Intra-aneurysmatic thrombectomy in a distal anterior cerebral artery aneurysm
10.7461/jcen.2023.E2023.01.002
- Author:
Juan Luis GÓMEZ-AMADOR
1
;
Leoncio Alberto TOVAR-ROMERO
;
Andrea CASTILLO-MATUS
;
Ricardo MARIAN-MAGAÑA
;
Jorge Fernando ARAGÓN-ARREOLA
;
Marcos Vinicius SANGRADOR-DEITOS
;
Alan HERNÁNDEZ-HERNÁNDEZ
;
Germán LÓPEZ-VALENCIA
;
Gerardo Yoshiaki GUINTO-NISHIMURA
;
Jorge RÍOS-ZERMEÑO
Author Information
1. Department of Neurosurgery, National Institute of Neurology and Neurosurgery, Mexico City, Mexico
- Publication Type:Technical Note
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2023;25(4):462-467
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
