Stent-assisted Coiling for Ruptured Basilar Artery Dissecting Aneurysms: An Initial Experience of Four Cases

No treatment strategy has been established for subarachnoid hemorrhages due to basilar artery (BA) trunk dissecting aneurysms. Our aim was to report our initial experience performing stent-assisted coiling (SAC) for ruptured BA dissecting aneurysms to validate the effectiveness of this treatment. We...

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Autores principales: KOIZUMI, Satoshi, SHOJIMA, Masaaki, IIJIMA, Akira, OYA, Soichi, MATSUI, Toru, YOSHIKAWA, Gakushi, TSUTSUMI, Kazuo, NAKATOMI, Hirofumi, SAITO, Nobuhito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728149/
https://www.ncbi.nlm.nih.gov/pubmed/26667082
http://dx.doi.org/10.2176/nmc.cr.2015-0233
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author KOIZUMI, Satoshi
SHOJIMA, Masaaki
IIJIMA, Akira
OYA, Soichi
MATSUI, Toru
YOSHIKAWA, Gakushi
TSUTSUMI, Kazuo
NAKATOMI, Hirofumi
SAITO, Nobuhito
author_facet KOIZUMI, Satoshi
SHOJIMA, Masaaki
IIJIMA, Akira
OYA, Soichi
MATSUI, Toru
YOSHIKAWA, Gakushi
TSUTSUMI, Kazuo
NAKATOMI, Hirofumi
SAITO, Nobuhito
author_sort KOIZUMI, Satoshi
collection PubMed
description No treatment strategy has been established for subarachnoid hemorrhages due to basilar artery (BA) trunk dissecting aneurysms. Our aim was to report our initial experience performing stent-assisted coiling (SAC) for ruptured BA dissecting aneurysms to validate the effectiveness of this treatment. We experienced four consecutive cases of ruptured dissecting BA trunk aneurysm treated with SAC between 2008 and 2014 at three institutions. Aneurysm rebleeding was prevented without causing severe brainstem ischemia in all cases. In our opinion, both the blockage of the inflow to aneurysms and the preservation of the antegrade flow of the BA can be achieved by SAC, although controversies regarding long-term stability and appropriate antiplatelet therapy remain.
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spelling pubmed-47281492016-01-27 Stent-assisted Coiling for Ruptured Basilar Artery Dissecting Aneurysms: An Initial Experience of Four Cases KOIZUMI, Satoshi SHOJIMA, Masaaki IIJIMA, Akira OYA, Soichi MATSUI, Toru YOSHIKAWA, Gakushi TSUTSUMI, Kazuo NAKATOMI, Hirofumi SAITO, Nobuhito Neurol Med Chir (Tokyo) Case Report No treatment strategy has been established for subarachnoid hemorrhages due to basilar artery (BA) trunk dissecting aneurysms. Our aim was to report our initial experience performing stent-assisted coiling (SAC) for ruptured BA dissecting aneurysms to validate the effectiveness of this treatment. We experienced four consecutive cases of ruptured dissecting BA trunk aneurysm treated with SAC between 2008 and 2014 at three institutions. Aneurysm rebleeding was prevented without causing severe brainstem ischemia in all cases. In our opinion, both the blockage of the inflow to aneurysms and the preservation of the antegrade flow of the BA can be achieved by SAC, although controversies regarding long-term stability and appropriate antiplatelet therapy remain. The Japan Neurosurgical Society 2016-01 2015-12-11 /pmc/articles/PMC4728149/ /pubmed/26667082 http://dx.doi.org/10.2176/nmc.cr.2015-0233 Text en © 2016 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
KOIZUMI, Satoshi
SHOJIMA, Masaaki
IIJIMA, Akira
OYA, Soichi
MATSUI, Toru
YOSHIKAWA, Gakushi
TSUTSUMI, Kazuo
NAKATOMI, Hirofumi
SAITO, Nobuhito
Stent-assisted Coiling for Ruptured Basilar Artery Dissecting Aneurysms: An Initial Experience of Four Cases
title Stent-assisted Coiling for Ruptured Basilar Artery Dissecting Aneurysms: An Initial Experience of Four Cases
title_full Stent-assisted Coiling for Ruptured Basilar Artery Dissecting Aneurysms: An Initial Experience of Four Cases
title_fullStr Stent-assisted Coiling for Ruptured Basilar Artery Dissecting Aneurysms: An Initial Experience of Four Cases
title_full_unstemmed Stent-assisted Coiling for Ruptured Basilar Artery Dissecting Aneurysms: An Initial Experience of Four Cases
title_short Stent-assisted Coiling for Ruptured Basilar Artery Dissecting Aneurysms: An Initial Experience of Four Cases
title_sort stent-assisted coiling for ruptured basilar artery dissecting aneurysms: an initial experience of four cases
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728149/
https://www.ncbi.nlm.nih.gov/pubmed/26667082
http://dx.doi.org/10.2176/nmc.cr.2015-0233
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