| Autor: |
Luis Gómez-Amador, Juan, Alberto Tovar-Romero, Leoncio, Castillo-Matus, Andrea, Marian-Magaña, Ricardo, Fernando Aragón-Arreola, Jorge, Vinicius Sangrador-Deitos, Marcos, Hernández-Hernández, Alan, López-Valencia, Germán, Yoshiaki Guinto-Nishimura, Gerardo, Ríos-Zermeño, Jorge |
| Předmět: |
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| Zdroj: |
Journal of Cerebrovascular & Endovascular Neurosurgery; Dec2023, Vol. 25 Issue 4, p462-467, 6p |
| Abstrakt: |
Thrombectomy procedures following intra-aneurysmatic lesions are extremely rare, and few cases have been reported. This article describes a microsurgical intra-aneurysmatic thrombectomy (MIaT) for a distal anterior cerebral artery (DACA) aneurysm. We present the case of a 48-year-old female that was admitted to the emergency room, showing neurologic deterioration with focal deficits. A computed tomography angiography (CTA) scan revealed an aneurysm located in the distal segment of the left anterior cerebral artery. During the surgical procedure, after clipping, a wellformed clot was visualized through the aneurysm's wall obstructing the left DACA flow. We proceeded to open the aneurysm's dome to remove the thrombus and clip the aneurysm neck, re-establishing the flow of the left DACA. Intra-aneurysmatic thrombosis can occur as a complication during clipping, obstructing the distal flow of vital arteries and causing fatal results in the patient's postoperative status. MIaT is a good technique for restoring the flow of the affected vessel and allows a secure aneurysm clipping after thrombus removal. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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