Coil and Single-Stent Placement for Ruptured Dissecting Aneurysm of Middle Cerebral Artery: A Case Report

Ozaki, Tomohiko; Nishida, Tomomi; Fujita, Yuya; Kishima, Haruhiko; Kinoshita, Manabu

doi:10.1016/j.wneu.2018.02.117

Cited by 3 publications

(4 citation statements)

References 26 publications

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“…Dissecting aneurysms of the MCA are very rare and have been described in only 11 case reports. [ 1 , 4 , 5 , 6 , 8 , 10 , 12 , 13 , 14 , 15 ] Table 1 presents a summary of the reported cases, including our own. Of all 12 cases, 6 (50%) resulted in subarachnoid hemorrhage and 5 (41.7%) resulted in ischemic stroke.…”

Section: Discussionmentioning

confidence: 99%

“…reported stent-assisted coil embolization for a dissecting aneurysm of the MCA with a hemorrhagic presentation and concluded that choosing a treatment strategy is extremely difficult for cases, in which the LSA is involved in the dissecting lesion. [ 14 ]…”

Section: Discussionmentioning

confidence: 99%

“…Kitani (1987) [6] 18/M ischemia Rt.M1-M2 STA-MCA MD + 3 months 3 days NA Kamiyama (1990) [5] 45/F SAH Lt.M1 Clipping GR NA NA NA NA Kamiyama (1990) [5] 57/F ischemia Rt.M1 STA-MCA GR NA NA NA NA Fu (1996) [4] 38/M ischemia Rt.M1 fibrinolysis GR -9 months 3 hours -Mizutani (1996) [10] 60/F ischemia Lt.ICA-M1 Wrapping GR -39 months 3 months -Mizutani (1998) [8] 41/F SAH Rt.M1 Wrapping GR -18 months 3 days -Abiko (1999) [1] 59/M SAH Rt.M1-M2 Bleb clipping dead -2 months 0 days -Nimura (2000) [13] 61/F SAH Rt.M1-M2 Coating GR -4 years 7 days -Niikawa (2002) [12] 46/F SAH Rt.M1 Clipping and wrapping MD + 16 months 0 days -Tada (2004) [15] 54/F ischemia Lt.M1-M2 Coating GR -1 months 13 days -Ozaki (2018) [14] 74 endovascular treatment. Nine (75%) patients had a good clinical course, and only one patient died.…”

Section: Time To Treatment Antiplatelet Drugmentioning

confidence: 99%

“…Ozaki et al reported stent-assisted coil embolization for a dissecting aneurysm of the MCA with a hemorrhagic presentation and concluded that choosing a treatment strategy is extremely difficult for cases, in which the LSA is involved in the dissecting lesion. [14] Treatment of an MCA dissecting aneurysm is challenging because the lesion may involve the LSA. ere are few reports on the surgical or endovascular treatment of MCA dissecting aneurysms.…”

Section: Time To Treatment Antiplatelet Drugmentioning

confidence: 99%

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Stent assisted coil embolization for a dissecting cerebral aneurysm of middle cerebral artery: A case report and the literature review

Shibano,

Sakata,

Fujita

et al. 2023

Surgical Neurology International

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Background: Dissecting aneurysms of the middle cerebral artery (MCA) are very rare. We herein report a case of an unruptured dissecting aneurysm of the MCA treated by stent-assisted coil embolization. Case Description: A 65-year-old man with no history of trauma presented with a headache. Time-of-flight imaging revealed a dissecting cerebral aneurysm in the right M1 segment of the MCA, and the aneurysm had increased in size within a short time. We treated the aneurysm by endovascular stenting with coils, and the patient developed no neurological deficits. Conclusion: Because of the potential involvement of the lenticulostriate artery (LSA) in the area of dissection, choosing the best treatment (such as direct surgery or endovascular treatment) may be challenging. Treatment efficacy depends on whether the LSA is affected and on the length of the dissection. In our case, the dissection did not involve the LSA and could therefore be treated by stent-assisted coil embolization.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Time To Treatment Antiplatelet Drugmentioning

confidence: 99%

Section: Time To Treatment Antiplatelet Drugmentioning

confidence: 99%

See 2 more Smart Citations

Stent assisted coil embolization for a dissecting cerebral aneurysm of middle cerebral artery: A case report and the literature review

Shibano,

Sakata,

Fujita

et al. 2023

Surgical Neurology International

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Endovascular treatment of distal middle cerebral artery dissecting aneurysm with intracerebral hemorrhage in a paediatric patient: a case report and literature review

2023

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Background Intracranial arterial aneurysms in the paediatric age group constitute less than 5% of all aneurysms. The most common form is spontaneous dissecting aneurysms (SDAs) (Peron et al. in Acta Neurochir 152(9):1511–1517, 2010; Huang et al. in Surg Neurol 63(5):424–432, 2005; Krishna et al. in Acta Neurochir 147(5):469–476, 2005; Ihn and Jung in J Korean Soc Radiol 65(5):441–445, 2011). It occurs most commonly in the posterior circulation and rarely in the anterior circulation, including the middle cerebral artery (MCA) (Chuang et al. in Asian J Surg 35(1):42–48, 2012; Ozaki et al. in World Neurosurg 113:208–211, 2018). MCA dissecting aneurysm even rarely presents with intracerebral haemorrhage (Ete et al. in J Case Rep 3(2):451–454, 2013; Ahmad in Interdiscip Neurosurg 18:100510, 2019; Bartoš et al. in Brain Sci 11(1):29, 2020). Case description A 12 years old non-diabetic, non-hypertensive female presented with distal right MCA (M2-M3 junction) dissecting aneurysm with right parieto-temporal haemorrhage. The patient was well managed with endovascular coil embolization with a good functional outcome. Conclusion Endovascular coil embolization had favourable clinical and angiographic outcomes in distal MCA dissecting aneurysms.

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A case of ruptured dissecting aneurysm of middle cerebral artery treated with stent-assist coil embolization in subacute phase

et al. 2023

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Coil and Single-Stent Placement for Ruptured Dissecting Aneurysm of Middle Cerebral Artery: A Case Report

Cited by 3 publications

References 26 publications

Stent assisted coil embolization for a dissecting cerebral aneurysm of middle cerebral artery: A case report and the literature review

Stent assisted coil embolization for a dissecting cerebral aneurysm of middle cerebral artery: A case report and the literature review

Endovascular treatment of distal middle cerebral artery dissecting aneurysm with intracerebral hemorrhage in a paediatric patient: a case report and literature review

A case of ruptured dissecting aneurysm of middle cerebral artery treated with stent-assist coil embolization in subacute phase

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