A case report: Ruptured aneurysm with a wide neck treated by flow diverter stent and coil embolization
Diagnosis and endovascular treatment for ruptured wide neck aneurysms are challenges in clinics, particularly in developing countries. In the present study, we described a clinical case with a ruptured wide neck aneurysm in Vietnam treated by flow diverter stent and coil embolization. A 77-year-old-...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322010378 |
| _version_ | 1811176152673288192 |
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| author | Do Duc Thuan, PhD Nguyen Thi Nguyet, MD Le Duy Chi, MD Dao Van Nhat, MS Dinh Viet Hung, PhD Nguyen Khanh, MS Pham Ngoc Thao, PhD Nguyen Thanh Xuan, PhD |
| author_facet | Do Duc Thuan, PhD Nguyen Thi Nguyet, MD Le Duy Chi, MD Dao Van Nhat, MS Dinh Viet Hung, PhD Nguyen Khanh, MS Pham Ngoc Thao, PhD Nguyen Thanh Xuan, PhD |
| author_sort | Do Duc Thuan, PhD |
| collection | DOAJ |
| description | Diagnosis and endovascular treatment for ruptured wide neck aneurysms are challenges in clinics, particularly in developing countries. In the present study, we described a clinical case with a ruptured wide neck aneurysm in Vietnam treated by flow diverter stent and coil embolization. A 77-year-old- female patient had a right droopy eyelid for 2 months. The patient was admitted to hospital on the second day after being presented with a sudden-severe headache. Cerebral computed tomography (CT) and magnetic resonance imaging (MRI) were taken on the second day and fifth day after the onset of the headache. The results showed an aneurysm in the right internal carotid artery but no potential subarachnoid hemorrhage (SAH) was displayed. An uncoagulated blood was found in cerebrospinal fluid indicated by a lumbar puncture test. Digital subtraction angiography provided images with one wide-neck right internal carotid aneurysm. The patient was treated by flow diverter stent and coil embolization and the dual antiplatelet therapy with ticagrelor and aspirin at home. After 45 days, the patient did not face with any complication, no neurological symptoms, and the aneurysm was partially thrombosed indicated by MRI images. These results suggested that a lumbar puncture should be analyzed on the patient with brain aneurysm appeared a sudden severe headache and even no potential SAH on brain MRI or CT was found. The combination of flow diverter stent and coil embolization to treat cases with ruptured wide necked aneurysms should be considered in the future. |
| first_indexed | 2024-04-10T19:47:34Z |
| format | Article |
| id | doaj.art-9b58b81909be46f49e98638d443528db |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-10T19:47:34Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-9b58b81909be46f49e98638d443528db2023-01-29T04:19:57ZengElsevierRadiology Case Reports1930-04332023-03-01183862868A case report: Ruptured aneurysm with a wide neck treated by flow diverter stent and coil embolizationDo Duc Thuan, PhD0Nguyen Thi Nguyet, MD1Le Duy Chi, MD2Dao Van Nhat, MS3Dinh Viet Hung, PhD4Nguyen Khanh, MS5Pham Ngoc Thao, PhD6Nguyen Thanh Xuan, PhD7Department of Stroke, 103 Military Hospital, Vietnam Military Medical University, 261 Phung Hung Street, Ha Dong District, Ha Noi city, VietnamDepartment of Stroke, 103 Military Hospital, Vietnam Military Medical University, 261 Phung Hung Street, Ha Dong District, Ha Noi city, VietnamDepartment of Ultrasound, 103 Military Hospital, Vietnam Military Medical University, 261 Phung Hung Street, Ha Dong District, Ha Noi city, VietnamDepartment of Urology, 103 Military Hospital, Vietnam Military Medical University, 261 Phung Hung Street, Ha Dong District, Ha Noi city, VietnamDepartment of Psychiatry, 103 Military Hospital, Vietnam Military Medical University, 261 Phung Hung Street, Ha Dong District, Ha Noi city, VietnamDepartment of Thoracic Surgery, 103 Military Hospital, Vietnam Military Medical University, 261 Phung Hung Street, Ha Dong District, Ha Noi city, VietnamDepartment of Functional Diagnosis, 103 Military Hospital, Vietnam Military Medical University, 261 Phung Hung Street, Ha Dong District, Ha Noi city, Vietnam; Corresponding authors.Department of Senior Officer, 103 Military Hospital, Vietnam Military Medical University, 261 Phung Hung Street, Ha Dong District, Ha Noi city, Vietnam; Corresponding authors.Diagnosis and endovascular treatment for ruptured wide neck aneurysms are challenges in clinics, particularly in developing countries. In the present study, we described a clinical case with a ruptured wide neck aneurysm in Vietnam treated by flow diverter stent and coil embolization. A 77-year-old- female patient had a right droopy eyelid for 2 months. The patient was admitted to hospital on the second day after being presented with a sudden-severe headache. Cerebral computed tomography (CT) and magnetic resonance imaging (MRI) were taken on the second day and fifth day after the onset of the headache. The results showed an aneurysm in the right internal carotid artery but no potential subarachnoid hemorrhage (SAH) was displayed. An uncoagulated blood was found in cerebrospinal fluid indicated by a lumbar puncture test. Digital subtraction angiography provided images with one wide-neck right internal carotid aneurysm. The patient was treated by flow diverter stent and coil embolization and the dual antiplatelet therapy with ticagrelor and aspirin at home. After 45 days, the patient did not face with any complication, no neurological symptoms, and the aneurysm was partially thrombosed indicated by MRI images. These results suggested that a lumbar puncture should be analyzed on the patient with brain aneurysm appeared a sudden severe headache and even no potential SAH on brain MRI or CT was found. The combination of flow diverter stent and coil embolization to treat cases with ruptured wide necked aneurysms should be considered in the future.http://www.sciencedirect.com/science/article/pii/S1930043322010378Wide neck aneurysmFlow diverter stentRuptured aneurysmFlow diverter stent and coil embolization |
| spellingShingle | Do Duc Thuan, PhD Nguyen Thi Nguyet, MD Le Duy Chi, MD Dao Van Nhat, MS Dinh Viet Hung, PhD Nguyen Khanh, MS Pham Ngoc Thao, PhD Nguyen Thanh Xuan, PhD A case report: Ruptured aneurysm with a wide neck treated by flow diverter stent and coil embolization Radiology Case Reports Wide neck aneurysm Flow diverter stent Ruptured aneurysm Flow diverter stent and coil embolization |
| title | A case report: Ruptured aneurysm with a wide neck treated by flow diverter stent and coil embolization |
| title_full | A case report: Ruptured aneurysm with a wide neck treated by flow diverter stent and coil embolization |
| title_fullStr | A case report: Ruptured aneurysm with a wide neck treated by flow diverter stent and coil embolization |
| title_full_unstemmed | A case report: Ruptured aneurysm with a wide neck treated by flow diverter stent and coil embolization |
| title_short | A case report: Ruptured aneurysm with a wide neck treated by flow diverter stent and coil embolization |
| title_sort | case report ruptured aneurysm with a wide neck treated by flow diverter stent and coil embolization |
| topic | Wide neck aneurysm Flow diverter stent Ruptured aneurysm Flow diverter stent and coil embolization |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322010378 |
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