Combined endovascular stent implantation and endosaccular coil placement for the treatment of a wide-necked vertebral artery aneurysm: technical case report.

作者: Lali H.S. Sekhon , Michael K. Morgan , William Sorby , Verity Grinnell

DOI: 10.1097/00006123-199808000-00127

关键词: Endovascular coilingAneurysmSurgerySubarachnoid hemorrhageVertebral arteryMedicineStentIntracranial ArteryRadiologyGuglielmi detachable coilClipping (medicine)

摘要: OBJECTIVE AND IMPORTANCE: We describe a case in humans of the combined application endovascular stent placement and Guglielmi detachable coil packing management wide-necked intracranial aneurysm. CLINICAL PRESENTATION: A 56-year-old woman suffered subarachnoid hemorrhage secondary to large left vertebral artery Because size neck aneurysm extent its calcification evident on computed tomographic scans, it was deemed unsuitable for surgical intervention or conventional coiling. Instead, therapy instituted. INTERVENTION: The surgically exposed cannulated allow an across act as buttress against which coils could be packed. patient no ill effects result this procedure made slow but steady recovery. CONCLUSION: This report describes treated using combination implantation endosaccular obliterate technique described provides another treatment better manage difficult entity aneurysms that may clipping.

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