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Usefulness of intravascular ultrasonography for treatment of a ruptured vertebral dissecting aneurysm

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Abstract

We report successful stent implantation and secondary coil embolization in a wide-necked dissecting aneurysm in the vertebral artery. Intravascular ultrasonography (IVUS) showed the thrombosed pseudolumen clearly and enabled precise determination of the appropriate stent size. After stent implantation, Guglielmi detachable coil embolization was performed. Further experience is necessary to refine the technique, but IVUS may be useful to improve the safety of stent-assisted embolization.

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Authors and Affiliations

  1. Department of Radiology, Hyogo Brain and Heart Center, 520 Saishoko, Himeji, Hyogo, 670-0981, Japan

    Atsushi K. Kono, Tetsuya Fukuda, Hiroki Sasaki & Kazunari Ishii

  2. Department of Neurosurgery, Hyogo Brain and Heart Center, Hyogo, Japan

    Yuji Shibata, Masaki Iwakura, Hideki Komatsu & Tetsuro Kawaguchi

Authors
  1. Atsushi K. Kono
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  2. Tetsuya Fukuda
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  3. Yuji Shibata
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  4. Masaki Iwakura
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  5. Hideki Komatsu
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  6. Hiroki Sasaki
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  7. Tetsuro Kawaguchi
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  8. Kazunari Ishii
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Corresponding author

Correspondence to Atsushi K. Kono.

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Kono, A., Fukuda, T., Shibata, Y. et al. Usefulness of intravascular ultrasonography for treatment of a ruptured vertebral dissecting aneurysm. Radiat Med 24, 577–582 (2006). https://doi.org/10.1007/s11604-006-0065-7

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  • DOI: https://doi.org/10.1007/s11604-006-0065-7

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