo, Y
    Otawara, Y
    Tomizuka, N
    Suzuki, M
    Ogawa, A
    [J]. SURGICAL NEUROLOGY, 2004, 61 (02): : 185 - 189
123