Details

Autor(en) / Beteiligte

• Hrbáč, T.
• Drábek, P.
• Klement, P.
• Procházka, V.

Titel

A Combined Approach to Treatment of the Dissecting Middle Cerebral Artery Fusiform Aneurysm: A Case Report

Ist Teil von

• Interventional neuroradiology, 2009-09, Vol.15 (3), p.349-354

Ort / Verlag

London, England: SAGE Publications

Erscheinungsjahr

2009

Link zum Volltext

Quelle

Elektronische Zeitschriftenbibliothek (Open access)

Beschreibungen/Notizen

• A fusiform aneurysm in the terminal M1 middle cerebral artery (MCA) segment was treated by a construction of a high-flow arterial extracranial-intracranial (EC-IC) bypass. Due to severe bypass vasospasms, local vasodilating agents together with percutaneous angioplasty and stent implantation were applied, but failed due to subsequent bypass occlusion. To remedy this complication a new bypass was created from a segment of the saphenous vein, followed by MCA aneurysm embolization and parent artery occlusion. One year after the surgery, the venous bypass remains patent and the aneurysm occluded, with the patient fully active, without any neurological sequelae.