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De Novo Vertebral Artery Dissection after Endovascular Trapping for Ruptured Dissecting Internal Carotid Artery Aneurysm: Case Report

The authors present an extremely rare case of a 54-year-old female patient with subarachnoid hemorrhage due to a rupture of a dissecting internal carotid artery (ICA) aneurysm, who developed de novo vertebral artery dissection in the spasm period after endovascular trapping of the ICA. Interestingly...

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Autores principales: HORIE, Nobutaka, SADAKATA, Eisaku, IZUMO, Tsuyoshi, HAYASHI, Kentaro, MORIKAWA, Minoru, NAGATA, Izumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 201
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4628206/
https://www.ncbi.nlm.nih.gov/pubmed/24418785
http://dx.doi.org/10.2176/nmc.cr.2013-0159
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author HORIE, Nobutaka
SADAKATA, Eisaku
IZUMO, Tsuyoshi
HAYASHI, Kentaro
MORIKAWA, Minoru
NAGATA, Izumi
author_facet HORIE, Nobutaka
SADAKATA, Eisaku
IZUMO, Tsuyoshi
HAYASHI, Kentaro
MORIKAWA, Minoru
NAGATA, Izumi
author_sort HORIE, Nobutaka
collection PubMed
description The authors present an extremely rare case of a 54-year-old female patient with subarachnoid hemorrhage due to a rupture of a dissecting internal carotid artery (ICA) aneurysm, who developed de novo vertebral artery dissection in the spasm period after endovascular trapping of the ICA. Interestingly, postoperative cardiopulmonary monitoring showed high global end-diastolic volume index and mean arterial pressure, which could contribute to this de novo dissection via hemodynamic stress in the cerebral circulation. Spontaneous intracranial artery dissection of more than two arteries is rare, and we believe this is the first case of de novo dissection occurring on a circulating vessel different from that of the initial dissection. The clinical implications are discussed in relation to postoperative hemodynamic stress with a review of the literature.
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spelling pubmed-46282062015-11-05 De Novo Vertebral Artery Dissection after Endovascular Trapping for Ruptured Dissecting Internal Carotid Artery Aneurysm: Case Report HORIE, Nobutaka SADAKATA, Eisaku IZUMO, Tsuyoshi HAYASHI, Kentaro MORIKAWA, Minoru NAGATA, Izumi Neurol Med Chir (Tokyo) Case Report The authors present an extremely rare case of a 54-year-old female patient with subarachnoid hemorrhage due to a rupture of a dissecting internal carotid artery (ICA) aneurysm, who developed de novo vertebral artery dissection in the spasm period after endovascular trapping of the ICA. Interestingly, postoperative cardiopulmonary monitoring showed high global end-diastolic volume index and mean arterial pressure, which could contribute to this de novo dissection via hemodynamic stress in the cerebral circulation. Spontaneous intracranial artery dissection of more than two arteries is rare, and we believe this is the first case of de novo dissection occurring on a circulating vessel different from that of the initial dissection. The clinical implications are discussed in relation to postoperative hemodynamic stress with a review of the literature. The Japan Neurosurgical Society 2015 -06 2014 -01- 10 /pmc/articles/PMC4628206/ /pubmed/24418785 http://dx.doi.org/10.2176/nmc.cr.2013-0159 Text en © 2015 The Japan Neurosurgical Society This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
HORIE, Nobutaka
SADAKATA, Eisaku
IZUMO, Tsuyoshi
HAYASHI, Kentaro
MORIKAWA, Minoru
NAGATA, Izumi
De Novo Vertebral Artery Dissection after Endovascular Trapping for Ruptured Dissecting Internal Carotid Artery Aneurysm: Case Report
title De Novo Vertebral Artery Dissection after Endovascular Trapping for Ruptured Dissecting Internal Carotid Artery Aneurysm: Case Report
title_full De Novo Vertebral Artery Dissection after Endovascular Trapping for Ruptured Dissecting Internal Carotid Artery Aneurysm: Case Report
title_fullStr De Novo Vertebral Artery Dissection after Endovascular Trapping for Ruptured Dissecting Internal Carotid Artery Aneurysm: Case Report
title_full_unstemmed De Novo Vertebral Artery Dissection after Endovascular Trapping for Ruptured Dissecting Internal Carotid Artery Aneurysm: Case Report
title_short De Novo Vertebral Artery Dissection after Endovascular Trapping for Ruptured Dissecting Internal Carotid Artery Aneurysm: Case Report
title_sort de novo vertebral artery dissection after endovascular trapping for ruptured dissecting internal carotid artery aneurysm: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4628206/
https://www.ncbi.nlm.nih.gov/pubmed/24418785
http://dx.doi.org/10.2176/nmc.cr.2013-0159
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