Intraoperative transaneurysmal coil-assisted clip occlusion of a complex anterior communicating artery aneurysm

2007 ◽  
Vol 107 (1) ◽  
pp. 202-205 ◽  
Author(s):  
Niklaus Krayenbühl ◽  
Ali F. Krisht

✓The combination of surgical and endovascular treatment for complex intracranial aneurysms has previously been used in a staged fashion. To perfect the clipping process of a complex anterior communicating artery aneurysm and to avoid a second staged procedure, the authors used a method of direct intraoperative transaneurysmal coil-assisted clip occlusion of the aneurysm. To the authors' knowledge this is the first time direct intraoperative transaneurysmal coil-assisted clip occlusion has been reported. It should be kept in mind as one of the options to help in complete obliteration of complex intracranial aneurysms.

2014 ◽  
Vol 20 (6) ◽  
pp. 796-803 ◽  
Author(s):  
Kenji Yatomi ◽  
Hidenori Oishi ◽  
Munetaka Yamamoto ◽  
Yasuo Suga ◽  
Senshu Nonaka ◽  
...  

Intracranial aneurysms are extremely rare in infants, and to our knowledge only seven infants treated for ruptured spontaneous dissecting aneurysms have been reported. Good outcomes have been achieved with endovascular treatment of infantile aneurysm. We the endovascular treatment of a one-month-old girl for ruptured dissecting aneurysm located in the anterior communicating artery, and the unique radiological changes that were observed during the perioperative and follow-up periods. These changes suggest that blood coagulation and fibrinolytic response play a part in the repair and healing processes of dissecting aneurysms. Careful neuroradiological surveys are needed for pediatric dissecting aneurysms treated endovascularly.


2019 ◽  
Vol 16 (2) ◽  
pp. 50-53
Author(s):  
Rajan Kumar Sharma ◽  
Rajeev Jha ◽  
Prakash Bista

Coexistence of primary brain neoplasm’s with intracranial aneurysms is rare but presents a diagnostic and therapeutic challenge to healthcare providers. We describe the case of a 46-year-old lady who had an anterior communicating aneurysm with a small left clinoidal meningioma. The meningioma was an unexpected finding encountered during the surgery for aneurysmal clipping. Both the lesions were dealt with simultaneously.


2004 ◽  
Vol 10 (3) ◽  
pp. 257-263 ◽  
Author(s):  
H. Standhardt ◽  
A. Gruber ◽  
H. Ferraz-Leite ◽  
G. Bavinzski

We report a case of thromboembolic occlusion of the middle cerebral artery after endovascular treatment of a ruptured anterior communicating artery aneurysm. When fibrinolytic therapy failed to recanalize the occluded vessel, an emergency extracranial-to-intracranial bypass was performed. This intervention rescued our patient from cerebral infarction. This case demonstrates the importance of the offering this procedure at neurointerventional centers.


2019 ◽  
Vol 14 (3) ◽  
pp. 451-460
Author(s):  
Paweł Brzegowy ◽  
Iwona Kucybała ◽  
Kamil Krupa ◽  
Bartłomiej Łasocha ◽  
Aleksander Wilk ◽  
...  

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