Double LVIS Jr. Stenting of a Ruptured Proximal Anterior Inferior Cerebellar Artery Aneurysm: A Case Report
Objective: We report a case of ruptured aneurysm at the anterior pontine segment of the anterior inferior cerebellar artery (AICA) which re-ruptured after stent placement and was treated by overlapping stenting.Case Presentation: A 53-year-old woman presented with headache. CT demonstrated subarachn...
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| Veröffentlicht in: | Journal of Neuroendovascular Therapy 2021, Vol.15(5), pp.339-345 |
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| container_title | Journal of Neuroendovascular Therapy |
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| creator | Kuwayama, Kazuyuki Nakata, Akihiro Furuno, Yuichi Hisaoka, Satoshi Matsumoto, Keigo |
| description | Objective: We report a case of ruptured aneurysm at the anterior pontine segment of the anterior inferior cerebellar artery (AICA) which re-ruptured after stent placement and was treated by overlapping stenting.Case Presentation: A 53-year-old woman presented with headache. CT demonstrated subarachnoid hemorrhage. DSA revealed no evident source of bleeding. On day 10, she complained of sudden headache and CT demonstrated re-bleeding. On repeated DSA, an aneurysm at the anterior pontine segment of the right AICA was found. An LVIS Jr. stent was deployed at the right AICA including the aneurysm. On postoperative day 23, the aneurysm ruptured again. Another LVIS Jr. stent was deployed at the same area. On day 56, she was discharged home without neurological deficit.Conclusion: Intracranial aneurysms not indicated for coil embolization or parent artery occlusion are difficult to treat. Overlapping stenting may be a treatment option for such aneurysms. |
| doi_str_mv | 10.5797/jnet.cr.2020-0091 |
| format | Article |
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CT demonstrated subarachnoid hemorrhage. DSA revealed no evident source of bleeding. On day 10, she complained of sudden headache and CT demonstrated re-bleeding. On repeated DSA, an aneurysm at the anterior pontine segment of the right AICA was found. An LVIS Jr. stent was deployed at the right AICA including the aneurysm. On postoperative day 23, the aneurysm ruptured again. Another LVIS Jr. stent was deployed at the same area. On day 56, she was discharged home without neurological deficit.Conclusion: Intracranial aneurysms not indicated for coil embolization or parent artery occlusion are difficult to treat. Overlapping stenting may be a treatment option for such aneurysms.</description><identifier>ISSN: 1882-4072</identifier><identifier>EISSN: 2186-2494</identifier><identifier>DOI: 10.5797/jnet.cr.2020-0091</identifier><identifier>PMID: 37501903</identifier><language>eng</language><publisher>Japan: The Japanese Society for Neuroendovascular Therapy</publisher><subject>anterior inferior cerebellar artery ; Case Report ; LVIS Jr ; stenting ; subarachnoid hemorrhage</subject><ispartof>Journal of Neuroendovascular Therapy, 2021, Vol.15(5), pp.339-345</ispartof><rights>2021 The Japanese Society for Neuroendovascular Therapy</rights><rights>2021 The Japanese Society for Neuroendovascular Therapy.</rights><rights>2021 The Japanese Society for Neuroendovascular Therapy 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5141-926e53c290d49151675aee1fa4a3ac3e62cca6e9020fe0ddddb7bad6d3c76d363</citedby><cites>FETCH-LOGICAL-c5141-926e53c290d49151675aee1fa4a3ac3e62cca6e9020fe0ddddb7bad6d3c76d363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370979/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370979/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1877,4010,27900,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37501903$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kuwayama, Kazuyuki</creatorcontrib><creatorcontrib>Nakata, Akihiro</creatorcontrib><creatorcontrib>Furuno, Yuichi</creatorcontrib><creatorcontrib>Hisaoka, Satoshi</creatorcontrib><creatorcontrib>Matsumoto, Keigo</creatorcontrib><creatorcontrib>Department of Neurosurgery</creatorcontrib><creatorcontrib>Japan Community Health Care Organization Kobe Central Hospital</creatorcontrib><title>Double LVIS Jr. Stenting of a Ruptured Proximal Anterior Inferior Cerebellar Artery Aneurysm: A Case Report</title><title>Journal of Neuroendovascular Therapy</title><addtitle>JNET</addtitle><description>Objective: We report a case of ruptured aneurysm at the anterior pontine segment of the anterior inferior cerebellar artery (AICA) which re-ruptured after stent placement and was treated by overlapping stenting.Case Presentation: A 53-year-old woman presented with headache. CT demonstrated subarachnoid hemorrhage. DSA revealed no evident source of bleeding. On day 10, she complained of sudden headache and CT demonstrated re-bleeding. On repeated DSA, an aneurysm at the anterior pontine segment of the right AICA was found. An LVIS Jr. stent was deployed at the right AICA including the aneurysm. On postoperative day 23, the aneurysm ruptured again. Another LVIS Jr. stent was deployed at the same area. On day 56, she was discharged home without neurological deficit.Conclusion: Intracranial aneurysms not indicated for coil embolization or parent artery occlusion are difficult to treat. Overlapping stenting may be a treatment option for such aneurysms.</description><subject>anterior inferior cerebellar artery</subject><subject>Case Report</subject><subject>LVIS Jr</subject><subject>stenting</subject><subject>subarachnoid hemorrhage</subject><issn>1882-4072</issn><issn>2186-2494</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpVUM2O0zAQthCIrZZ9AC7IL5Bix3Ecc0FVgd2iSqBd4Go5zqRNce1qkiD69jgKW5Y5jC3N9zPzEfKas6VUWr09BBiWDpc5y1nGmObPyCLnVZnlhS6ekwWvqjwrmMqvyE3fH1iqkvGKFy_JlVCScc3Egvz8EMfaA93-2DzQz7ikDwOEoQs7Gltq6f14GkaEhn7F-Ls7Wk9XYQDsItJNaOfPGhBq8N4iXWEanhMGRjz3x3d0Rde2B3oPp4jDK_Kitb6Hm7_vNfn-6eO39V22_XK7Wa-2mZO84JnOS5DC5Zo1heaSl0paAN7awgrrBJS5c7YEne5ugTWpalXbpmyEU6mV4pq8n3VPY32ExqWD0HpzwnQAnk20nfl_Erq92cVfhjOhmFY6KfBZwWHse4T2QubMTOmbKX3j0Ezpmyn9xHnz1PXCeMw6AW5nQJp2zvoYfBfAHOKIIcVhXCsn1f2kyZMml0walgwTV6dWSFExVfHqn9KhH-wOLlYWh855mJfj0sipPV3ygnB7iwaC-APqILM1</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Kuwayama, Kazuyuki</creator><creator>Nakata, Akihiro</creator><creator>Furuno, Yuichi</creator><creator>Hisaoka, Satoshi</creator><creator>Matsumoto, Keigo</creator><general>The Japanese Society for Neuroendovascular Therapy</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>2021</creationdate><title>Double LVIS Jr. Stenting of a Ruptured Proximal Anterior Inferior Cerebellar Artery Aneurysm: A Case Report</title><author>Kuwayama, Kazuyuki ; Nakata, Akihiro ; Furuno, Yuichi ; Hisaoka, Satoshi ; Matsumoto, Keigo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5141-926e53c290d49151675aee1fa4a3ac3e62cca6e9020fe0ddddb7bad6d3c76d363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>anterior inferior cerebellar artery</topic><topic>Case Report</topic><topic>LVIS Jr</topic><topic>stenting</topic><topic>subarachnoid hemorrhage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kuwayama, Kazuyuki</creatorcontrib><creatorcontrib>Nakata, Akihiro</creatorcontrib><creatorcontrib>Furuno, Yuichi</creatorcontrib><creatorcontrib>Hisaoka, Satoshi</creatorcontrib><creatorcontrib>Matsumoto, Keigo</creatorcontrib><creatorcontrib>Department of Neurosurgery</creatorcontrib><creatorcontrib>Japan Community Health Care Organization Kobe Central Hospital</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of Neuroendovascular Therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kuwayama, Kazuyuki</au><au>Nakata, Akihiro</au><au>Furuno, Yuichi</au><au>Hisaoka, Satoshi</au><au>Matsumoto, Keigo</au><aucorp>Department of Neurosurgery</aucorp><aucorp>Japan Community Health Care Organization Kobe Central Hospital</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Double LVIS Jr. Stenting of a Ruptured Proximal Anterior Inferior Cerebellar Artery Aneurysm: A Case Report</atitle><jtitle>Journal of Neuroendovascular Therapy</jtitle><addtitle>JNET</addtitle><date>2021</date><risdate>2021</risdate><volume>15</volume><issue>5</issue><spage>339</spage><epage>345</epage><pages>339-345</pages><issn>1882-4072</issn><eissn>2186-2494</eissn><abstract>Objective: We report a case of ruptured aneurysm at the anterior pontine segment of the anterior inferior cerebellar artery (AICA) which re-ruptured after stent placement and was treated by overlapping stenting.Case Presentation: A 53-year-old woman presented with headache. CT demonstrated subarachnoid hemorrhage. DSA revealed no evident source of bleeding. On day 10, she complained of sudden headache and CT demonstrated re-bleeding. On repeated DSA, an aneurysm at the anterior pontine segment of the right AICA was found. An LVIS Jr. stent was deployed at the right AICA including the aneurysm. On postoperative day 23, the aneurysm ruptured again. Another LVIS Jr. stent was deployed at the same area. On day 56, she was discharged home without neurological deficit.Conclusion: Intracranial aneurysms not indicated for coil embolization or parent artery occlusion are difficult to treat. Overlapping stenting may be a treatment option for such aneurysms.</abstract><cop>Japan</cop><pub>The Japanese Society for Neuroendovascular Therapy</pub><pmid>37501903</pmid><doi>10.5797/jnet.cr.2020-0091</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | anterior inferior cerebellar artery Case Report LVIS Jr stenting subarachnoid hemorrhage |
| title | Double LVIS Jr. Stenting of a Ruptured Proximal Anterior Inferior Cerebellar Artery Aneurysm: A Case Report |
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