| 篇名 |
Successful Staged Obliteration of Three Unruptured Cerebral Aneurysms by Clipping, Coiling, and Proximal Occlusion: Report of a Case |
| 作者 |
Kuang-Chen Hung, Kao-Wei Lee, Shinn-Zong Lin, Ming-Ying Liu, Yung-Hsiao Chiang |
| 卷期/出版年月 |
40卷1期 (2007/2) |
| 頁次 |
36-41 |
| 摘要 |
Endovascular techniques offer a mode of therapy alternative or adjuvant to surgery
in treatment of multiple or inoperable cerebral aneurysms. Proximal arterial
occlusion, with or without extracranial-to-intracranial (EC-IC) bypass, is frequently
performed for inoperable cerebral aneurysms. The authors report hereby a 70-yearold
woman presenting with the left cavernous sinus syndrome because of a giant
inoperable internal carotid aneurysm. In addition, two other aneurysms were
identified. The patient underwent staged obliteration of the three aneurysms by
clipping, Guglielmi detachable coils (GDCs) embolization, and proximal internal
carotid artery occlusion with golden valve balloons (GVBs). At 5-month follow-up,
the cerebral angiogram showed that the left ICA aneurysm was completely
obliterated, the right ICA aneurysm was totally occluded by GDCs, and the left MCA
aneurysm was successfully clipped. In addition, the collateral circulation of the left
hemisphere had been well reestablished. Symptoms and signs of the left cavernous
sinus syndrome subsided about three months after the treatment. Triple aneurysms
can be managed successfully with a combination of different therapies. |
| 關鍵詞 |
Endovascular techniques, Multiple intracranial aneurysm |
| 分類 |
Case Report |
