| Autor: |
Seung Soo Kim, Hyun Park, Kwangho Lee, Seunguk Jung, Chang Hyo Yoon, Sung Kwon Kim, Kyeong Hwa Ryu, Hye Jin Baek, Soo Hyun Hwang |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
Interdisciplinary Neurosurgery, Vol 20, Iss , Pp - (2020) |
| Druh dokumentu: |
article |
| ISSN: |
2214-7519 |
| DOI: |
10.1016/j.inat.2019.100633 |
| Popis: |
Recanalization of a completely occluded vertebral artery, which involves ruptured vertebral dissecting aneurysm, to a normal configuration is rare. Here we report the case of a recanalized vertebral artery dissecting aneurysm in a 51-year-old woman that was treated using endovascular trapping and the right vertebral artery was completely occluded. Six months after the procedure, transfemoral cerebral artery angiography showed a normal configuration of the antegrade recanalized vertebral artery. We also suggest three possible mechanisms for the phenomenon of antegrade recanalization, of which we consider the water-hammer effect mechanism to be the most probable. Endovascular trapping, regardless of the presence of a true or false lumen, is capable of providing promising results and good prognosis through antegrade revascularization or complete occlusion. Keywords: Recanalization, Vertebral artery dissecting aneurysm, Endovascular trapping, Aneurysmal Subarachnoid Hemorrhage |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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