Operative open intra-aneurysmal thrombectomy for ruptured cerebral aneurysm and peripheral ischemia associated with vasospasm
| Autor: | Masami Fujii, Fumiaki Oka, Hirosuke Fujisawa, Tetsu Kurokawa, Hideyuki Ishihara, Makoto Saka, Shoichi Kato, Michiyasu Suzuki, Kei Harada |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Subarachnoid hemorrhage Aneurysm Ruptured Neurosurgical Procedures Brain Ischemia Cerebral vasospasm Aneurysm Physiology (medical) Humans Vasospasm Intracranial Medicine cardiovascular diseases Thrombus Thrombectomy medicine.diagnostic_test business.industry Penumbra Intracranial Aneurysm Vasospasm General Medicine Middle Aged medicine.disease Thrombosis Cerebral Angiography Surgery Neurology Cerebrovascular Circulation Angiography cardiovascular system Female Neurology (clinical) Radiology Tomography X-Ray Computed business |
| Zdroj: | Journal of Clinical Neuroscience. 17:517-520 |
| ISSN: | 0967-5868 |
| DOI: | 10.1016/j.jocn.2009.06.040 |
| Popis: | The endovascular approach has become the standard treatment for ruptured aneurysms during the vasospasm risk period following subarachnoid hemorrhage; however, it may be disadvantageous under certain conditions. We report a patient with a ruptured middle cerebral artery aneurysm with severe vasospasm and thrombosis within the aneurysm immediately after angiography. Emergent operative open thrombectomy of the intra-aneurysmal thrombus restored blood flow to the ischemic penumbra territory demonstrated by single photon emission CT scan and diffusion-weighted MRI. |
| Databáze: | OpenAIRE |
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