Stent-assisted Coiling for Ruptured Basilar Artery Dissecting Aneurysms: An Initial Experience of Four Cases
-
- KOIZUMI Satoshi
- Department of Neurosurgery, The University of Tokyo Hospital
-
- SHOJIMA Masaaki
- Department of Neurosurgery, The University of Tokyo Hospital
-
- IIJIMA Akira
- Department of Neurosurgery, The University of Tokyo Hospital
-
- OYA Soichi
- Department of Neurosurgery, Saitama Medical Center
-
- MATSUI Toru
- Department of Neurosurgery, Saitama Medical Center
-
- YOSHIKAWA Gakushi
- Department of Neurosurgery, Showa General Hospital
-
- TSUTSUMI Kazuo
- Department of Neurosurgery, Showa General Hospital
-
- NAKATOMI Hirofumi
- Department of Neurosurgery, The University of Tokyo Hospital
-
- SAITO Nobuhito
- Department of Neurosurgery, The University of Tokyo Hospital
この論文をさがす
抄録
No treatment strategy has been established for subarachnoid hemorrhages due to basilar artery (BA) trunk dissecting aneurysms. Our aim was to report our initial experience performing stent-assisted coiling (SAC) for ruptured BA dissecting aneurysms to validate the effectiveness of this treatment. We experienced four consecutive cases of ruptured dissecting BA trunk aneurysm treated with SAC between 2008 and 2014 at three institutions. Aneurysm rebleeding was prevented without causing severe brainstem ischemia in all cases. In our opinion, both the blockage of the inflow to aneurysms and the preservation of the antegrade flow of the BA can be achieved by SAC, although controversies regarding long-term stability and appropriate antiplatelet therapy remain.
収録刊行物
-
- Neurologia medico-chirurgica
-
Neurologia medico-chirurgica 56 (1), 43-48, 2016
一般社団法人 日本脳神経外科学会