Operative open intra-aneurysmal thrombectomy for ruptured cerebral aneurysm and peripheral ischemia associated with vasospasm

Harada, Kei; Kurokawa, Tetsu; Kato, Shoichi; Ishihara, Hideyuki; Saka, Makoto; Oka, Fumiaki; Fujisawa, Hironori; Fujii, Masami; Suzuki, Michiyasu

doi:10.1016/j.jocn.2009.06.040

Cited by 1 publication

(1 citation statement)

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“…After a thorough literature review, we found some case reports where performing an intra-aneurysmatic thrombectomy was feasible [ 3 , 7 , 10 , 12 ]. Hirano et al, reported a case of an emergent thrombectomy in an anterior communicating artery aneurysm [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Intra-aneurysmatic thrombectomy in a distal anterior cerebral artery aneurysm

Gómez-Amador,

Tovar-Romero,

Castillo-Matus

et al. 2023

J Cerebrovasc Endovasc Neurosurg

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Thrombectomy procedures following intra-aneurysmatic lesions are extremely rare, and few cases have been reported. This article describes a microsurgical intra-aneurysmatic thrombectomy (MIaT) for a distal anterior cerebral artery (DACA) aneurysm. We present the case of a 48-year-old female that was admitted to the emergency room, showing neurologic deterioration with focal deficits. A computed tomography angiography (CTA) scan revealed an aneurysm located in the distal segment of the left anterior cerebral artery. During the surgical procedure, after clipping, a wellformed clot was visualized through the aneurysm’s wall obstructing the left DACA flow. We proceeded to open the aneurysm’s dome to remove the thrombus and clip the aneurysm neck, re-establishing the flow of the left DACA.Intra-aneurysmatic thrombosis can occur as a complication during clipping, obstructing the distal flow of vital arteries and causing fatal results in the patient’s postoperative status. MIaT is a good technique for restoring the flow of the affected vessel and allows a secure aneurysm clipping after thrombus removal.

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