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Treatment of a spontaneous intracranial dissecting aneurysm with stent-assisted coil embolization

  • Interventional Neuroradiology
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Abstract

Arterial dissection is now recognized as an important cause of stroke. Most reported dissections involve the extracranial portion of the internal carotid artery (ICA) and vertebral arteries. Spontaneous dissecting aneurysms of the intracranial ICA are uncommon. Endovascular treatment for cerebral aneurysms has become widespread; however, the dissecting aneurysm is still difficult to treat if the parent artery has to be preserved. More recently, stenting has been advocated for use with endosaccular coiling, with the coils held in place by the stent. We herein report a spontaneous intracranial ICA dissecting aneurysm in a 51-year-old woman who was treated using a new technique of combined stent and coils.

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References

  1. Ohkuma H, Suzuki S, Ogane K (2002) Dissecting aneurysms of intracranial carotid circulation. Stroke 33:941–947

    Article  PubMed  Google Scholar 

  2. Chaves C, Estol C, Esnaola MM, Gorson K, O’Donoghune M, Witt LD, Caplan LR (2002) Spontaneous intracranial internal carotid artery dissection. Report of 10 cases. Arch Neurol 59:977–981

    Article  PubMed  Google Scholar 

  3. Hedge V, Coutinho CM, Mitchell JD (2002) Dissection of the intracranial internal carotid artery producing isolated oculomotor nerve palsy with sparing of pupil. Acta Neurol Scand 105:330–332

    Article  PubMed  Google Scholar 

  4. Guglielmi G, Vinuela F, Sepetka I, Macellari V (1991) Electrothrombosis of saccular aneurysms via endovascular approach: part 1 electrochemical basis, technique, and experimental results. J Neurosurg 75:1–7

    CAS  PubMed  Google Scholar 

  5. Fernandez-Zubillaga A, Guglielmi G, Vinuela F, Duckwiler GR (1994) Endovascular occlusion of intracranial aneurysms with electrically detachable coils: correlatoin of aneurysm neck size and treatment results. Am J Neuroradiol 15:815–820

    PubMed  Google Scholar 

  6. Gobin YP, Vinuela F, Gurian JH, Guglielmi G, Duckwiler GR, Massound TF, Martin NA (1996) Treatment of large and giant fusiform intracranial aneurysms with Guglielmi detachable coils. J Neurosurg 84:55–62

    CAS  PubMed  Google Scholar 

  7. Halbach VV, Higashida RT, Dowd CF, Fraser KW, Smith TP, Teitelbaum GP, Wilson CB, Hieshima GB (1993) Endovascular treatment of vertebral artery dissections and pseudoaneurysms. J Neurosurg 79:183–191

    CAS  PubMed  Google Scholar 

  8. Phatouros CC, Sasaki TY, Higashida RT, Malek AM, Meyers PM, Dowd CF, Halbach VV (2000) Stent-supported coil embolization: the treatment of fusiform and wide-neck aneurysms and pseudoaneurysms. Neurosurgery 47:107–115

    CAS  PubMed  Google Scholar 

  9. Mericle RA, Lanzino G, Wakhloo AK, Guterman LR, Hopkins LN (1998) Stenting and secondary coiling of intracranial internal carotid artery aneurysm: technical case report. Neurosurgery 43:1229–1234

    Google Scholar 

  10. Lylyk P, Ceratto R, Hurvitz D, Basso A (1998) Treatment of a vertebral dissecting aneurysm with stent and coils: technical case report. 43:385–388

  11. Pessin MS, Adelman LS, Barbas NR (1989) Spontaneous intracranial carotid artery dissection. Stroke 20:1100–1103

    CAS  PubMed  Google Scholar 

  12. Massound TF, Anslow P, Molyneux AJ (1992) Subarachnoid hemorrhage following spontaneous intracranial carotid artery dissection. 34:33–35

  13. Fisher CM, Ojermann RG, Robertson GH (1978) Spontaneous dissection of cervicocerebral arteries. Can J Neurol Sci 5:9–19

    CAS  PubMed  Google Scholar 

  14. Mizutani T, Golberg HI, Parr J, Harper C, Thompson CJ (1982) Cerebral dissecting aneurysm and internal fibroelastic thickening of cerebral arteries, case report. J Neurosurg 56:571–576

    CAS  PubMed  Google Scholar 

  15. Grosman H, Fomasier VL, Bonder D, Livingston KE, Plattis ME (1980) Dissecting aneurysm of the cerebral arteries, case report. J Neurosurg 53:693–697

    PubMed  Google Scholar 

  16. Amagasa M, Sato S, Otabe K (1988) Posttraumatic dissecting aneurysm of the anterior cerebral artery: a case report. Neurosurgery 23:221–225

    CAS  PubMed  Google Scholar 

  17. Manz HJ, Luessenhop AJ (1983) Dissecting aneurysm of intracranial vertebral artery: a case report and review of literature. J Neurol 230:25–35

    CAS  PubMed  Google Scholar 

  18. Szikora I, Guterman LR, Wells KM, Hopkins LN (1994) Combined use of stents and coils to treat experimental wide-necked carotid aneurysms: preliminary results. Am J Neuroradiol 15:1091–1102

    CAS  PubMed  Google Scholar 

  19. Turjman F, Massound TF, Ji C, Guglielmi G, Vinuela F, Robert J (1994) Combined stent implantation and endosaccular coil placement for treatment of experimental wide-necked aneurysms: a feasibility study in swine. Am J Neuroradiol 15:1087–1090

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Fujita Health University, 1-98 Dengakugakubo, Kutsukakecho, Toyoake, 470-1192, Aichi, Japan

    Keiko Irie, Makoto Negoro, Motoharu Hayakawa, Junichi Hayashi & Tetsuo Kanno

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  1. Keiko Irie
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  2. Makoto Negoro
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  3. Motoharu Hayakawa
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  4. Junichi Hayashi
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  5. Tetsuo Kanno
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Correspondence to Keiko Irie.

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Irie, K., Negoro, M., Hayakawa, M. et al. Treatment of a spontaneous intracranial dissecting aneurysm with stent-assisted coil embolization. Neuroradiology 45, 825–829 (2003). https://doi.org/10.1007/s00234-003-0972-6

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  • DOI: https://doi.org/10.1007/s00234-003-0972-6

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