Successful Treatment of Growing Basilar Artery Dissecting Aneurysm by Pipeline Flow Diversion Embolization Device

被引:8
作者
Gong, Dasen [1 ,2 ,3 ,4 ,5 ]
Yan, Bernard [1 ]
Dowling, Richard [6 ]
Mitchell, Peter [6 ]
机构
[1] Univ Melbourne, Royal Melbourne Hosp, Melbourne Brain Ctr, Parkville, Vic, Australia
[2] Tianjin Med Univ Gen Hosp, Dept Neurosurg, Tianjin, Peoples R China
[3] Tianjin Neurol Inst, Dept Neurosurg, Tianjin, Peoples R China
[4] Minist Educ, Key Lab Posttrauma Neurorepair & Regenerat Cent N, Tianjin, Peoples R China
[5] Tianjin Key Lab Injuries Variat & Regenerat Nervo, Tianjin, Peoples R China
[6] Royal Melbourne Hosp, Dept Radiol, Parkville, Vic 3050, Australia
关键词
Subarachnoid hemorrhage; basilar artery; dissecting aneurysm; pipeline embolization device; flow diverting stent; POSTERIOR CEREBRAL-ARTERY; ENDOVASCULAR TREATMENT; SUBARACHNOID HEMORRHAGE; STENT; RECONSTRUCTION;
D O I
10.1016/j.jstrokecerebrovasdis.2013.11.019
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
We describe a case of successful management of a growing basilar artery dissecting aneurysm by the Pipeline flow diversion embolization device (PED). A 48-year-old woman presented with severe headache, neck pain, and altered consciousness. Computed tomography showed subarachnoid hemorrhage located in basal cisterns, with a pontine infarct shown on magnetic resonance imaging. Digital subtraction angiography showed dissecting aneurysm of the trunk of the basilar artery, with growth over time on repeated imaging. Repeated imaging demonstrated growth in size of the aneurysm. The aneurysm was treated with PED with complete obliteration of the basilar artery aneurysm. Subsequent follow-up demonstrated good clinical recovery. (C) 2014 by National Stroke Association
引用
收藏
页码:1713 / 1716
页数:4
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