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
  • [11] COMBINED SURGICAL AND ENDOVASCULAR TREATMENT OF A GIANT VERTEBRAL ARTERY ANEURYSM IN A CHILD
    KHAYATA, MH
    SPETZLER, RF
    MOOY, JJA
    HERMAN, JM
    REKATE, HL
    [J]. JOURNAL OF NEUROSURGERY, 1994, 81 (02) : 304 - 307
  • [12] Revascularization and aneurysm surgery: Current techniques, indications, and outcome
    Lawton, MT
    Hamilton, MG
    Morcos, JJ
    Spetzler, RF
    [J]. NEUROSURGERY, 1996, 38 (01) : 83 - 92
  • [13] Cerebral revascularization performed using posterior inferior cerebellar artery-posterior inferior cerebellar artery bypass - Report of four cases and literature review
    Lemole, GM
    Henn, J
    Javedan, S
    Deshmukh, V
    Spetzler, RF
    [J]. JOURNAL OF NEUROSURGERY, 2002, 97 (01) : 219 - 223
  • [14] Surgery on a saccular vertebral artery-posterior inferior cerebellar artery aneurysm via the transcondylar fossa (supracondylar transjugular tubercle) approach or the transcondylar approach: surgical results and indications for using two different lateral skull base approaches
    Matsushima, T
    Matsukado, K
    Natori, Y
    Inamura, T
    Hitotsumatsu, T
    Fukui, M
    [J]. JOURNAL OF NEUROSURGERY, 2001, 95 (02) : 268 - 274
  • [15] Treatment of vertebral artery aneurysms with transposition of the posterior inferior cerebellar artery to the vertebral artery combined with parent artery occlusion
    Ogasawara, Kuniaki
    Kubo, Yoshitaka
    Tomitsuka, Nobuhiko
    Sasoh, Masayuki
    Otawara, Yasunari
    Arai, Hiroshi
    Ogawa, Akira
    [J]. JOURNAL OF NEUROSURGERY, 2006, 105 (05) : 781 - 784
  • [16] Rabinov JD, 2003, AM J NEURORADIOL, V24, P1421
  • [17] A CLINICOPATHOLOGICAL STUDY OF DISSECTING ANEURYSMS OF THE INTRACRANIAL VERTEBRAL ARTERY
    SASAKI, O
    OGAWA, H
    KOIKE, T
    KOIZUMI, T
    TANAKA, R
    [J]. JOURNAL OF NEUROSURGERY, 1991, 75 (06) : 874 - 882
  • [18] Current concepts: Vertebrobasilar disease
    Savitz, SI
    Caplan, LR
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (25) : 2618 - 2626
  • [19] Current concepts: Spontaneous dissection of the carotid and vertebral arteries.
    Schievink, WI
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (12) : 898 - 906
  • [20] TAKIKAWA S, 1991, Neurological Surgery, V19, P571
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