Stent-assisted coil embolization for the proximal middle cerebral artery fusiform aneurysm

Seong Man Jeong, Shin-Hyuk Kang, Nam-Joon Lee, Dong Jun Lim

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Middle cerebral artery (MCA) fusiform aneurysms often have an unfavorable geometry that may limit surgical or endovascular treatment. Herein, we present a case of a fusiform aneurysm of the proximal MCA, which was successfully treated using stent-assisted coil embolization. A 42- year-old man presented with repeated headache and syncope. Five years earlier, a right MCA aneurysm had been treated by aneurismal wrapping. Magnetic resonance images (MRI) revealed a partially-thrombosed proximal MCA aneurysm at the right perisylvian region. Digital subtraction angiography (DSA) revealed a multilobulated fusiform-shaped aneurysm. The patient underwent stent-assisted coil embolization under general anesthesia and symptoms resolved postoperatively. A three-month follow-up angiography revealed no recanalization of the aneurysm and indicated tolerable blood flow through the right MCA, as compared to the preoperative angiography. We suggest that in selected patients, stent-assisted coil embolization of proximal MCA fusiform aneurysms can be an effective treatment modality.

Original languageEnglish
Pages (from-to)406-408
Number of pages3
JournalJournal of Korean Neurosurgical Society
Volume47
Issue number5
DOIs
Publication statusPublished - 2010 Jul 1

Fingerprint

Intracranial Aneurysm
Stents
Aneurysm
Middle Cerebral Artery
Angiography
Digital Subtraction Angiography
Syncope
General Anesthesia
Headache
Thrombosis
Magnetic Resonance Spectroscopy
Therapeutics

Keywords

  • Fusiform aneurysm
  • Middle cerebral artery
  • Stent
  • Therapeutic embolization

ASJC Scopus subject areas

  • Surgery
  • Neuroscience(all)
  • Clinical Neurology

Cite this

Stent-assisted coil embolization for the proximal middle cerebral artery fusiform aneurysm. / Jeong, Seong Man; Kang, Shin-Hyuk; Lee, Nam-Joon; Lim, Dong Jun.

In: Journal of Korean Neurosurgical Society, Vol. 47, No. 5, 01.07.2010, p. 406-408.

Research output: Contribution to journalArticle

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AB - Middle cerebral artery (MCA) fusiform aneurysms often have an unfavorable geometry that may limit surgical or endovascular treatment. Herein, we present a case of a fusiform aneurysm of the proximal MCA, which was successfully treated using stent-assisted coil embolization. A 42- year-old man presented with repeated headache and syncope. Five years earlier, a right MCA aneurysm had been treated by aneurismal wrapping. Magnetic resonance images (MRI) revealed a partially-thrombosed proximal MCA aneurysm at the right perisylvian region. Digital subtraction angiography (DSA) revealed a multilobulated fusiform-shaped aneurysm. The patient underwent stent-assisted coil embolization under general anesthesia and symptoms resolved postoperatively. A three-month follow-up angiography revealed no recanalization of the aneurysm and indicated tolerable blood flow through the right MCA, as compared to the preoperative angiography. We suggest that in selected patients, stent-assisted coil embolization of proximal MCA fusiform aneurysms can be an effective treatment modality.

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