Endovascular treatment of ruptured dissecting aneurysms aimed at occlusion of the dissected site by using Guglielmi detachable coils.

Abstract:

OBJECT:Surgical or endovascular occlusion of the parent artery proximal to an aneurysm has been recommended for treatment of dissecting aneurysms of the intracranial posterior circulation. However, dissecting aneurysms may rupture even after proximal occlusion because distal progression of thrombus is necessary to occlude the dissecting aneurysm completely, and this may be delayed by the presence of retrograde flow. In this article the authors present their experience in treating six patients with ruptured dissecting aneurysms. METHODS:The authors report on six patients with a ruptured dissecting aneurysm in the posterior fossa who were successfully treated by endovascular occlusion of the aneurysm by using Guglielmi detachable coils. The procedure was particularly aimed at occluding the dissected site. CONCLUSIONS:At the present time, endovascular occlusion of the dissected site is a safe, minimally invasive, and reliable treatment for dissecting aneurysms when a test occlusion is tolerated and adequate collateral circulation is present.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Yamaura I,Tani E,Yokota M,Nakano A,Fukami M,Kaba K,Matsumoto T

doi

10.3171/jns.1999.90.5.0853

subject

Has Abstract

pub_date

1999-05-01 00:00:00

pages

853-6

issue

5

eissn

0022-3085

issn

1933-0693

journal_volume

90

pub_type

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