Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1996-3-21
pubmed:abstractText
We report a patient with rupture of a giant distal vertebral artery aneurysm after balloon occlusion of the parent vertebral artery. We were able to occlude the residual lumen by endosaccular embolization and trapping with Guglielmi detachable coils via the anterior circulation. We suspect that either alterations in flow patterns or partial thrombosis of the aneurysm may have contributed to at least two subarachnoid hemorrhages within 2 days after the initial embolization. We still considered endovascular parent vessel sacrifice to be an excellent therapeutic option, particularly in distal vertebral aneurysms. We recommend a detailed evaluation of angiographic flow patterns and aneurysm patency during test occlusion. If the aneurysm continues to fill from the collateral circulation, or if marked alterations in flow patterns are present, aneurysm trapping or concurrent endosaccular embolization and parent vessel sacrifice may be necessary. Certainly, continued surveillance is required as long as any residual aneurysm is present.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0148-396X
pubmed:author
pubmed:issnType
Print
pubmed:volume
37
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1216-20; discussion 1220-1
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1995
pubmed:articleTitle
Aneurysm rupture after parent vessel sacrifice: treatment with Guglielmi detachable coil embolization via retrograde catheterization: case report.
pubmed:affiliation
Neuroradiology/Endovascular Therapy Service, University of California Los Angeles Center for the Health Sciences, USA.
pubmed:publicationType
Journal Article, Case Reports