Microvascular Revascularization for Recurrent A1 Anterior Cerebral Artery Aneurysm Postendovascular Treatment: A Case Report and Review of the Literature

The recurrence of aneurysms postcoil embolization is a common occurrence. Endovascular coiling has been noted to be more effective for small lesions rather than the giant aneurysms. A postembolization recurrent aneurysm is a difficult condition to manage. We present a case of a recurrent giant aneur...

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Detalles Bibliográficos
Autores principales: Musara, Aaron, Yamada, Yasuhiro, Takizawa, Katsumi, Haraguchi, Kenichi, Kawase, Tsukasa, Tanaka, Riki, Miyatani, Kyosuke, Teranishi, Takao, Mohan, Krishna, Kato, Yoko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6703000/
https://www.ncbi.nlm.nih.gov/pubmed/31497152
http://dx.doi.org/10.4103/ajns.AJNS_113_19
Descripción
Sumario:The recurrence of aneurysms postcoil embolization is a common occurrence. Endovascular coiling has been noted to be more effective for small lesions rather than the giant aneurysms. A postembolization recurrent aneurysm is a difficult condition to manage. We present a case of a recurrent giant aneurysm of the anterior cerebral arteries (ACAs) first segment (A1). It was managed by superficial temporal artery to A3 segment of anterior cerebral artery bypass anastomotic revascularization plus distal A1- segment clipping. A literature review is presented for the management of giant A1 artery aneurysms.

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