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The combined treatment of stenting and surgery in a giant unruptured aneurysm of the middle cerebral artery
BACKGROUND: This case study reports on a combined therapy of stenting and surgery for a giant unruptured middle cerebral artery (MCA) aneurysm with the aim of preserving the patency of the vessel during surgery. CASE DESCRIPTION: A 51-year-old male presented with a sudden onset of moderate left hemi...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4418101/ https://www.ncbi.nlm.nih.gov/pubmed/25984382 http://dx.doi.org/10.4103/2152-7806.155802 |
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author | Skrap, Miran Petralia, Benedetto Toniato, Giovanni |
author_facet | Skrap, Miran Petralia, Benedetto Toniato, Giovanni |
author_sort | Skrap, Miran |
collection | PubMed |
description | BACKGROUND: This case study reports on a combined therapy of stenting and surgery for a giant unruptured middle cerebral artery (MCA) aneurysm with the aim of preserving the patency of the vessel during surgery. CASE DESCRIPTION: A 51-year-old male presented with a sudden onset of moderate left hemiparesis and dysarthria. Neuro-radiological evaluations showed a giant right unruptured MCA aneurysm without subarachnoid hemorrhage (SAH). The cerebral angiography confirmed the presence of such an aneurysm producing compression of both M2 branches with consequent slowing of the blood flow. Two weeks later, the patient underwent the positioning of an Enterprise stent and inside this, a flow diverter Silk stent. They were placed across the aneurysm and in one of the two M2 branches with the aim of protecting them during surgical manipulation. The patient went immediately to surgery, where the aneurysm was resected and both M2 branches decompressed. CONCLUSION: The combined placement of the stents allowed safe and successful surgical dissection of the M2 branches and clipping of the aneurysm without interrupting the blood flow. |
format | Online Article Text |
id | pubmed-4418101 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-44181012015-05-15 The combined treatment of stenting and surgery in a giant unruptured aneurysm of the middle cerebral artery Skrap, Miran Petralia, Benedetto Toniato, Giovanni Surg Neurol Int Case Report BACKGROUND: This case study reports on a combined therapy of stenting and surgery for a giant unruptured middle cerebral artery (MCA) aneurysm with the aim of preserving the patency of the vessel during surgery. CASE DESCRIPTION: A 51-year-old male presented with a sudden onset of moderate left hemiparesis and dysarthria. Neuro-radiological evaluations showed a giant right unruptured MCA aneurysm without subarachnoid hemorrhage (SAH). The cerebral angiography confirmed the presence of such an aneurysm producing compression of both M2 branches with consequent slowing of the blood flow. Two weeks later, the patient underwent the positioning of an Enterprise stent and inside this, a flow diverter Silk stent. They were placed across the aneurysm and in one of the two M2 branches with the aim of protecting them during surgical manipulation. The patient went immediately to surgery, where the aneurysm was resected and both M2 branches decompressed. CONCLUSION: The combined placement of the stents allowed safe and successful surgical dissection of the M2 branches and clipping of the aneurysm without interrupting the blood flow. Medknow Publications & Media Pvt Ltd 2015-04-24 /pmc/articles/PMC4418101/ /pubmed/25984382 http://dx.doi.org/10.4103/2152-7806.155802 Text en Copyright: © 2015 Skrap M. http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Case Report Skrap, Miran Petralia, Benedetto Toniato, Giovanni The combined treatment of stenting and surgery in a giant unruptured aneurysm of the middle cerebral artery |
title | The combined treatment of stenting and surgery in a giant unruptured aneurysm of the middle cerebral artery |
title_full | The combined treatment of stenting and surgery in a giant unruptured aneurysm of the middle cerebral artery |
title_fullStr | The combined treatment of stenting and surgery in a giant unruptured aneurysm of the middle cerebral artery |
title_full_unstemmed | The combined treatment of stenting and surgery in a giant unruptured aneurysm of the middle cerebral artery |
title_short | The combined treatment of stenting and surgery in a giant unruptured aneurysm of the middle cerebral artery |
title_sort | combined treatment of stenting and surgery in a giant unruptured aneurysm of the middle cerebral artery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4418101/ https://www.ncbi.nlm.nih.gov/pubmed/25984382 http://dx.doi.org/10.4103/2152-7806.155802 |
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