AI Article Synopsis
- A rare case of an 88-year-old woman with a ruptured dissecting aneurysm in the posterior communicating artery and chronic kidney disease was reported.
- The patient experienced sudden headaches and vomiting due to subarachnoid hemorrhage, and treatment involved endovascular embolization using only 10 mL of diluted contrast medium.
- Post-surgery, the patient had a successful recovery with no worsening of kidney function, highlighting that minimal contrast can be safely used in similar cases.
Article Abstract
Objective: We report a rare case of a patient with a ruptured posterior communicating artery (P-com A) dissecting aneurysm and chronic kidney disease (CKD) treated by endovascular embolization using a small amount of contrast medium.
Case Presentation: An 88-year-old female patient had sudden onset of headache and vomit due to subarachnoid hemorrhage. MRI revealed a ruptured dissecting aneurysm of the right P-com A. The patient had CKD of severity grade 4. Endovascular treatment was performed using only 10 mL of diluted contrast medium with injection through a microcatheter. The postoperative course was uneventful, and no deterioration of renal function occurred.
Conclusion: With minimal amount of contrast medium, endovascular treatment could be safely and effectively performed for patients with P-com A dissecting aneurysms and severe CKD.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370547 | PMC |
| http://dx.doi.org/10.5797/jnet.cr.2021-0044 | DOI Listing |
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