Glue Occlusion of Dissecting Aneurysm After Induced Cardiac Asystole
A 27-year-old man sustained a severe facial and cranial trauma. The initial CT examination showed several fractures of the facial and skull base bones, a frontal epidural hematoma, and a traumatic SAH. CTA at this time did not reveal an aneurysm of the anterior communicating artery ACom A (Fig. 37.1). Recurrent right frontal intraparenchymal and intraventricular hemorrhages (Fig. 37.2) requiring decompressive craniectomy and an external ventricular drainage was noted on the 9th and 10th day following trauma. Repeat cerebral angiography now revealed a dissecting aneurysm of the AcomA (Fig. 37.3). nBCA glue occlusion of the sac under adenosine-induced asystole was undertaken.
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