Microcatheter-assisted Coil Embolization of Distal Vertebral Artery Wide-Necked Aneurysm: A Case Report.
- Author:
Seung Hun SHEEN
1
;
Cheolkyu JUNG
;
Jae Hoon CHO
;
Bae Ju KWON
;
Moon Hee HAN
Author Information
1. Department of Radiology, Seoul National University College of Medicine, Korea. hanmh@radcom.snu.ac.kr
- Publication Type:Case Report
- Keywords:
Intracranial aneurysm;
Endovascular treatment;
Detachable coil;
Microcatheter-assisted
- MeSH:
Aged;
Aneurysm*;
Arteries;
Embolization, Therapeutic*;
Female;
Humans;
Intracranial Aneurysm;
Parents;
Stents;
Vertebral Artery*
- From:Neurointervention
2007;2(1):56-59
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endovascular treatment of wide-necked intracranial aneurysms remains challenging despite continuing instrumental and technical advances. A 67-year-old woman visited us for an asymptomatic unruptured aneurysm at the right distal vertebral artery and was planned to undergo endovascular coil embolization. During a second coil placement through a single microcatheter, the first coil frame was deformed and protruded into the parent artery. We decided to jack-up the protruded coil using an additional microcatheter because the tortuous vertebral artery path didn't allow a balloon or stent device to approach this aneurysm for parent artery protection. Using that microcatheter-assisted technique, the parent artery could be preserved and the aneurysm could, moreover, be excluded.
