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Massive Dissecting Aneurysm in the Basilar Tip Artery Treated with Intra-aneurysm and Basilar Artery Coiling

INTRODUCTION: Deconstructive versus reconstructive technique remains controversial on the management of acute basilar tip artery dissection. AIM: We introduced a case report of massive dissecting aneurysm in the basilar tip artery treated with intra-aneurysm and basilar artery coiling. RESULTS: A 30...

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Autores principales: Tuan, Tran Anh, An, Nguyen Huu, Van Tuan, Nguyen, Luu, Vu Dang, Thong, Pham Minh, Huy, Huynh Quang, Duc, Nguyen Minh, Laurent, Pierot
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academy of Medical Sciences of Bosnia and Herzegovina 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164739/
https://www.ncbi.nlm.nih.gov/pubmed/32317838
http://dx.doi.org/10.5455/medarh.2020.74.61-64
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author Tuan, Tran Anh
An, Nguyen Huu
Van Tuan, Nguyen
Luu, Vu Dang
Thong, Pham Minh
Huy, Huynh Quang
Duc, Nguyen Minh
Laurent, Pierot
author_facet Tuan, Tran Anh
An, Nguyen Huu
Van Tuan, Nguyen
Luu, Vu Dang
Thong, Pham Minh
Huy, Huynh Quang
Duc, Nguyen Minh
Laurent, Pierot
author_sort Tuan, Tran Anh
collection PubMed
description INTRODUCTION: Deconstructive versus reconstructive technique remains controversial on the management of acute basilar tip artery dissection. AIM: We introduced a case report of massive dissecting aneurysm in the basilar tip artery treated with intra-aneurysm and basilar artery coiling. RESULTS: A 30-year-old male presented with sudden headache and severe vomiting. Radiographic study showed a large unruptured dissecting aneurysm in the basilar tip artery involving bilateral P1 segment. This aneurysm was treated with intra-aneurysm and basilar artery coiling. Patient was discharge after 7 days without any neurological deficits. Post-operatively, the patient received 75 mg aspirin and 75 mg clopidogrel PO per day for 3 months - then 75 mg aspirin per day for up to 1 year. Angiographic follow-up at 3 months showed a complete occlusion of aneurysmal sac and basilar tip artery without any deficits (mRS 0). Cerebral arteriography at 6 months follow-up confirmed a stable occlusion of aneurysmal sac with a minor recurrence of aneurysm in left P1 segment. CONCLUSION: Intra-aneurysm and basilar artery coiling is valuable alternative technique to treat complex basilar tip dissecting aneurysm in case of infeasible reconstructive technique. Clinical presentation, aneurysm characteristics and collateral circulation have to be investigated on each case to adopt this technique.
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spelling pubmed-71647392020-04-21 Massive Dissecting Aneurysm in the Basilar Tip Artery Treated with Intra-aneurysm and Basilar Artery Coiling Tuan, Tran Anh An, Nguyen Huu Van Tuan, Nguyen Luu, Vu Dang Thong, Pham Minh Huy, Huynh Quang Duc, Nguyen Minh Laurent, Pierot Med Arch Case Report INTRODUCTION: Deconstructive versus reconstructive technique remains controversial on the management of acute basilar tip artery dissection. AIM: We introduced a case report of massive dissecting aneurysm in the basilar tip artery treated with intra-aneurysm and basilar artery coiling. RESULTS: A 30-year-old male presented with sudden headache and severe vomiting. Radiographic study showed a large unruptured dissecting aneurysm in the basilar tip artery involving bilateral P1 segment. This aneurysm was treated with intra-aneurysm and basilar artery coiling. Patient was discharge after 7 days without any neurological deficits. Post-operatively, the patient received 75 mg aspirin and 75 mg clopidogrel PO per day for 3 months - then 75 mg aspirin per day for up to 1 year. Angiographic follow-up at 3 months showed a complete occlusion of aneurysmal sac and basilar tip artery without any deficits (mRS 0). Cerebral arteriography at 6 months follow-up confirmed a stable occlusion of aneurysmal sac with a minor recurrence of aneurysm in left P1 segment. CONCLUSION: Intra-aneurysm and basilar artery coiling is valuable alternative technique to treat complex basilar tip dissecting aneurysm in case of infeasible reconstructive technique. Clinical presentation, aneurysm characteristics and collateral circulation have to be investigated on each case to adopt this technique. Academy of Medical Sciences of Bosnia and Herzegovina 2020-02 /pmc/articles/PMC7164739/ /pubmed/32317838 http://dx.doi.org/10.5455/medarh.2020.74.61-64 Text en © 2020 Tran Anh Tuan, Nguyen Huu An, Nguyen Van Tuan, Vu Dang Luu, Pham Minh Thong, Huynh Quang Huy, Nguyen Minh Duc, Pierot Laurent http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Tuan, Tran Anh
An, Nguyen Huu
Van Tuan, Nguyen
Luu, Vu Dang
Thong, Pham Minh
Huy, Huynh Quang
Duc, Nguyen Minh
Laurent, Pierot
Massive Dissecting Aneurysm in the Basilar Tip Artery Treated with Intra-aneurysm and Basilar Artery Coiling
title Massive Dissecting Aneurysm in the Basilar Tip Artery Treated with Intra-aneurysm and Basilar Artery Coiling
title_full Massive Dissecting Aneurysm in the Basilar Tip Artery Treated with Intra-aneurysm and Basilar Artery Coiling
title_fullStr Massive Dissecting Aneurysm in the Basilar Tip Artery Treated with Intra-aneurysm and Basilar Artery Coiling
title_full_unstemmed Massive Dissecting Aneurysm in the Basilar Tip Artery Treated with Intra-aneurysm and Basilar Artery Coiling
title_short Massive Dissecting Aneurysm in the Basilar Tip Artery Treated with Intra-aneurysm and Basilar Artery Coiling
title_sort massive dissecting aneurysm in the basilar tip artery treated with intra-aneurysm and basilar artery coiling
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164739/
https://www.ncbi.nlm.nih.gov/pubmed/32317838
http://dx.doi.org/10.5455/medarh.2020.74.61-64
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