open access

Vol 49, No 2 (2015)
Original research articles
Submitted: 2014-08-18
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Arterial occlusion to treat basilar artery dissecting aneurysm

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
DOI: 10.1016/j.pjnns.2015.02.003
·
Neurol Neurochir Pol 2015;49(2):99-106.

open access

Vol 49, No 2 (2015)
Original research articles
Submitted: 2014-08-18

Abstract

Object

To explore the clinical feasibility of employing occlusion to treat basilar artery dissecting aneurysm.

Methods

One 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.

Results

The 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.

Conclusions

Occlusion to treat basilar artery dissecting aneurysm is clinically feasible, but surgical indications should be considered strictly.

Abstract

Object

To explore the clinical feasibility of employing occlusion to treat basilar artery dissecting aneurysm.

Methods

One 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.

Results

The 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.

Conclusions

Occlusion to treat basilar artery dissecting aneurysm is clinically feasible, but surgical indications should be considered strictly.

Get Citation

Keywords

Basilar artery, Occlusion, Dissecting aneurysm

About this article
Title

Arterial occlusion to treat basilar artery dissecting aneurysm

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 49, No 2 (2015)

Pages

99-106

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

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