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 |
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Hauptverfasser: | , , , , , |
Format: | Artikel |
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. |
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ISSN: | 0914-5508 1880-4683 |
DOI: | 10.2335/scs.43.380 |