Neck Clipping after Stent Assisted Coil Embolization of a Proximal Anterior Cerebral Artery (A1 Segment) Aneurysm: A Case Report

Here, we report a case of a proximal anterior cerebral artery (A1 segment) aneurysm requiring neck clipping for recurrence following stent-assisted coil embolization. A 63-year-old woman with an unruptured A1 aneurysm presented with progressive aneurysm growth over 6 months. The aneurysm was treated...

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Veröffentlicht in:Nōshotchū no geka 2015, Vol.43(5), pp.380-384
Hauptverfasser: ADACHI, Hiromasa, HAYASE, Makoto, ODA, Masashi, MIYAKOSHI, Akinori, NAKAMURA, Takehiko, HATANO, Taketo
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Sprache:eng ; jpn
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Zusammenfassung:Here, we report a case of a proximal anterior cerebral artery (A1 segment) aneurysm requiring neck clipping for recurrence following stent-assisted coil embolization. A 63-year-old woman with an unruptured A1 aneurysm presented with progressive aneurysm growth over 6 months. The aneurysm was treated with stent-assisted coil embolization. Cerebral angiography performed 3 months after embolization showed in-stent stenosis (ISS) and aneurysmal recurrence. Cerebral angiography at 6 months after embolization revealed ISS resolution as well as aneurysmal regrowth. A successful neck clipping was performed without any complications. To our knowledge, this is the first known report of neck clipping after stent-assisted coil embolization. We propose that neck clipping for recurrence should be performed more than 6 months after stent-assisted coil embolization.
ISSN:0914-5508
1880-4683
DOI:10.2335/scs.43.380