Stent-assisted coiling of posterior inferior cerebellar artery aneurysm complicated by arterial avulsion
| Autor: | B Drake, J Woulfe, Al-Qahtani H, Howard Lesiuk, Stephanos Finitsis, Elena A. Cora, Daniela Iancu, F Essbaiheen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Vessel origin Aneurysm Ruptured Stent assisted coiling Catheterization 030218 nuclear medicine & medical imaging Avulsion 03 medical and health sciences Fatal Outcome 0302 clinical medicine Aneurysm Cerebellum medicine.artery Humans Medicine cardiovascular diseases Pica (disorder) Intraoperative Complications Device Removal Aged business.industry Endovascular Procedures Angiography Digital Subtraction Intracranial Aneurysm Cerebral Arteries medicine.disease Surgery Treatment Outcome Posterior inferior cerebellar artery cardiovascular system Female Stents Arterial avulsion medicine.symptom business Parent vessel 030217 neurology & neurosurgery |
| Zdroj: | Interventional Neuroradiology. 24:650-654 |
| ISSN: | 2385-2011 1591-0199 |
| DOI: | 10.1177/1591019918793353 |
| Popis: | Background Rapid development of new devices and techniques in endovascular neurosurgery allows treatment of complex intracranial vascular lesions. These treatments, however, are not without risk. We report a case of unusual vascular laceration during stent-assisted coiling of a posterior inferior cerebellar artery (PICA) aneurysm. Case presentation A 75-year-old female with a recurrent, previously coiled PICA aneurysm developed avulsion of the parent vessel followed by fatal bleeding while an attempt was made to place a microcatheter across the aneurysmal neck for stent-assisted coiling. Conclusions Pathological examination was performed to understand the mechanism of the rupture. The most likely mechanism was straightening of the significant vascular tortuosity, excessive tension on the vessel origin and avulsion upon advancement of the microcatheter over the microguidewire. |
| Databáze: | OpenAIRE |
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