Vertebral artery dissecting aneurysm rebleeding after proximal occlusion--case report.

نویسندگان

  • N Takai
  • I Ezuka
  • T Sorimachi
  • T Kumagai
  • K Sano
چکیده

A 38-year-old male presented with vertebral artery dissecting aneurysm manifesting as subarachnoid hemorrhage. An attempt at trapping the aneurysm failed, so the vertebral artery could only be clipped proximally. Rebleeding occurred, resulting in death, probably due to excessive length of the dissection requiring thrombosis and/or retrograde dissection due to back pressure from the contralateral vertebral artery.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Growing Thrombosed Dissecting Aneurysm of the Vertebral Artery after Endovascular Proximal Artery Occlusion: the Role of the Vasa Vasorum

traditional methods of treatment for ruptured dissecting aneurysm of vertebral artery (rVADA). Proximal artery occlusion may be effective in the acute period, but is not enough to eradicate the risk of rebleeding (1). Mass effect usually is not a concern for a case of well occluded rVADA. However, we experienced a growing thrombosed aneurysm after rVADA occlusion, and conventional angiography d...

متن کامل

Rebleeding from a vertebral artery dissecting aneurysm after endovascular internal trapping: adverse effect of intrathecal urokinase injection or incomplete occlusion?-case report-.

A 67-year-old woman suffered rebleeding from a ruptured vertebral artery dissecting aneurysm after endovascular internal trapping. The dissecting aneurysm was initially successfully occluded with the affected vertebral artery using detachable coils. However, rebleeding from the aneurysm occurred on the next day. The rebleeding may have resulted from the thrombolytic effect of urokinase, which w...

متن کامل

Recanalization of a ruptured vertebral artery dissecting aneurysm after occlusion of the dilated segment only

BACKGROUND Internal trapping in which the dissecting aneurysm is occluded represents reliable treatment to prevent rebleeding of ruptured vertebral artery (VA) dissecting aneurysms. Various methods of internal trapping are available, but which is most appropriate for preventing both recanalization of the VA and procedural complications is unclear. CASE DESCRIPTION A 61-year-old male presented...

متن کامل

Early Rebleeding after Internal Trapping of a Ruptured Vertebral Artery Dissecting Aneurysm: A Case Report

aneurysms of the vertebrobasilar system has been reported to account for 4.5% of intracranial SAH (1). Since ruptured VA dissecting aneurysms are associated with a higher incidence of rebleeding (2, 3), early diagnosis and treatment are required (4). Due to its lower invasiveness and good outcomes, endovascular treatment has been considered an alternative treatment modality for ruptured VA diss...

متن کامل

Surgical treatment for ruptured vertebral artery dissecting aneurysms.

We analyze 20 cases of ruptured vertebral artery dissecting aneurysms and discuss the best choices for the surgical procedure. The preoperative Hunt and Kosnik grade was I in nine cases, Ia in four cases, II in three cases, III in three cases, and IV in one case. Rebleeding occurred in six cases, in four cases within 24 hours after the initial bleeding, and in every case within 6 days. In two c...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Neurologia medico-chirurgica

دوره 33 11  شماره 

صفحات  -

تاریخ انتشار 1993