Microsurgical management of a complicated aneurysmal endovascular embolisation with GDC coil: A case report

被引：0
|
作者：
Peter Pogády
Hamdy Mustafa
Willibald Wies
Karin Lungenschmid
Gabriele Wurm
Berndt Tomancok
Kurt Holl
Johannes Fischer
机构：
[1] OÖ Landesnervenklinik Wagner-Jauregg,Department of Neurosurgery
[2] OÖ Landesnervenklinik Wagner-Jauregg,Department of Neuroradiology
来源：
Neurosurgical Review | 1998年 / 21卷
关键词：
Cerebral aneurysm; endovascular embolisation; complication; surgery;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
We present a case involving a microsurgical approach to solving the problem of a medical cerebral artery (MCA) occlusion occuring after GDC coiling of an internal cerebral artery (ICA) bifurcation aneurysm in a 40 year old woman. We describe the clinical course of the case and discuss technical possibilities and risks of clipping a coiled aneurysm. One key to success is awareness of changes in the aneurysm's properties after coiling. With loss of elasticity the aneurysm had the effect of a tumor fixed on the vessel. The apposition of the aneurysm to the wall of the vessel, as well as the aneurysm's rigidity and increase of intracranial pressure after subarachnoideal hemorrhage (SAH), may lead to occlusion of the vessel.
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页码：206 / 209
页数：3
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