scholarly journals Mechanical thrombectomy for occlusion near a ruptured intracranial aneurysm: A case report

2020 ◽  
Vol 11 ◽  
pp. 120
Author(s):  
Koji Hirata ◽  
Tomosato Yamazaki ◽  
Noriyuki Kato ◽  
Susumu Yasuda ◽  
Akira Matsumura
Keyword(s):  
Randomized Clinical Trials ◽  
Mechanical Thrombectomy ◽  
Artery Aneurysm ◽  
Thromboembolic Complication ◽  
Ruptured Aneurysm ◽  
Hemorrhagic Complication ◽  
Intracranial Vessel ◽  
Ruptured Intracranial Aneurysm ◽  
Aneurysmal Neck ◽  
Cerebral Artery Aneurysm

Background: While recent randomized clinical trials have shown the efficacy of mechanical thrombectomy for acute large vessel anterior cerebral occlusion, cases in patients with a subarachnoid hemorrhage (SAH) were excluded from the study. Case Description: A 58-year-old man presented with a SAH as a result of a ruptured middle cerebral artery aneurysm. Coil embolization was performed, and a right intracranial angiography showed remnants of an aneurysmal neck. However, the following angiography also revealed a thromboembolic complication that occurred in the same territory as the ruptured aneurysm. The patient underwent a rescue mechanical thrombectomy under the working projection. We deployed a retrieval stent without covering the aneurysmal neck. The occluded vessel was recanalized without any hemorrhagic complication. Due to minimal intracerebral infarction, the patient had good outcomes. Conclusion: Mechanical thrombectomy is a useful option to retrieve a clot from an occluded intracranial vessel located near a ruptured aneurysm. Approaching the clot at the working projection is important to ensure safety in the setting of a ruptured aneurysm.

scholarly journals Excellent Outcome after Early Surgery for Ruptured Middle Cerebral Artery Aneurysm Complicated with Intracerebral and Intraventricular Hemorrhage: A Case Report

2015 ◽  
Vol 69 (1) ◽  
pp. 48-50
Author(s):  
Venko Filipce ◽  
Aleksandar Caparoski ◽  
Tomi Kamiloski ◽  
Dejan Daskalov
Keyword(s):  
Intraventricular Hemorrhage ◽  
Artery Aneurysm ◽  
Early Surgery ◽  
Successful Outcome ◽  
Intracerebral Hematoma ◽  
Middle Cerebral Artery Aneurysm ◽  
Excellent Outcome ◽  
Ruptured Intracranial Aneurysm ◽  
Cerebral Artery Aneurysm ◽  
The Brain

Abstract Intracerebral hematoma and intraventricular hemorrhage can significantly worsen the neurological condition of patients with subarachnoid hemorrhage due to ruptured intracranial aneurysm. They also significantly affect the outcome of this patiens. We present a case in which early surgery had a significant effect on the outcome of this patient. Early decompression of the brain and subsequent clipping of the aneurysm as presented in our case has lead to a successful outcome.

Giant serpentine middle cerebral artery aneurysm treated by extracranial-intracranial bypass

1993 ◽  
Vol 78 (6) ◽  
pp. 974-978 ◽  
Author(s):  
Karl A. Greene ◽  
John A. Anson ◽  
Robert F. Spetzler
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Superficial Temporal Artery ◽  
Artery Aneurysm ◽  
Temporal Artery ◽  
Left Middle Cerebral Artery ◽  
Content Type ◽  
Serpentine Aneurysm ◽  
Aneurysmal Neck ◽  
Cerebral Artery Aneurysm

✓ Giant intracranial aneurysms often pose difficult management issues. Such aneurysms may not be amenable to direct surgical attack because of their size, location, or lack of a clear aneurysmal neck. In such cases, a combination of strategies may provide a means of proximal aneurysm occlusion and distal cerebral revascularization. The authors report the successful treatment of a giant (186.8-ml) serpentine aneurysm of the left middle cerebral artery (MCA) in a 14-year-old boy. The aneurysm was managed in a two-stage procedure in which the MCA branches distal to the aneurysm were anastomosed first with branches of the left superficial temporal artery. After the bypass procedure, direct occlusion of the MCA was performed at the proximal base of the aneurysm at its site of dilatation. The patient had no intraoperative or postoperative complications and was intact neurologically 6 months following the procedures.

Neurogenic Pulmonary Edema Associated with Ruptured Intracranial Aneurysm: Case Report

Neurosurgery ◽  
1986 ◽  
Vol 19 (2) ◽  
pp. 300-304 ◽  
Author(s):  
Michio Yabumoto ◽  
Tsuyoshi Kuriyama ◽  
Munehisa Iwamoto ◽  
Tatsuyuki Kinoshita
Keyword(s):  
Pulmonary Edema ◽  
Blood Clot ◽  
Artery Aneurysm ◽  
Neurogenic Pulmonary Edema ◽  
Cardiorespiratory Control ◽  
Ruptured Intracranial Aneurysm ◽  
Anterior Cerebral Artery Aneurysm ◽  
Distal Anterior Cerebral Artery ◽  
Cerebral Artery Aneurysm ◽  
Anesthetic Condition

Abstract A case of ruptured distal anterior cerebral artery aneurysm associated with neurogenic pulmonary edema is presented. It is suggested that this association should not be accepted as a “taboo” for radical intervention followed by a proper management of ventilation with positive end-expiratory pressure to maintain the anesthetic condition. Cardiorespiratory control is essential in cases of pulmonary edema with ruptured aneurysm. Decompression and evacuation of blood clot surrounding the hypothalamus could subdue the hyperadrenosympathetic discharge that may cause neurogenic pulmonary edema.

scholarly journals Endovascular Treatment of a Ruptured Aneurysm at a Very Rare Location

2008 ◽  
Vol 14 (4) ◽  
pp. 457-460 ◽  
Author(s):  
B. Sarikaya ◽  
E. Oksuz ◽  
F.E. Deniz ◽  
M.M. Firat
Keyword(s):  
Endovascular Treatment ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Ruptured Aneurysm ◽  
Rare Location ◽  
Anterior Cerebral Artery Aneurysm ◽  
Cerebral Artery Aneurysm ◽  
Distal Site

We describe a patient with a small ruptured azygos anterior cerebral artery aneurysm located at a non-bifurcation distal site on the artery treated successfully with simple coiling.

Failure of Combined Treatment for the Thrombosed Posterior Cerebral Artery Aneurysm

2010 ◽  
Vol 38 (1) ◽  
pp. 52-56 ◽  
Author(s):  
Yasuo MURAI ◽  
Koji ADACHI ◽  
Yoichi YOSHIDA ◽  
Akira TERAMOTO ◽  
Takayuki MIZUNARI
Keyword(s):  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Combined Treatment ◽  
Artery Aneurysm ◽  
Cerebral Artery Aneurysm
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