Intravascular graft stent treatment of a ruptured fusiform dissecting aneurysm of the intracranial vertebral artery: Technical case report

OBJECTIVE AND IMPORTANCE: An innovative stenting technique to treat a difficult case of a fusiform aneurysm of the intracranial vertebral artery (VA), with restoration of the vessel lumen, is described. CLINICAL PRESENTATION: A 58-year-old patient experienced sudden pain in the upper cervical spine,...

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Publicado:	2002
Materias:	Endovascular treatment Fusiform aneurysm Graft stent Intracranial Subarachnoid hemorrhage adult angioplasty artery occlusion article blood vessel graft case report clinical feature computer assisted tomography diagnostic imaging digital subtraction angiography dissecting aneurysm human male priority journal stent subarachnoid hemorrhage vertebral artery aneurysm rupture artery dissection brain angiography middle aged percutaneous transluminal angioplasty radiography retreatment treatment outcome vertebrobasilar insufficiency Aneurysm, Ruptured Angioplasty, Balloon Cerebral Angiography Humans Male Middle Aged Retreatment Stents Subarachnoid Hemorrhage Tomography, X-Ray Computed Treatment Outcome Vertebral Artery Dissection Vertebrobasilar Insufficiency
Acceso en línea:	https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0148396X_v50_n1_p213_Chiaradio http://hdl.handle.net/20.500.12110/paper_0148396X_v50_n1_p213_Chiaradio
Aporte de:	Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) de Universidad de Buenos Aires

id	paper:paper_0148396X_v50_n1_p213_Chiaradio
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spelling	paper:paper_0148396X_v50_n1_p213_Chiaradio2023-06-08T15:13:10Z Intravascular graft stent treatment of a ruptured fusiform dissecting aneurysm of the intracranial vertebral artery: Technical case report Endovascular treatment Fusiform aneurysm Graft stent Intracranial Subarachnoid hemorrhage adult angioplasty artery occlusion article blood vessel graft case report clinical feature computer assisted tomography diagnostic imaging digital subtraction angiography dissecting aneurysm human male priority journal stent subarachnoid hemorrhage vertebral artery aneurysm rupture artery dissection brain angiography middle aged percutaneous transluminal angioplasty radiography retreatment stent subarachnoid hemorrhage treatment outcome vertebrobasilar insufficiency Aneurysm, Ruptured Angioplasty, Balloon Cerebral Angiography Humans Male Middle Aged Retreatment Stents Subarachnoid Hemorrhage Tomography, X-Ray Computed Treatment Outcome Vertebral Artery Dissection Vertebrobasilar Insufficiency OBJECTIVE AND IMPORTANCE: An innovative stenting technique to treat a difficult case of a fusiform aneurysm of the intracranial vertebral artery (VA), with restoration of the vessel lumen, is described. CLINICAL PRESENTATION: A 58-year-old patient experienced sudden pain in the upper cervical spine, followed by a severe headache. He underwent computed tomographic evaluation, which demonstrated subarachnoid hemorrhage in the prepontine cistern. A fusiform aneurysm of the distal right VA and critical stenosis of the left VA were detected in digital subtraction angiograms. The patient experienced a new subarachnoid hemorrhaging episode, and urgent endovascular treatment was planned. INTERVENTION: The patient underwent angioplastic and stenting procedures in the left VA, with good results. Forty-eight hours later, an endovascular procedure was performed to treat the right VA aneurysm. We decided to use a graft stent (Jostent graft stent; Jomed, Conroe, TX) instead of a balloon to preserve the arterial lumen. The complete procedure was well tolerated by the patient, and he was discharged, without symptoms, 48 hours later. CONCLUSION: The patient was discharged, without neurological deficits, 48 hours after completion of the endovascular procedure, with clopidogrel (75 mg/d) and aspirin (325 mg/d) therapy. This treatment was discontinued after 4 weeks. According to our search of the medical literature, this is the first clinical case in which an intracranial fusiform aneurysm was permanently sealed with a graft stent. 2002 https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0148396X_v50_n1_p213_Chiaradio http://hdl.handle.net/20.500.12110/paper_0148396X_v50_n1_p213_Chiaradio
institution	Universidad de Buenos Aires
institution_str	I-28
repository_str	R-134
collection	Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic	Endovascular treatment Fusiform aneurysm Graft stent Intracranial Subarachnoid hemorrhage adult angioplasty artery occlusion article blood vessel graft case report clinical feature computer assisted tomography diagnostic imaging digital subtraction angiography dissecting aneurysm human male priority journal stent subarachnoid hemorrhage vertebral artery aneurysm rupture artery dissection brain angiography middle aged percutaneous transluminal angioplasty radiography retreatment stent subarachnoid hemorrhage treatment outcome vertebrobasilar insufficiency Aneurysm, Ruptured Angioplasty, Balloon Cerebral Angiography Humans Male Middle Aged Retreatment Stents Subarachnoid Hemorrhage Tomography, X-Ray Computed Treatment Outcome Vertebral Artery Dissection Vertebrobasilar Insufficiency
spellingShingle	Endovascular treatment Fusiform aneurysm Graft stent Intracranial Subarachnoid hemorrhage adult angioplasty artery occlusion article blood vessel graft case report clinical feature computer assisted tomography diagnostic imaging digital subtraction angiography dissecting aneurysm human male priority journal stent subarachnoid hemorrhage vertebral artery aneurysm rupture artery dissection brain angiography middle aged percutaneous transluminal angioplasty radiography retreatment stent subarachnoid hemorrhage treatment outcome vertebrobasilar insufficiency Aneurysm, Ruptured Angioplasty, Balloon Cerebral Angiography Humans Male Middle Aged Retreatment Stents Subarachnoid Hemorrhage Tomography, X-Ray Computed Treatment Outcome Vertebral Artery Dissection Vertebrobasilar Insufficiency Intravascular graft stent treatment of a ruptured fusiform dissecting aneurysm of the intracranial vertebral artery: Technical case report
topic_facet	Endovascular treatment Fusiform aneurysm Graft stent Intracranial Subarachnoid hemorrhage adult angioplasty artery occlusion article blood vessel graft case report clinical feature computer assisted tomography diagnostic imaging digital subtraction angiography dissecting aneurysm human male priority journal stent subarachnoid hemorrhage vertebral artery aneurysm rupture artery dissection brain angiography middle aged percutaneous transluminal angioplasty radiography retreatment stent subarachnoid hemorrhage treatment outcome vertebrobasilar insufficiency Aneurysm, Ruptured Angioplasty, Balloon Cerebral Angiography Humans Male Middle Aged Retreatment Stents Subarachnoid Hemorrhage Tomography, X-Ray Computed Treatment Outcome Vertebral Artery Dissection Vertebrobasilar Insufficiency
description	OBJECTIVE AND IMPORTANCE: An innovative stenting technique to treat a difficult case of a fusiform aneurysm of the intracranial vertebral artery (VA), with restoration of the vessel lumen, is described. CLINICAL PRESENTATION: A 58-year-old patient experienced sudden pain in the upper cervical spine, followed by a severe headache. He underwent computed tomographic evaluation, which demonstrated subarachnoid hemorrhage in the prepontine cistern. A fusiform aneurysm of the distal right VA and critical stenosis of the left VA were detected in digital subtraction angiograms. The patient experienced a new subarachnoid hemorrhaging episode, and urgent endovascular treatment was planned. INTERVENTION: The patient underwent angioplastic and stenting procedures in the left VA, with good results. Forty-eight hours later, an endovascular procedure was performed to treat the right VA aneurysm. We decided to use a graft stent (Jostent graft stent; Jomed, Conroe, TX) instead of a balloon to preserve the arterial lumen. The complete procedure was well tolerated by the patient, and he was discharged, without symptoms, 48 hours later. CONCLUSION: The patient was discharged, without neurological deficits, 48 hours after completion of the endovascular procedure, with clopidogrel (75 mg/d) and aspirin (325 mg/d) therapy. This treatment was discontinued after 4 weeks. According to our search of the medical literature, this is the first clinical case in which an intracranial fusiform aneurysm was permanently sealed with a graft stent.
title	Intravascular graft stent treatment of a ruptured fusiform dissecting aneurysm of the intracranial vertebral artery: Technical case report
title_short	Intravascular graft stent treatment of a ruptured fusiform dissecting aneurysm of the intracranial vertebral artery: Technical case report
title_full	Intravascular graft stent treatment of a ruptured fusiform dissecting aneurysm of the intracranial vertebral artery: Technical case report
title_fullStr	Intravascular graft stent treatment of a ruptured fusiform dissecting aneurysm of the intracranial vertebral artery: Technical case report
title_full_unstemmed	Intravascular graft stent treatment of a ruptured fusiform dissecting aneurysm of the intracranial vertebral artery: Technical case report
title_sort	intravascular graft stent treatment of a ruptured fusiform dissecting aneurysm of the intracranial vertebral artery: technical case report
publishDate	2002
url	https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0148396X_v50_n1_p213_Chiaradio http://hdl.handle.net/20.500.12110/paper_0148396X_v50_n1_p213_Chiaradio
_version_	1768544546257371136

Intravascular graft stent treatment of a ruptured fusiform dissecting aneurysm of the intracranial vertebral artery: Technical case report

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