AI Article Synopsis
- Ruptured vertebral artery dissecting aneurysm (VADA) can recur after treatment like stent-assisted coil embolization (SAC), which was the case for a 67-year-old woman.
- After initial treatment led to recurrence and other options were deemed unsuitable, the patient underwent a unique flow alteration surgery using a radial artery graft.
- The surgery was successful, with no neurological issues or further recurrence following the procedure.
Article Abstract
Background: Ruptured vertebral artery dissecting aneurysm (VADA) is often treated surgically with coil embolization and sometimes recurs. We herein report a case of recurrent ruptured VADA after stent-assisted coil embolization (SAC) that was successfully treated with flow alteration surgery using a radial artery (RA) graft.
Case Description: A 67-year-old woman presented with headache and coma. Enhanced CT revealed subarachnoid hemorrhage due to right VADA. Since the left VA was hypoplastic, the aneurysm was treated with SAC. However, follow-up angiography revealed recurrence of the aneurysm. Additional embolization was not considered due to the small size of the recurrent lesion and the presence of a stent; therefore, flow alteration surgery was performed using a RA graft. There were no neurological deficits after surgery or recurrence.
Conclusion: Flow alteration surgery using a RA graft is useful for recurrent VADA after SAC.
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| http://dx.doi.org/10.1016/j.neuchi.2024.101574 | DOI Listing |
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