Successful endovascular treatment of a ruptured saccular aneurysm arising from a fenestrated proximal anterior cerebral artery
Aneurysms arising from fenestrated proximal anterior cerebral arteries are rare. Previous studies primarily reported performing clipping. In contrast, endovascular treatment is rarely selected. In this report, we present a case of coil embolization for a ruptured aneurysm arising from a fenestrated...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-06-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751924000100 |
| _version_ | 1827316607850905600 |
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| author | Kazumasa Senju Yoshinobu Horio Takashi Morishita Dai Kawano Takayuki Koga Kazunori Oda Hironori Fukumoto Takaaki Amamoto Hiromasa Kobayashi Koichiro Takemoto Mitsutoshi Iwaasa Hiroshi Abe |
| author_facet | Kazumasa Senju Yoshinobu Horio Takashi Morishita Dai Kawano Takayuki Koga Kazunori Oda Hironori Fukumoto Takaaki Amamoto Hiromasa Kobayashi Koichiro Takemoto Mitsutoshi Iwaasa Hiroshi Abe |
| author_sort | Kazumasa Senju |
| collection | DOAJ |
| description | Aneurysms arising from fenestrated proximal anterior cerebral arteries are rare. Previous studies primarily reported performing clipping. In contrast, endovascular treatment is rarely selected. In this report, we present a case of coil embolization for a ruptured aneurysm arising from a fenestrated proximal anterior cerebral artery.A sixty-five-year-old woman was transferred to the emergency department of our hospital owing to sudden onset of severe headache and vomiting. A head computed tomography scan showed a diffuse subarachnoid hemorrhage. A cerebral angiogram revealed an aneurysm at the fenestration of the A1 segment. Coil embolization of the aneurysm was performed, and the aneurysm was completely occluded. Both fenestration channels were preserved.The patient’s clinical course was good, and she was discharged from the hospital twenty-six days after admission. Coil embolization of a ruptured aneurysm in the fenestration of the A1 segment was possible without sacrificing the parent arteries forming the fenestration. However, securing a working projection proved difficult due to the aneurysm being surrounded by two parent arteries forming the fenestration. |
| first_indexed | 2024-03-08T12:30:19Z |
| format | Article |
| id | doaj.art-8244057021944b6d9506f0152413955a |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-04-24T23:17:22Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-8244057021944b6d9506f0152413955a2024-03-17T07:54:23ZengElsevierInterdisciplinary Neurosurgery2214-75192024-06-0136101964Successful endovascular treatment of a ruptured saccular aneurysm arising from a fenestrated proximal anterior cerebral arteryKazumasa Senju0Yoshinobu Horio1Takashi Morishita2Dai Kawano3Takayuki Koga4Kazunori Oda5Hironori Fukumoto6Takaaki Amamoto7Hiromasa Kobayashi8Koichiro Takemoto9Mitsutoshi Iwaasa10Hiroshi Abe11Department of Neurosurgery, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanDepartment of Neurosurgery, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan; Corresponding author.Department of Neurosurgery, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanDepartment of Neurosurgery, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanDepartment of Neurosurgery, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan; Department of Emergency and Critical CareMedicine, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanDepartment of Neurosurgery, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan; Department of Emergency and Critical CareMedicine, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanDepartment of Neurosurgery, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanDepartment of Neurosurgery, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanDepartment of Neurosurgery, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanDepartment of Neurosurgery, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanDepartment of Neurosurgery, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan; Department of Emergency and Critical CareMedicine, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanDepartment of Neurosurgery, Fukuoka University Hospital, and School of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, JapanAneurysms arising from fenestrated proximal anterior cerebral arteries are rare. Previous studies primarily reported performing clipping. In contrast, endovascular treatment is rarely selected. In this report, we present a case of coil embolization for a ruptured aneurysm arising from a fenestrated proximal anterior cerebral artery.A sixty-five-year-old woman was transferred to the emergency department of our hospital owing to sudden onset of severe headache and vomiting. A head computed tomography scan showed a diffuse subarachnoid hemorrhage. A cerebral angiogram revealed an aneurysm at the fenestration of the A1 segment. Coil embolization of the aneurysm was performed, and the aneurysm was completely occluded. Both fenestration channels were preserved.The patient’s clinical course was good, and she was discharged from the hospital twenty-six days after admission. Coil embolization of a ruptured aneurysm in the fenestration of the A1 segment was possible without sacrificing the parent arteries forming the fenestration. However, securing a working projection proved difficult due to the aneurysm being surrounded by two parent arteries forming the fenestration.http://www.sciencedirect.com/science/article/pii/S2214751924000100FenestrationA1 aneurysmCoil embolization |
| spellingShingle | Kazumasa Senju Yoshinobu Horio Takashi Morishita Dai Kawano Takayuki Koga Kazunori Oda Hironori Fukumoto Takaaki Amamoto Hiromasa Kobayashi Koichiro Takemoto Mitsutoshi Iwaasa Hiroshi Abe Successful endovascular treatment of a ruptured saccular aneurysm arising from a fenestrated proximal anterior cerebral artery Interdisciplinary Neurosurgery Fenestration A1 aneurysm Coil embolization |
| title | Successful endovascular treatment of a ruptured saccular aneurysm arising from a fenestrated proximal anterior cerebral artery |
| title_full | Successful endovascular treatment of a ruptured saccular aneurysm arising from a fenestrated proximal anterior cerebral artery |
| title_fullStr | Successful endovascular treatment of a ruptured saccular aneurysm arising from a fenestrated proximal anterior cerebral artery |
| title_full_unstemmed | Successful endovascular treatment of a ruptured saccular aneurysm arising from a fenestrated proximal anterior cerebral artery |
| title_short | Successful endovascular treatment of a ruptured saccular aneurysm arising from a fenestrated proximal anterior cerebral artery |
| title_sort | successful endovascular treatment of a ruptured saccular aneurysm arising from a fenestrated proximal anterior cerebral artery |
| topic | Fenestration A1 aneurysm Coil embolization |
| url | http://www.sciencedirect.com/science/article/pii/S2214751924000100 |
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