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Role of Bypass Surgery and Balloon Occlusion Test for the Endovascular Management of Fusiform Dissecting Aneurysms. Report of Two Cases

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Trends in Neurovascular Interventions

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 119))

Abstract

Fusiform intracranial aneurysm is one of the most difficult pathologies to treat. The role and efficacy of recent advanced endovascular technique and conventional bypass surgery are discussed.

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Abbreviations

3D-RA:

Three dimensional rotation angiography

CT:

Computed tomography

DSA:

Digital subtraction

MCA:

Middle cerebral artery

PCA:

Posterior cerebral artery

PICA:

Posterior inferior cerebellar artery

SAH:

Subarachnoid hemorrhage EC-IC extracranial-intracranial

SCA:

Superior cerebellar artery

STA:

Superficial temporal artery

References

  1. Andreou A, Ioannidis I, Mitsos A (2007) Endovascular treatment of peripheral intracranial aneurysms. AJNR Am J Neuroradiol 28:355–361

    CAS  PubMed  Google Scholar 

  2. Chang SW, Abla AA, Kakarla UK, Sauvageau E, Dashti SR, Nakaji P, Zabramski JM, Albuquerque FC, McDougall CG, Spetzler RF (2010) Treatment of distal posterior cerebral artery aneurysms: a critical appraisal of the occipital artery-to-posterior cerebral artery bypass. Neurosurgery 67:16–25

    Article  PubMed  Google Scholar 

  3. Hallacq P, Piotin M, Moret J (2002) Endovascular occlusion of the posterior cerebral artery for the treatment of p2 segment aneurysms: retrospective review of a 10-year series. AJNR Am J Neuroradiol 23:1128–1136

    PubMed  Google Scholar 

  4. Kim BM, Shin YS, Kim SH, Suh SH, Ihn YK, Kim DI, Kim DJ, Park SI (2011) Incidence and risk factors of recurrence after endovascular treatment of intracranial vertebrobasilar dissecting aneurysms. Stroke 42:2425–2430

    Article  PubMed  Google Scholar 

  5. Kon H, Ezura M, Takahashi A, Yoshimoto T (1997) Giant multilocular fusiform aneurysm of the posterior cerebral artery. Report of a case treated by parent artery occlusion together with intra-aneurysmal embolisation. Interv Neuroradiol 3:319–324

    CAS  PubMed  Google Scholar 

  6. Levy EI, Hanel RA, Boulos AS, Bendok BR, Kim SH, Gibbons KJ, Qureshi AI, Guterman LR, Hopkins LN (2003) Comparison of periprocedure complications resulting from direct stent placement compared with those due to conventional and staged stent placement in the basilar artery. J Neurosurg 99:653–660

    Article  PubMed  Google Scholar 

  7. Lubicz B, Collignon L, Raphaeli G, De Witte O (2010) Flow-diverter stent for the endovascular treatment of intracranial aneurysms: a prospective study in 29 patients with 34 aneurysms. Stroke 41:2247–2253

    Article  PubMed  Google Scholar 

  8. MacKay CI, Han PP, Albuquerque FC, McDougall CG (2003) Recurrence of a vertebral artery dissecting pseudoaneurysm after successful stent-supported coil embolization: case report. Neurosurgery 53:754–759

    Article  PubMed  Google Scholar 

  9. Mizutani T, Miki Y, Kojima H, Suzuki H (1999) Proposed classification of nonatherosclerotic cerebral fusiform and dissecting aneurysms. Neurosurgery 45:253–259

    Article  CAS  PubMed  Google Scholar 

  10. Siddiqui AH, Abla AA, Kan P, Dumont TM, Jahshan S, Britz GW, Hopkins LN, Levy EI (2012) Panacea or problem: flow diverters in the treatment of symptomatic large or giant fusiform vertebrobasilar aneurysms. J Neurosurg 116:1258–1266

    Article  PubMed  Google Scholar 

  11. Sorteberg A, Bakke SJ, Boysen M, Sorteberg W (2008) Angiographic balloon test occlusion and therapeutic sacrifice of major arteries to the brain. Neurosurgery 63:651–660

    Article  PubMed  Google Scholar 

  12. Suh SH, Kim BM, Park SI, Kim DI, Shin YS, Kim EJ, Chung EC, Koh JS, Shin HC, Choi CS, Won YS (2009) Stent-assisted coil embolization followed by a stent-within-a-stent technique for ruptured dissecting aneurysms of the intracranial vertebrobasilar artery. Clinical article. J Neurosurg 111:48–52

    Article  PubMed  Google Scholar 

  13. Vishteh AG, Smith KA, McDougall CG, Spetzler RF (1998) Distal posterior cerebral artery revascularization in multimodality management of complex peripheral posterior cerebral artery aneurysms: technical case report. Neurosurgery 43:166–170

    Article  CAS  PubMed  Google Scholar 

  14. Weber W, Bendszus M, Kis B, Boulanger T, Solymosi L, Kuhne D (2007) A new self-expanding nitinol stent (Enterprise) for the treatment of wide-necked intracranial aneurysms: initial clinical and angiographic results in 31 aneurysms. Neuroradiology 49:555–561

    Article  PubMed  Google Scholar 

  15. Zulch KJ (1971) Some basic patterns of the collateral circulation of the cerebral arteries. In: Zulch KJ (ed) Cerebral circulation and stroke. Springer, Berlin/Germany, pp 106–122

    Chapter  Google Scholar 

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Conflict of Interest

We declare that we have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Kameda Medical Center, Higashi-cho 929, Kamogawa City, Chiba, 296-8602, Japan

    Michihiro Tanaka MD, PhD, Hidetsugu Maekawa MD, Yoshinori Sakata MD, Yujiro Obikane MD, Hiromu Hadeishi MD, PhD & Ayako Yamazaki MD, PhD

Authors
  1. Michihiro Tanaka MD, PhD
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  2. Hidetsugu Maekawa MD
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  3. Yoshinori Sakata MD
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  4. Yujiro Obikane MD
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  5. Hiromu Hadeishi MD, PhD
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  6. Ayako Yamazaki MD, PhD
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Corresponding author

Correspondence to Michihiro Tanaka MD, PhD .

Editor information

Editors and Affiliations

  1. Dept. of Neurosurgery, Kyoto Medical Center, Kyoto, Japan

    Tetsuya Tsukahara

  2. Klinik für Neurochirurgie UniversitätsSpital Zürich, Zürich, Switzerland

    Giuseppe Esposito

  3. Neurochirurgische Klinik, Universitätsklinikum Düsseldorf, Düsseldorf, Germany

    Hans-Jakob Steiger

  4. Department of Neurology, University Medical Centre Utrecht, Utrecht, The Netherlands

    Gabriel J.E. Rinkel

  5. Klinik für Neurochirurgie UniversitätsSpital Zürich, Zürich, Switzerland

    Luca Regli

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Tanaka, M., Maekawa, H., Sakata, Y., Obikane, Y., Hadeishi, H., Yamazaki, A. (2014). Role of Bypass Surgery and Balloon Occlusion Test for the Endovascular Management of Fusiform Dissecting Aneurysms. Report of Two Cases. In: Tsukahara, T., Esposito, G., Steiger, HJ., Rinkel, G., Regli, L. (eds) Trends in Neurovascular Interventions. Acta Neurochirurgica Supplement, vol 119. Springer, Cham. https://doi.org/10.1007/978-3-319-02411-0_7

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  • DOI: https://doi.org/10.1007/978-3-319-02411-0_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-02410-3

  • Online ISBN: 978-3-319-02411-0

  • eBook Packages: MedicineMedicine (R0)

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