1. Stent-Assisted Coil Embolization for the Proximal Middle Cerebral Artery Fusiform Aneurysm
- Author
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Dong Jun Lim, Shin Hyuk Kang, Seong Man Jeong, and Nam Joon Lee
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,medicine.medical_treatment ,Stent ,Case Report ,Fusiform Aneurysm ,Magnetic resonance imaging ,Blood flow ,Digital subtraction angiography ,medicine.disease ,Aneurysm ,medicine.artery ,Angiography ,Middle cerebral artery ,cardiovascular system ,Medicine ,cardiovascular diseases ,Radiology ,business - Abstract
Middle cerebral artery (MCA) fusiform aneurysms often have an unfavorable geometry that may limit surgical or endovascular treatment. Herein, we present a case of a fusiform aneurysm of the proximal MCA, which was successfully treated using stent-assisted coil embolization. A 42-year-old man presented with repeated headache and syncope. Five years earlier, a right MCA aneurysm had been treated by aneurismal wrapping. Magnetic resonance images (MRI) revealed a partially-thrombosed proximal MCA aneurysm at the right perisylvian region. Digital subtraction angiography (DSA) revealed a multilobulated fusiform-shaped aneurysm. The patient underwent stent-assisted coil embolization under general anesthesia and symptoms resolved postoperatively. A three-month follow-up angiography revealed no recanalization of the aneurysm and indicated tolerable blood flow through the right MCA, as compared to the preoperative angiography. We suggest that in selected patients, stent-assisted coil embolization of proximal MCA fusiform aneurysms can be an effective treatment modality.
- Published
- 2010
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