Anterograde recanalization of a ruptured vertebral artery dissecting aneurysm with endovascular trapping treatment: A case report
  • Kim, Seung Soo
  • Park, Hyun
  • Lee, Kwangho
  • Jung, Seunguk
  • Yoon, Chang Hyo
  • ... Hwang, Soo Hyun
  • 외 3명
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초록

Recanalization of a completely occluded vertebral artery, which involves ruptured vertebral dissecting aneurysm, to a normal configuration is rare. Here we report the case of a recanalized vertebral artery dissecting aneurysm in a 51-year-old woman that was treated using endovascular trapping and the right vertebral artery was completely occluded. Six months after the procedure, transfemoral cerebral artery angiography showed a normal configuration of the antegrade recanalized vertebral artery. We also suggest three possible mechanisms for the phenomenon of antegrade recanalization, of which we consider the water-hammer effect mechanism to be the most probable. Endovascular trapping, regardless of the presence of a true or false lumen, is capable of providing promising results and good prognosis through antegrade revascularization or complete occlusion.

키워드

RecanalizationVertebral artery dissecting aneurysmEndovascular trappingAneurysmal Subarachnoid Hemorrhage
제목
Anterograde recanalization of a ruptured vertebral artery dissecting aneurysm with endovascular trapping treatment: A case report
저자
Kim, Seung SooPark, HyunLee, KwanghoJung, SeungukYoon, Chang HyoKim, Sung KwonRyu, Kyeong HwaBaek, Hye JinHwang, Soo Hyun
DOI
10.1016/j.inat.2019.100633
발행일
2020-06
유형
Article
저널명
Interdisciplinary Neurosurgery: Advanced Techniques and Case Management
20