Abstract
We report the case of a 58-year-old man with a giant partially thrombosed anterior communicating artery aneurysm, which presented with mass effect. Our treatment strategy consisted of endovascular aneurysm circulatory exclusion prior to surgical resection. To do so, we first occluded both the two A1 segments and the aneurysm neck with a neck-bridge device to prevent further coil migration within the aneurysm sac. Five days later, the aneurysm was surgically removed.
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Civit T, Auque J, Marchal JC, Bracard S, Picard L, Hepner H (1996) Aneurysm clipping after endovascular treatment with coils: a report of eight patients. Neurosurgery 38(5):955–960
Gewirtz RJ, Awad IA (1996) Giant aneurysms of the anterior circle of Willis: management outcome of open microsurgical treatment. Surg Neurol 45(5):409–420
Pluchino F, Giombini S, Broggi G, Fornari M, Pluchino MG (1998) Surgical management of giant anterior aneurysm. J Neurosurg Sci 42(Suppl 1):65–69
Hacein-Bey L, Connolly ES Jr, Mayer SA, Young WL, Pile-Spellman J, Solomon RA (1998) Complex intracranial aneurysms: combined operative and endovascular approaches. Neurosurgery 43(6):1304–1312
Lawton MT, Quinones-Hinojosa A, Sanai N, Malek JY, Dowd CF (2003) Combined microsurgical and endovascular management of complex intracranial aneurysms. Neurosurgery 52(2):263–274
Gruber A, Killer M, Bavinzski G, Richling B (1999) Clinical and angiographic results of endosaccular coiling treatment of giant and very large intracranial aneurysms: a 7-year, single-center experience. Neurosurgery 45(4):793–803
Gobin YP, Vinuela F, Gurian JH, Guglielmi G, Duckwiler GR, Massoud TF, Martin NA (1996) Treatment of large and giant fusiform intracranial aneurysms with Guglielmi detachable coils. J Neurosurg 84(1):55–62
Sluzewski M, Menovsky T, van Rooij WJ, Wijnalda D (2003) Coiling of very large or giant cerebral aneurysms: long-term clinical and serial angiographic results. AJNR Am J Neuroradiol 24(2):257–262
Molyneux AJ, Cekirge S, Saatci I, Gál G (2004) Cerebral Aneurysm Multicenter European Onyx (CAMEO) trial: results of a prospective observational study in 20 European centers. AJNR Am J Neuroradiol 25(1):39–51
Hammoud D, Gailloud P, Olivi A, Murphy KJ (2003) Acute vasogenic edema induced by thrombosis of a giant intracranial aneurysm: a cause of pseudostroke after therapeutic occlusion of the parent vessel. AJNR Am J Neuroradiol 24(6):1237–1239
Ushikoshi S, Kikuchi Y, Houkin K, Miyasaka K, Abe H (1999) Aggravation of brainstem symptoms caused by a large superior cerebellar artery aneurysm after embolization by Guglielmi detachable coils—case report. Neurol Med Chir (Tokyo) 39:524–529
Maloney JP, Silliman CC, Ambruso DR, Wang J, Tuder RM, Voelkel NF (1998) In vitro release of vascular endothelial growth factor during platelet aggregation. Am J Physiol 275:H1054–H1061
Raymond J, Guilbert F, Roy D (2001) Neck-bridge device for endovascular treatment of wide-neck bifurcation aneurysms: initial experience. Radiology 221(2):318–326
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Mounayer, C., Undrén, P., Piotin, M. et al. Neck-bridge device for combined endovascular and surgical treatment of a giant anterior communicating artery aneurysm. Neuroradiology 47, 295–299 (2005). https://doi.org/10.1007/s00234-005-1361-0
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DOI: https://doi.org/10.1007/s00234-005-1361-0