Endovascular Treatment Using a Small Amount of Contrast Medium in a Patient with a Posterior Communicating Artery Ruptured Dissecting Aneurysm and Chronic Kidney Disease: A Case Report

OBJECTIVE: We report a rare case of a patient with a ruptured posterior communicating artery (P-com A) dissecting aneurysm and chronic kidney disease (CKD) treated by endovascular embolization using a small amount of contrast medium. CASE PRESENTATION: An 88-year-old female patient had sudden onset...

Descripción completa

Detalles Bibliográficos
Autores principales: Yasuda, Hiroaki, Nagamitsu, Suguru, Kaneko, Natsue, Nagatsuna, Toshikazu, Urakawa, Manabu, Fujii, Masami, Yamashita, Tetsuo, Okamoto, Shuuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370547/
https://www.ncbi.nlm.nih.gov/pubmed/37501891
http://dx.doi.org/10.5797/jnet.cr.2021-0044
_version_ 1785077957132288000
author Yasuda, Hiroaki
Nagamitsu, Suguru
Kaneko, Natsue
Nagatsuna, Toshikazu
Urakawa, Manabu
Fujii, Masami
Yamashita, Tetsuo
Okamoto, Shuuji
author_facet Yasuda, Hiroaki
Nagamitsu, Suguru
Kaneko, Natsue
Nagatsuna, Toshikazu
Urakawa, Manabu
Fujii, Masami
Yamashita, Tetsuo
Okamoto, Shuuji
author_sort Yasuda, Hiroaki
collection PubMed
description OBJECTIVE: We report a rare case of a patient with a ruptured posterior communicating artery (P-com A) dissecting aneurysm and chronic kidney disease (CKD) treated by endovascular embolization using a small amount of contrast medium. CASE PRESENTATION: An 88-year-old female patient had sudden onset of headache and vomit due to subarachnoid hemorrhage. MRI revealed a ruptured dissecting aneurysm of the right P-com A. The patient had CKD of severity grade 4. Endovascular treatment was performed using only 10 mL of diluted contrast medium with injection through a microcatheter. The postoperative course was uneventful, and no deterioration of renal function occurred. CONCLUSION: With minimal amount of contrast medium, endovascular treatment could be safely and effectively performed for patients with P-com A dissecting aneurysms and severe CKD.
format Online
Article
Text
id pubmed-10370547
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher The Japanese Society for Neuroendovascular Therapy
record_format MEDLINE/PubMed
spelling pubmed-103705472023-07-27 Endovascular Treatment Using a Small Amount of Contrast Medium in a Patient with a Posterior Communicating Artery Ruptured Dissecting Aneurysm and Chronic Kidney Disease: A Case Report Yasuda, Hiroaki Nagamitsu, Suguru Kaneko, Natsue Nagatsuna, Toshikazu Urakawa, Manabu Fujii, Masami Yamashita, Tetsuo Okamoto, Shuuji J Neuroendovasc Ther Case Report OBJECTIVE: We report a rare case of a patient with a ruptured posterior communicating artery (P-com A) dissecting aneurysm and chronic kidney disease (CKD) treated by endovascular embolization using a small amount of contrast medium. CASE PRESENTATION: An 88-year-old female patient had sudden onset of headache and vomit due to subarachnoid hemorrhage. MRI revealed a ruptured dissecting aneurysm of the right P-com A. The patient had CKD of severity grade 4. Endovascular treatment was performed using only 10 mL of diluted contrast medium with injection through a microcatheter. The postoperative course was uneventful, and no deterioration of renal function occurred. CONCLUSION: With minimal amount of contrast medium, endovascular treatment could be safely and effectively performed for patients with P-com A dissecting aneurysms and severe CKD. The Japanese Society for Neuroendovascular Therapy 2021-09-22 2022 /pmc/articles/PMC10370547/ /pubmed/37501891 http://dx.doi.org/10.5797/jnet.cr.2021-0044 Text en ©2022 The Japanese Society for Neuroendovascular Therapy https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Yasuda, Hiroaki
Nagamitsu, Suguru
Kaneko, Natsue
Nagatsuna, Toshikazu
Urakawa, Manabu
Fujii, Masami
Yamashita, Tetsuo
Okamoto, Shuuji
Endovascular Treatment Using a Small Amount of Contrast Medium in a Patient with a Posterior Communicating Artery Ruptured Dissecting Aneurysm and Chronic Kidney Disease: A Case Report
title Endovascular Treatment Using a Small Amount of Contrast Medium in a Patient with a Posterior Communicating Artery Ruptured Dissecting Aneurysm and Chronic Kidney Disease: A Case Report
title_full Endovascular Treatment Using a Small Amount of Contrast Medium in a Patient with a Posterior Communicating Artery Ruptured Dissecting Aneurysm and Chronic Kidney Disease: A Case Report
title_fullStr Endovascular Treatment Using a Small Amount of Contrast Medium in a Patient with a Posterior Communicating Artery Ruptured Dissecting Aneurysm and Chronic Kidney Disease: A Case Report
title_full_unstemmed Endovascular Treatment Using a Small Amount of Contrast Medium in a Patient with a Posterior Communicating Artery Ruptured Dissecting Aneurysm and Chronic Kidney Disease: A Case Report
title_short Endovascular Treatment Using a Small Amount of Contrast Medium in a Patient with a Posterior Communicating Artery Ruptured Dissecting Aneurysm and Chronic Kidney Disease: A Case Report
title_sort endovascular treatment using a small amount of contrast medium in a patient with a posterior communicating artery ruptured dissecting aneurysm and chronic kidney disease: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370547/
https://www.ncbi.nlm.nih.gov/pubmed/37501891
http://dx.doi.org/10.5797/jnet.cr.2021-0044
work_keys_str_mv AT yasudahiroaki endovasculartreatmentusingasmallamountofcontrastmediuminapatientwithaposteriorcommunicatingarteryruptureddissectinganeurysmandchronickidneydiseaseacasereport
AT nagamitsusuguru endovasculartreatmentusingasmallamountofcontrastmediuminapatientwithaposteriorcommunicatingarteryruptureddissectinganeurysmandchronickidneydiseaseacasereport
AT kanekonatsue endovasculartreatmentusingasmallamountofcontrastmediuminapatientwithaposteriorcommunicatingarteryruptureddissectinganeurysmandchronickidneydiseaseacasereport
AT nagatsunatoshikazu endovasculartreatmentusingasmallamountofcontrastmediuminapatientwithaposteriorcommunicatingarteryruptureddissectinganeurysmandchronickidneydiseaseacasereport
AT urakawamanabu endovasculartreatmentusingasmallamountofcontrastmediuminapatientwithaposteriorcommunicatingarteryruptureddissectinganeurysmandchronickidneydiseaseacasereport
AT fujiimasami endovasculartreatmentusingasmallamountofcontrastmediuminapatientwithaposteriorcommunicatingarteryruptureddissectinganeurysmandchronickidneydiseaseacasereport
AT yamashitatetsuo endovasculartreatmentusingasmallamountofcontrastmediuminapatientwithaposteriorcommunicatingarteryruptureddissectinganeurysmandchronickidneydiseaseacasereport
AT okamotoshuuji endovasculartreatmentusingasmallamountofcontrastmediuminapatientwithaposteriorcommunicatingarteryruptureddissectinganeurysmandchronickidneydiseaseacasereport

Ejemplares similares