A Case of Ruptured Anterior Cerebral Artery Dissection Prevented from Re-rupture with Stenting and Modification of Antiplatelet Agents

A case of ruptured anterior cerebral artery (ACA) dissection was treated with multiple neck-bridge stents, with modification of antiplatelet administration according to changes in the shape of the aneurysm in the acute phase. A 67-year-old woman presented with severe subarachnoid hemorrhage and fusi...

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Autores principales: OTAKI, Yu, SHIMIZU, Tatsuya, AIHARA, Masanori, YAMAGUCHI, Rei, AISHIMA, Kaoru, YOSHIMOTO, Yuhei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8769466/
https://www.ncbi.nlm.nih.gov/pubmed/35079557
http://dx.doi.org/10.2176/nmccrj.cr.2021-0184
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author OTAKI, Yu
SHIMIZU, Tatsuya
AIHARA, Masanori
YAMAGUCHI, Rei
AISHIMA, Kaoru
YOSHIMOTO, Yuhei
author_facet OTAKI, Yu
SHIMIZU, Tatsuya
AIHARA, Masanori
YAMAGUCHI, Rei
AISHIMA, Kaoru
YOSHIMOTO, Yuhei
author_sort OTAKI, Yu
collection PubMed
description A case of ruptured anterior cerebral artery (ACA) dissection was treated with multiple neck-bridge stents, with modification of antiplatelet administration according to changes in the shape of the aneurysm in the acute phase. A 67-year-old woman presented with severe subarachnoid hemorrhage and fusiform dilatation was observed in the left ACA between the A1 and A2 segments. The use of stents in the acute phase is associated with high risk of ischemic complications. Prasugrel administration, which is considered to have low drug resistance, may have allowed safe stent use in the acute phase.
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spelling pubmed-87694662022-01-24 A Case of Ruptured Anterior Cerebral Artery Dissection Prevented from Re-rupture with Stenting and Modification of Antiplatelet Agents OTAKI, Yu SHIMIZU, Tatsuya AIHARA, Masanori YAMAGUCHI, Rei AISHIMA, Kaoru YOSHIMOTO, Yuhei NMC Case Rep J Case Report A case of ruptured anterior cerebral artery (ACA) dissection was treated with multiple neck-bridge stents, with modification of antiplatelet administration according to changes in the shape of the aneurysm in the acute phase. A 67-year-old woman presented with severe subarachnoid hemorrhage and fusiform dilatation was observed in the left ACA between the A1 and A2 segments. The use of stents in the acute phase is associated with high risk of ischemic complications. Prasugrel administration, which is considered to have low drug resistance, may have allowed safe stent use in the acute phase. The Japan Neurosurgical Society 2021-12-22 /pmc/articles/PMC8769466/ /pubmed/35079557 http://dx.doi.org/10.2176/nmccrj.cr.2021-0184 Text en © 2021 The Japan Neurosurgical Society https://creativecommons.org/licenses/by-nc-nd/4.0/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/ (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
OTAKI, Yu
SHIMIZU, Tatsuya
AIHARA, Masanori
YAMAGUCHI, Rei
AISHIMA, Kaoru
YOSHIMOTO, Yuhei
A Case of Ruptured Anterior Cerebral Artery Dissection Prevented from Re-rupture with Stenting and Modification of Antiplatelet Agents
title A Case of Ruptured Anterior Cerebral Artery Dissection Prevented from Re-rupture with Stenting and Modification of Antiplatelet Agents
title_full A Case of Ruptured Anterior Cerebral Artery Dissection Prevented from Re-rupture with Stenting and Modification of Antiplatelet Agents
title_fullStr A Case of Ruptured Anterior Cerebral Artery Dissection Prevented from Re-rupture with Stenting and Modification of Antiplatelet Agents
title_full_unstemmed A Case of Ruptured Anterior Cerebral Artery Dissection Prevented from Re-rupture with Stenting and Modification of Antiplatelet Agents
title_short A Case of Ruptured Anterior Cerebral Artery Dissection Prevented from Re-rupture with Stenting and Modification of Antiplatelet Agents
title_sort case of ruptured anterior cerebral artery dissection prevented from re-rupture with stenting and modification of antiplatelet agents
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8769466/
https://www.ncbi.nlm.nih.gov/pubmed/35079557
http://dx.doi.org/10.2176/nmccrj.cr.2021-0184
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