A Combined Approach to Treatment of the Dissecting Middle Cerebral Artery Fusiform Aneurysm A Case Report

被引：2

作者：

Hrbac, T. ^{[2
]}

Drabek, P. ^{[2
]}

Klement, P. ^{[3
]}

Prochazka, V. ^{[1
]}

机构：

[1] Univ Ostrava, Univ Hosp Ostrava, Radiodiagnost Inst, CZ-70852 Ostrava, Czech Republic

[2] Univ Ostrava, Univ Hosp Ostrava, Neurosurg Clin, CZ-70852 Ostrava, Czech Republic

[3] McMaster Univ, Henderson Res Ctr, Hamilton, ON, Canada

来源：

INTERVENTIONAL NEURORADIOLOGY | 2009年 / 15卷 / 03期

关键词：

dissecting fusiform aneurysm; parent artery occlusion; embolization; high flow bypass; INTRACRANIAL ANEURYSMS; BYPASS;

D O I：

10.1177/159101990901500314

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A fusiform aneurysm in the terminal MI middle cerebral artery (MCA) segment was treated by a construction of a high-flow arterial extracranial-intracranial (EC-IC) bypass. Due to severe bypass vasospasms, local vasodilating agents together with percutaneous angioplasty and stent implantation were applied, but failed due to subsequent bypass occlusion. To remedy this complication a new bypass was created from a segment of the saphenous vein, followed by MCA aneurysm embolization and parent artery occlusion. One year after the surgery, the venous bypass remains patent and the aneurysm occluded, with the patient fully active, without any neurological sequelae.

引用

页码：349 / 354

页数：6