Early Embolizations for the Poorest Grade Patients with Ruptured Dissecting Aneurysms of the Vertebral Artery
Autor: | Takenori Akiyama, Kenji Hiraga, Syunichi Okui, Kazunori Akaji, Yoshio Tanizaki, Atsuhiro Kojima |
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Rok vydání: | 2010 |
Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Glasgow Outcome Scale Vertebral artery medicine.disease Surgery Dissecting Aneurysms Aneurysm medicine.artery cardiovascular system medicine cardiovascular diseases Embolization Radiology Pica (disorder) medicine.symptom business Proximal occlusion |
Zdroj: | Surgery for Cerebral Stroke. 38:24-28 |
ISSN: | 1880-4683 0914-5508 |
DOI: | 10.2335/scs.38.24 |
Popis: | We report 5 patients (2 females and 3 males) with endovascular coil embolizations for ruptured dissecting aneurysms of the vertebral artery (VA). The age of the patients varies between 44 and 66 (mean 54.8) years. All patients had a Hunt and Kosnik Grade of V at admission. One patient had a dissecting aneurysm of the VA distal to the PICA. One patient had a dissecting aneurysm of the VA without the PICA. Three patients had a dissecting aneurysm of the VA involving the PICA. One patient with a dissecting aneurysm of the VA involving the PICA underwent proximal occlusion, and the other 4 patients underwent internal trapping. All patients underwent endovascular coil embolizations on the day or the next day of the onset. Subsequent rupture occurred in 4 patients before embolization. The Glasgow Outcome Scale at 3 months after the embolization was good recovery in 3 patients. We had no ruptured aneurysm and no coil compaction at 0 to 40 months (mean 26.2 months) after embolization. Our experience showed that the internal trapping for ruptured dissecting aneurysms of the vertebral artery should be performed as soon as possible, even if the patients have a Hunt and Kosnik Grade of V. |
Databáze: | OpenAIRE |
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