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Endovascular Treatment of Aneurysmal Subarachnoid Hemorrhage Associated with Bilateral Common Carotid Artery Occlusion
- Source :
- Interventional Neuroradiology. 14:447-452
- Publication Year :
- 2008
- Publisher :
- SAGE Publications, 2008.
-
Abstract
- Cases of aneurysm associated with the occlusion of both common carotid arteries are very rare. We present a case of ruptured aneurysms of the basilar bifurcation and posterior cerebral artery coexisting with bilateral common carotid artery occlusion, successfully treated by endovascular coil embolization with a double-balloon remodeling technique. Finally, we review the literature. A 62-year-old woman presented with severe headache; a computed tomography scan demonstrated subarachnoid hemorrhage. Angiography revealed that the bilateral common carotid arteries were occluded. The muscle branches of the vertebral arteries had anastomosed to the bilateral external carotid arteries. Bilateral posterior communicating arteries had developed and supplied the bilateral internal carotid arteries. Two aneurysms (a saccular aneurysm of the P1 portion of the left posterior cerebral artery and a wide-necked aneurysm of the basilar bifurcation) were also observed. Endovascular embolization of the aneurysms was successfully performed using a double-balloon remodeling technique. The patient made a full recovery after treatment, and the aneurysms remained obliterated 12 months after embolization. We believe that this is the first report of ruptured aneurysms associated with bilateral common carotid artery occlusion successfully treated by endovascular coiling. The double-balloon remodeling technique was useful for treatment of wide-necked basilar bifurcation aneurysm.
- Subjects :
- medicine.medical_specialty
Endovascular coiling
Subarachnoid hemorrhage
medicine.diagnostic_test
business.industry
medicine.medical_treatment
Case Reports
Posterior cerebral artery
medicine.disease
Surgery
Aneurysm
medicine.artery
Angiography
Occlusion
cardiovascular system
medicine
cardiovascular diseases
Radiology
Common carotid artery
Embolization
business
Subjects
Details
- ISSN :
- 23852011 and 15910199
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Interventional Neuroradiology
- Accession number :
- edsair.doi.dedup.....6f5cf402941bd670ca9f9871fbfb8282