Proximal Flow Arrest With Temporary Subclavian Steal for Internal Trapping of a Ruptured Vertebral Artery Dissecting Aneurysm: Case Report
A 48-year-old woman presented with subarachnoid hemorrhage originating from a dissecting aneurysm of the left vertebral artery (VA). Internal trapping with proximal flow arrest was planned. The origin of the left VA was too tortuous to allow positioning of an occlusion balloon catheter and a microca...
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| Veröffentlicht in: | Neurologia medico-chirurgica 2007, Vol.47(1), pp.18-21 |
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| container_title | Neurologia medico-chirurgica |
| container_volume | 47 |
| creator | UDA, Takehiro MURATA, Keiji NAKAMURA, Kazuhito ICHINOSE, Tsutomu KUSAKABE, Taro SAKAGUCHI, Masakazu |
| description | A 48-year-old woman presented with subarachnoid hemorrhage originating from a dissecting aneurysm of the left vertebral artery (VA). Internal trapping with proximal flow arrest was planned. The origin of the left VA was too tortuous to allow positioning of an occlusion balloon catheter and a microcatheter in the left VA via the femoral artery. Therefore, the temporary subclavian steal technique was used for proximal flow arrest, by placing an occlusion balloon catheter in the subclavian artery proximal to the VA origin via the femoral artery. Thereafter, coil embolization was achieved through the left axillary artery. The patient recovered well after the procedure. |
| doi_str_mv | 10.2176/nmc.47.18 |
| format | Article |
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Internal trapping with proximal flow arrest was planned. The origin of the left VA was too tortuous to allow positioning of an occlusion balloon catheter and a microcatheter in the left VA via the femoral artery. Therefore, the temporary subclavian steal technique was used for proximal flow arrest, by placing an occlusion balloon catheter in the subclavian artery proximal to the VA origin via the femoral artery. Thereafter, coil embolization was achieved through the left axillary artery. The patient recovered well after the procedure.</description><identifier>ISSN: 0470-8105</identifier><identifier>EISSN: 1349-8029</identifier><identifier>DOI: 10.2176/nmc.47.18</identifier><language>eng</language><publisher>The Japan Neurosurgical Society</publisher><subject>dissecting aneurysm ; endovascular treatment ; internal trapping ; proximal flow arrest ; temporary subclavian steal ; vertebral artery</subject><ispartof>Neurologia medico-chirurgica, 2007, Vol.47(1), pp.18-21</ispartof><rights>2007 by The Japan Neurosurgical Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-4235923ec1609ff163fc7f8663389bf7ca1396792d53b257b406d6aa986591b3</citedby><cites>FETCH-LOGICAL-c375t-4235923ec1609ff163fc7f8663389bf7ca1396792d53b257b406d6aa986591b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,1876,27903,27904</link.rule.ids></links><search><creatorcontrib>UDA, Takehiro</creatorcontrib><creatorcontrib>MURATA, Keiji</creatorcontrib><creatorcontrib>NAKAMURA, Kazuhito</creatorcontrib><creatorcontrib>ICHINOSE, Tsutomu</creatorcontrib><creatorcontrib>KUSAKABE, Taro</creatorcontrib><creatorcontrib>SAKAGUCHI, Masakazu</creatorcontrib><title>Proximal Flow Arrest With Temporary Subclavian Steal for Internal Trapping of a Ruptured Vertebral Artery Dissecting Aneurysm: Case Report</title><title>Neurologia medico-chirurgica</title><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><description>A 48-year-old woman presented with subarachnoid hemorrhage originating from a dissecting aneurysm of the left vertebral artery (VA). Internal trapping with proximal flow arrest was planned. The origin of the left VA was too tortuous to allow positioning of an occlusion balloon catheter and a microcatheter in the left VA via the femoral artery. Therefore, the temporary subclavian steal technique was used for proximal flow arrest, by placing an occlusion balloon catheter in the subclavian artery proximal to the VA origin via the femoral artery. Thereafter, coil embolization was achieved through the left axillary artery. The patient recovered well after the procedure.</description><subject>dissecting aneurysm</subject><subject>endovascular treatment</subject><subject>internal trapping</subject><subject>proximal flow arrest</subject><subject>temporary subclavian steal</subject><subject>vertebral artery</subject><issn>0470-8105</issn><issn>1349-8029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><recordid>eNo90EtLAzEQAOAgChbtwX-Qq4etyWY3j4uwVKuFgmIXPS7ZNGlX9sUkq_bgf3dLpZd5MB8DMwjdUDKLqeB3bWNmiZhReYYmlCUqkiRW52hCEkEiSUl6iabeVyUhcSITJsUE_b5C91M1usaLuvvGGYD1AX9UYYdz2_QdaNjj9VCaWn9VusXrYEfrOsDLNlhoxyYH3fdVu8Wdwxq_DX0YwG7wu4VgSxhBNhbjlofKe2vCQWatHWDvm2t04XTt7fQ_X6F88ZjPn6PVy9Nynq0iw0QaoiRmqYqZNZQT5RzlzBnhJOeMSVU6YTRligsVb1JWxqkoE8I3XGsleapoya7Q7XGtgc57sK7oYbwZ9gUlxeFzxfi5IhEFlaO9P9pPH_TWnqSGUJnanuQxUHkamJ2GwrbsDy37eY8</recordid><startdate>20070101</startdate><enddate>20070101</enddate><creator>UDA, Takehiro</creator><creator>MURATA, Keiji</creator><creator>NAKAMURA, Kazuhito</creator><creator>ICHINOSE, Tsutomu</creator><creator>KUSAKABE, Taro</creator><creator>SAKAGUCHI, Masakazu</creator><general>The Japan Neurosurgical Society</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20070101</creationdate><title>Proximal Flow Arrest With Temporary Subclavian Steal for Internal Trapping of a Ruptured Vertebral Artery Dissecting Aneurysm</title><author>UDA, Takehiro ; MURATA, Keiji ; NAKAMURA, Kazuhito ; ICHINOSE, Tsutomu ; KUSAKABE, Taro ; SAKAGUCHI, Masakazu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-4235923ec1609ff163fc7f8663389bf7ca1396792d53b257b406d6aa986591b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>dissecting aneurysm</topic><topic>endovascular treatment</topic><topic>internal trapping</topic><topic>proximal flow arrest</topic><topic>temporary subclavian steal</topic><topic>vertebral artery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>UDA, Takehiro</creatorcontrib><creatorcontrib>MURATA, Keiji</creatorcontrib><creatorcontrib>NAKAMURA, Kazuhito</creatorcontrib><creatorcontrib>ICHINOSE, Tsutomu</creatorcontrib><creatorcontrib>KUSAKABE, Taro</creatorcontrib><creatorcontrib>SAKAGUCHI, Masakazu</creatorcontrib><collection>CrossRef</collection><jtitle>Neurologia medico-chirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>UDA, Takehiro</au><au>MURATA, Keiji</au><au>NAKAMURA, Kazuhito</au><au>ICHINOSE, Tsutomu</au><au>KUSAKABE, Taro</au><au>SAKAGUCHI, Masakazu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Proximal Flow Arrest With Temporary Subclavian Steal for Internal Trapping of a Ruptured Vertebral Artery Dissecting Aneurysm: Case Report</atitle><jtitle>Neurologia medico-chirurgica</jtitle><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><date>2007-01-01</date><risdate>2007</risdate><volume>47</volume><issue>1</issue><spage>18</spage><epage>21</epage><pages>18-21</pages><issn>0470-8105</issn><eissn>1349-8029</eissn><abstract>A 48-year-old woman presented with subarachnoid hemorrhage originating from a dissecting aneurysm of the left vertebral artery (VA). Internal trapping with proximal flow arrest was planned. The origin of the left VA was too tortuous to allow positioning of an occlusion balloon catheter and a microcatheter in the left VA via the femoral artery. Therefore, the temporary subclavian steal technique was used for proximal flow arrest, by placing an occlusion balloon catheter in the subclavian artery proximal to the VA origin via the femoral artery. Thereafter, coil embolization was achieved through the left axillary artery. The patient recovered well after the procedure.</abstract><pub>The Japan Neurosurgical Society</pub><doi>10.2176/nmc.47.18</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0470-8105 |
| ispartof | Neurologia medico-chirurgica, 2007, Vol.47(1), pp.18-21 |
| issn | 0470-8105 1349-8029 |
| language | eng |
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| source | J-STAGE Free; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | dissecting aneurysm endovascular treatment internal trapping proximal flow arrest temporary subclavian steal vertebral artery |
| title | Proximal Flow Arrest With Temporary Subclavian Steal for Internal Trapping of a Ruptured Vertebral Artery Dissecting Aneurysm: Case Report |
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