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Full Text
J Cerebrovasc Endovasc Neurosurg. 2023 25(1): 69-74 ¨Ï The Journal of Cerebrovascular and Endovascular Neurosurgery
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Treatment for subarachnoid hemorrhage due to ruptured posterior cerebral arterial dolichoectasia with aortic arch anomaly |
Yeong-Il Yun, Chul-Hoon Chang, Jong-Hun Kim, Young-Jin Jung
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Department of Neurosurgery, Yeungnam University Medical Center, Deagu, Korea |
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Subarachnoid hemorrhage (SAH) due to ruptured posterior cerebral artery (PCA) intracranial arterial dolichoectasia (IADE) is very rare. As these lesions are difficult to treat microsurgically, neurointervention is preferred because the dolichoectatic artery does not have a clear neck, and the surgical field of view was deep seated with the SAH. However, in some cases, neurointervention is difficult due to anatomical variation of the blood vessel to access the lesion. In this case, a 30-year-old male patient presented with a ruptured PCA IADE and an aortic arch anomaly. Aortic arch anomalies render it difficult to reach the ruptured PCA IADE via endovascular treatment. The orifice of the vertebral artery (VA) was different from the usual cases, so it was difficult to find the entrance. After only finding the VA and arriving at the lesion along the VA, trapping was performed. Herein, we report the PCA IADE with aortic arch anomaly endovascular treatment methods and results.
Keywords¡¡Aortic arch anomaly, Intracranial arterial dolichoectasia, Posterior cerebral artery, Subarachnoid hemorrhage |
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Key words : Aortic arch anomaly, Intracranial arterial dolichoectasia, Posterior cerebral artery, Subarachnoid hemorrhage |
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Address for reprints : Young-Jin Jung , Department of Neurosurgery, Yeungnam University Medical Center, 170, Hyeonchung-ro, Namgu, Daegu, Korea
Tel : +82-53-620-3790, Fax : +82-53-620-3770, E-mail : sofesofe@hanmail.net |
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Case Report
J Cerebrovasc Endovasc Neurosurg. 2023 March;25(1): 69-74 Received: 9 March 2022 Revised: 27 April 2022 Accepted: 9 May 2022
Correspondence to Young-Jin Jung Department of Neurosurgery, Yeungnam University Medical Center, 170, Hyeonchung-ro, Namgu, Daegu, Korea Tel +82-53-620-3790 Fax +82-53-620-3770 E-mail sofesofe@hanmail.net ORCID https://orcid.org/0000-0002-9659-2607
Treatment for subarachnoid hemorrhage due to ruptured posterior cerebral arterial dolichoectasia with aortic arch anomaly
Yeong-Il Yun, Chul-Hoon Chang, Jong-Hun Kim, Young-Jin Jung Department of Neurosurgery, Yeungnam University Medical Center, Deagu, Korea
Subarachnoid hemorrhage (SAH) due to ruptured posterior cerebral artery (PCA) intracranial arterial dolichoectasia (IADE) is very rare. As these lesions are difficult to treat microsurgically, neurointervention is preferred because the dolichoectatic artery does not have a clear neck, and the surgical field of view was deep seated with the SAH. However, in some cases, neurointervention is difficult due to anatomical variation of the blood vessel to access the lesion. In this case, a 30-year-old male patient presented with a ruptured PCA IADE and an aortic arch anomaly. Aortic arch anomalies render it difficult to reach the ruptured PCA IADE via endovascular treatment. The orifice of the vertebral artery (VA) was different from the usual cases, so it was difficult to find the entrance. After only finding the VA and arriving at the lesion along the VA, trapping was performed. Herein, we report the PCA IADE with aortic arch anomaly endovascular treatment methods and results. Keywords¡¡Aortic arch anomaly, Intracranial arterial dolichoectasia, Posterior cerebral artery, Subarachnoid hemorrhage
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