Abstract
We present a case of a ruptured bilobed pericallosal aneurysm successfully treated with coil embolization through a Neuroform stent. A 48-year-old male presented with subarachnoid hemorrhage (SAH) following rupture of a previously clipped aneurysm at the bifurcation of the pericallosal and callosomarginal arteries, primarily along the pericallosal artery, Hunt and Hess grade 5. After an initial unsuccessful attempt to embolize the wide-neck aneurysm with a detachable coil, a 4×15 Neuroform stent was uneventfully deployed across the aneurysm neck followed by successful coil embolization using detachable coils. We believe this case describes the first successful use of the Neuroform stent to assist in coiling of a wide-neck pericallosal-callosomarginal aneurysm. This case highlights the expanding role of emergency endovascular therapies to manage severe SAH.
Similar content being viewed by others
References
Menovsky T, van Rooij WJ, Sluzewski M, Wijnalda D (2002) Coiling of ruptured pericallosal artery aneurysms. Neurosurgery 50:11–15
Weir RU, Marcellus ML, Do HM, Steinberg GK, Marks MP (2003) Aneurysmal subarachnoid hemorrhage in patients with Hunt and Hess grade 4 or 5: treatment using the Guglielmi detachable coil system. AJNR 24:585–590
Ture U, Yasargil MG, Krisht AF (1996) The arteries of corpus callosum: a microsurgical anatomic study. Neurosurgery 39:1075–1085
Howington, JU, Hanel RA, Harrigan MR et al (2004) The Neuroform stent, the first microcatheter-delivered stent for use in intracranial circulation. Neurosurgery 5:2–5
Benitez RP, Silva M, Klem J, Veznedaroglu, Rossenwasser R (2004) Endovascular occlusion of wide-necked aneurysms with a detachable new intracranial microstent (Neuroform) and detachable coils. Neurosurgery 54:1359–1368
Fiorella D, Alburquerque F, Hans P, McDougall C (2004) Preliminary experience using the Neuroform stent for the treatment of cerebral aneurysms. Neurosurgery 54:6–17
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Koenigsberg, R.A., Vakil, N. Emergent management of ruptured pericallosal-callosomarginal artery aneurysm using stent-assisted coil embolization. Emerg Radiol 12, 196–198 (2006). https://doi.org/10.1007/s10140-005-0458-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10140-005-0458-4