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Arterial occlusion to treat basilar artery dissecting aneurysm
Affiliations- Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan
- Department of Neurosurgery, Liaocheng People's Hospital, Liaocheng
- Zhong Yuan Academy of Biological Medicine, Liaocheng College of Medicine, Liaocheng University, Liaocheng People Hospital, Liaocheng
- Department of Clinical Chemistry and Haematology, University Medical Centre Utrecht, Utrecht
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Abstract
To explore the clinical feasibility of employing occlusion to treat basilar artery dissecting aneurysm.
MethodsOne patient, male and 46 years old, suffered transient numbness and weakness on the right limbs. Cerebral angiography indicated basilar artery dissecting aneurysm. The patient underwent the stent-assisted coil embolization of aneurysm and the result is satisfactory. Digital subtraction angiography (DSA) reviews were performed at 1 month and 4.5 months, respectively after the operation and indicate that the basilar artery is unobstructed and there was no recurrence of the aneurysm. DSA review 1 year after the first treatment indicates the aneurysm recurrence, stent-assisted coils dense embolization of aneurysm was performed again and the result was satisfactory. Ten months after the second operation, DSA review found the basilar artery aneurysm recurrence again and occlusion of the basilar artery was performed.
ResultsThe basilar artery occlusion was effective. The bilateral posterior inferior cerebellar arteries and the bilateral posterior cerebral arteries are unobstructed. Five months of follow-up found that the patient recovered well. DSA reviews performed 5 months after occlusion indicate no recurrence of the aneurysm.
ConclusionsOcclusion to treat basilar artery dissecting aneurysm is clinically feasible, but surgical indications should be considered strictly.
Abstract
To explore the clinical feasibility of employing occlusion to treat basilar artery dissecting aneurysm.
MethodsOne patient, male and 46 years old, suffered transient numbness and weakness on the right limbs. Cerebral angiography indicated basilar artery dissecting aneurysm. The patient underwent the stent-assisted coil embolization of aneurysm and the result is satisfactory. Digital subtraction angiography (DSA) reviews were performed at 1 month and 4.5 months, respectively after the operation and indicate that the basilar artery is unobstructed and there was no recurrence of the aneurysm. DSA review 1 year after the first treatment indicates the aneurysm recurrence, stent-assisted coils dense embolization of aneurysm was performed again and the result was satisfactory. Ten months after the second operation, DSA review found the basilar artery aneurysm recurrence again and occlusion of the basilar artery was performed.
ResultsThe basilar artery occlusion was effective. The bilateral posterior inferior cerebellar arteries and the bilateral posterior cerebral arteries are unobstructed. Five months of follow-up found that the patient recovered well. DSA reviews performed 5 months after occlusion indicate no recurrence of the aneurysm.
ConclusionsOcclusion to treat basilar artery dissecting aneurysm is clinically feasible, but surgical indications should be considered strictly.
Keywords
Basilar artery, Occlusion, Dissecting aneurysm
About this articleTitle
Arterial occlusion to treat basilar artery dissecting aneurysm
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
99-106
Page views
225
Article views/downloads
347
DOI
10.1016/j.pjnns.2015.02.003
Bibliographic record
Neurol Neurochir Pol 2015;49(2):99-106.
Keywords
Basilar artery
Occlusion
Dissecting aneurysm
Authors
Qing Ke Cui
Wei Dong Liu
Peng Liu
Xue Yuan Li
Lian Qun Zhang
Long Jia Ma
Yun Fei Ren
Ya Ping Wu
Zhi Gang Wang
