Rupture of vertebral artery dissection aneurysm during 3D DSA
| Autor: | Changwei Zhang, Xiaodong Xie, Chaohua Wang, Ding Xu, Shou-Wei Xiang |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Subarachnoid hemorrhage Vertebral artery dissection Dissection (medical) Aneurysm Ruptured Brain herniation Fatal Outcome Imaging Three-Dimensional Aneurysm medicine Humans Vertebral Artery Vertebral Artery Dissection medicine.diagnostic_test business.industry Angiography Digital Subtraction Intracranial Aneurysm Vasospasm Digital subtraction angiography Middle Aged medicine.disease body regions Angiography Neurology (clinical) Radiology business Intracranial Hemorrhages |
| Zdroj: | Neurology. 87:236-236 |
| ISSN: | 1526-632X 0028-3878 0000-0000 |
| Popis: | A 60-year-old man with a history of headache and vomiting had a subarachnoid hemorrhage on CT scan. On 2-dimensional (2D) digital subtraction angiography (DSA), a possible dissection aneurysm of the vertebral artery was seen (video 1 on the Neurology ® Web site at [Neurology.org][1]). During 3D DSA, the aneurysm suddenly ruptured (video 2), with intracranial hemorrhage. The pressure of contrast was 200 psi, the rate was 2 mL/s, with a total volume of 12 mL. The patient was transferred to the intensive care unit but died of brain herniation and vasospasm. Few dissection aneurysms rupture during 3D DSA, but the risk is likely attributable to continuous contrast hyperperfusion at high pressure. [1]: http://neurology.org/lookup/doi/10.1212/WNL.0000000000002846 |
| Databáze: | OpenAIRE |
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