1.Endovascular Stent-Graft Treatment of a Traumatic Vertebral Artery Pseudoaneurysm and Vertebrojugular Fistula.
Tanzer SANCAK ; Sadik BILGIC ; Evren USTUNER
Korean Journal of Radiology 2008;9(Suppl):S68-S72
An endovascular intervention is a feasible alternative to the technically challenging conventional surgery for the treatment of traumatic vertebral arterial lesions. This report describes a rare case involving a 22-year-old patient with a traumatic vertebral arterial pseudoaneurysm and multiple arteriovenous fistulas which were successfully sealed using the endovascular stent-graft technique.
Adult
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Aneurysm, False/etiology/radiography/*therapy
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Angiography
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Arteriovenous Fistula/etiology/radiography/*therapy
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Humans
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*Jugular Veins/radiography
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Male
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Stents
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Vertebral Artery/*injuries/radiography
2.Stent-grafting combined with transcatheter embolization for a ruptured isolated hypogastric artery aneurysm.
Zhi-hui DONG ; Wei-guo FU ; Da-qiao GUO ; Xin XU ; Bin CHEN ; Jun-hao JIANG ; Jue YANG ; Zheng-yu SHI ; Yu-qi WANG
Chinese Medical Journal 2006;119(10):878-880
Aged
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Aneurysm, Ruptured
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diagnostic imaging
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therapy
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Embolization, Therapeutic
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Humans
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Iliac Aneurysm
;
therapy
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Male
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Radiography
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Stents
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Stomach
;
blood supply
3.The Endovascular Management of Saccular Posterior Inferior Cerebellar Artery Aneurysms.
Ha Hun SONG ; Yoo Dong WON ; Young Joo KIM ; Bum Soo KIM
Korean Journal of Radiology 2008;9(5):396-400
OBJECTIVE: The purpose of this retrospective study was to report the outcome of the endovascular treatment of eight patients with eight saccular posterior inferior cerebellar artery (PICA) aneurysms. MATERIALS AND METHODS: Over the last seven years (1999-2006), eight consecutive patients with saccular PICA aneurysms were treated by endovascular methods. Five of the aneurysms were presented with subarachnoid hemorrhaging, whereas three were discovered incidentally. Four of the aneurysms (3 ruptured and 1 incidental) were treated by intrasaccular coiling, whereas the remaining four (1 ruptured and 3 incidental) were treated by vertebral artery (VA) occlusion. RESULTS: Of the four aneurysms treated by intrasaccular coiling, three were completely packed with coils and one was partially packed. In three of four patients who underwent vertebral artery occlusions, follow-up digital subtraction angiographies demonstrated thrombosed aneurysms and PICA. No procedure-related morbidity occurred and no re-bleed was encountered during a follow-up examination (mean; 31 months). CONCLUSION: As a result of this study, we found that the endovascular management of saccular PICA aneurysms should be considered as safe and effective.
Adult
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Aged
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Aneurysm, Ruptured/radiography/*therapy
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Cerebellum/blood supply/*radiography
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Cerebral Angiography
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Embolization, Therapeutic/*methods
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Female
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Humans
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Incidental Findings
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Intracranial Aneurysm/radiography/*therapy
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Male
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Middle Aged
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Retrospective Studies
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Subarachnoid Hemorrhage/radiography/*therapy
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Treatment Outcome
4.Treatment of an Acute Mycotic Aneurysm of the Common Carotid Artery with a Covered Stent-Graft.
Suk Hoon LEE ; Young Kwon CHO ; Jong Moo PARK ; Curie CHUNG ; Hyun Suk KIM ; Jeong Joo WOO
Yonsei Medical Journal 2012;53(1):224-227
We report herein a case successful endovascular treatment with a stent-graft of a rare case of rapidly growing mycotic aneurysm of the left common carotid artery due to acute bacterial endocarditis after eradication of the infection. Infected mycotic aneurysms of the peripheral vasculature have been considered as a contraindication for stent-graft implantation because of the possibility of microorganism spreading to the stent-graft; however, if there is evidence of complete eradication of microorganism and surgery is not an option, stent-graft implantation can be an effective and safe treatment modality for exclusion of the mycotic aneurysm.
Acute Disease
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Aged, 80 and over
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Aneurysm, Infected/etiology/radiography/*therapy
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Angioplasty/*methods
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Carotid Artery Diseases/etiology/radiography/*therapy
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Endocarditis, Bacterial/*complications/radiography
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Female
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Humans
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*Stents
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Treatment Outcome
5.Isolated Spontaneous Dissection of the Superior Mesenteric Artery: Percutaneous Stent Placement in Two Patients.
Jeong Ho KIM ; Byung Suk ROH ; Young Hwan LEE ; See Sung CHOI ; Byung Jun SO
Korean Journal of Radiology 2004;5(2):134-138
Isolated spontaneous dissection of the superior mesenteric artery (SMA) is a rare cause of acute mesenteric ischemia. Two patients were successfully treated by percutaneous stent placement within the main trunk of the SMA. Emphasis is placed on the feasibility of nonsurgical management with percutaneous stent placement of isolated spontaneous dissection of the SMA.
Aneurysm, Dissecting/radiography/*therapy
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*Angioplasty, Balloon
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Female
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Human
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Male
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*Mesenteric Artery, Superior/radiography
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Middle Aged
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*Stents
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Support, Non-U.S. Gov't
6.Tuberculous Aneurysm of the Abdominal Aorta: Endovascular Repair Using Stent Grafts in Two Cases.
Wei Chiang LIU ; Byung Kook KWAK ; Kyo Nam KIM ; Soon Yong KIM ; Joung Joo WOO ; Dong Jin CHUNG ; Ju Hee HONG ; Ho Sung KIM ; Chang Jun LEE ; Hyung Jin SHIM
Korean Journal of Radiology 2000;1(4):215-218
Tuberculous aneurysm of the aorta is exceedingly rare. To date, the standard therapy for mycotic aneurysm of the abdominal aorta has been surgery involving in-situ graft placement or extra-anatomic bypass surgery followed by effective anti-tuberculous medication. Only recently has the use of a stent graft in the treat-ment of tuberculous aortic aneurysm been described in the literature. We report two cases in which a tuberculous aneurysm of the abdominal aorta was success-fully repaired using endovascular stent grafts. One case involved is a 42-year-old woman with a large suprarenal abdominal aortic aneurysm and a right psoas abscess, and the other, a 41-year-old man in whom an abdominal aortic aneurysm ruptured during surgical drainage of a psoas abscess.
Adult
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Aneurysm, Infected/drug therapy/radiography/*surgery
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Antitubercular Agents/therapeutic use
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Aortic Aneurysm, Abdominal/drug therapy/radiography/*surgery
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*Blood Vessel Prosthesis Implantation
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Case Report
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Female
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Human
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Male
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Psoas Abscess/surgery
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*Stents
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Tuberculosis, Cardiovascular/drug therapy/radiography/*surgery
7.A Less Invasive Approach for Ruptured Aneurysm with Intracranial Hematoma: Coil Embolization Followed by Clot Evacuation.
Je Hoon JEONG ; Jun Seok KOH ; Eui Jong KIM
Korean Journal of Radiology 2007;8(1):2-8
OBJECTIVE: The presence of an intracerebral hematoma from a ruptured aneurysm is a negative predictive factor and it is associated with high morbidity and mortality rates even though clot evacuation followed by the neck clipping is performed. Endovascular coil embolization is a useful alternative procedure to reduce the surgical morbidity and mortality rates. We report here on our experiences with the alternative option of endovascular coil placement followed by craniotomy for clot evacuation. MATERIALS AND METHODS: Among 312 patients who were admitted with intracerebral subarachnoid hemorrhage during the recent three years, 119 cases were treated via the endovascular approach. Nine cases were suspected to show aneurysmal intracerebral hemorrhage (ICH) on CT scan and they underwent emergency cerebral angiograms. We performed immediate coil embolization at the same session of angiographic examination, and this was followed by clot evacuation. RESULTS: Seven cases showed to have ruptured middle cerebral artery (MCA) aneurysms and two cases had internal carotid artery aneurysms. The clinical status on admission was Hunt-Hess grade (HHG) IV in seven patients and HHG III in two. Surgical evacuation of the clot was done immediately after the endovascular coil placement. The treatment results were a Glasgow Outcome Scale score of good recovery and moderate disability in six patients (66.7%). No mortality was recorded and no procedural morbidity was incurred by both the endovascular and direct craniotomy procedures. CONCLUSION: The results indicate that the coil embolization followed by clot evacuation for the patients with aneurysmal ICH may be a less invasive and quite a valuable alternative treatment for this patient group, and this warrants further investigation.
Treatment Outcome
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Tomography, X-Ray Computed
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Retrospective Studies
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Middle Aged
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Male
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Intracranial Aneurysm/radiography/*therapy
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Humans
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Hematoma/radiography/*therapy
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Female
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Embolization, Therapeutic/*methods
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Drainage/*methods
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Cerebral Angiography
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Aneurysm, Ruptured/radiography/*therapy
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Adult
8.Endovascular Stent Graft for Treatment of Complicated Spontaneous Dissection of Celiac Artery: Report of Two Cases.
Ung Rae KANG ; Young Hwan KIM ; Young Hwan LEE
Korean Journal of Radiology 2013;14(3):460-464
We report 2 cases of complicated spontaneous dissection of the celiac artery, which were successfully treated by a stent graft. The first patient was a 47-year-old man who presented with acute abdominal pain. CT scan showed ruptured saccular aneurysm with surrounding retroperitoneal hematoma. The second patient was a 57-year-old man with progressive dissecting aneurysm. Endovascular stent graft was placed in the celiac trunk to control bleeding, and to prevent rupture in each patient. Follow-up CT scans showed complete obliteration of a dissecting aneurysm.
Abdominal Pain/etiology/radiography
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Aneurysm, Dissecting/*therapy
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Aneurysm, Ruptured/prevention & control
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Celiac Artery/*injuries
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Hematoma/etiology/radiography
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Hemorrhage/etiology/radiography
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Humans
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Male
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Middle Aged
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Retroperitoneal Space
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Rupture, Spontaneous/therapy
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*Stents
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Tomography, X-Ray Computed/adverse effects
9.Endovascular Treatment of the Huge Dissecting Aneurysms Involving the Basilar Artery by the Internal Trapping Technique: Technical Note.
Shi-Qing MU ; Xin-Jian YANG ; You-Xiang LI ; Chu-Han JIANG ; Zhong-Xue WU
Chinese Medical Journal 2015;128(14):1916-1921
BACKGROUNDThe endovascular strategy of the huge dissecting aneurysms involving the basilar artery (BA) is controversial and challenging. This study was to investigate the clinical and angiographic outcomes of the treatment of the huge dissecting aneurysms involving the BA by the internal trapping (IT) technique.
METHODSWe retrospectively studied 15 patients with the huge dissecting aneurysms involving the BA treated by the IT technique between September 2005 and September 2014 in Department of Interventional Neuroradiology of Beijing Tiantan Hospital. Clinical and angiographic data were reviewed and evaluated.
RESULTSAll patients were treated by the IT technique. That meant the dissecting artery and aneurysm segments were completed occlusion. After the procedure, the angiography demonstrated that all the dissecting artery and aneurysm segments were completed occlusion. Follow-up angiography was performed at 3-6 months or 12-18 months after the endovascular treatment (median 8 months), 14 patients had a good recovery. Re-canalization occurred in one patient whose aneurysm involved in bilateral vertebral arteries and the two third of the middle-lower BA. After the second treatment, the patient died by the ventricular tachycardia.
CONCLUSIONSThe IT technique is a technically feasible and safe alternative for the treatment of BA dissecting aneurysms, but it is not necessarily the safest or most definitive treatment modality. The ideal treatment of the huge dissecting aneurysms involving the BA remains debatable and must be investigated on a case-by-case basis.
Adolescent ; Adult ; Aneurysm, Dissecting ; diagnostic imaging ; therapy ; Basilar Artery ; diagnostic imaging ; Female ; Humans ; Intracranial Aneurysm ; diagnostic imaging ; therapy ; Male ; Middle Aged ; Radiography ; Retrospective Studies ; Treatment Outcome ; Young Adult
10.Retrograde Stent Placement for Coil Embolization of a Wide-Necked Posterior Inferior Cerebellar Artery Aneurysm.
Hong Gee ROH ; Young Il CHUN ; Jin Woo CHOI ; Joon CHO ; Won Jin MOON ; Sten SOLANDER
Korean Journal of Radiology 2012;13(4):510-514
Wide-necked aneurysms of the posterior inferior cerebellar artery (PICA) are infrequently encountered in cerebrovascular practice, and endovascular treatment is difficult or impossible even with the use of several neck remodeling techniques. We present the case of a patient with a wide-necked aneurysm of the PICA, which was treated by the retrograde stenting through the contralateral vertebral artery and vertebrobasilar junction with antegrade coil embolization.
Cerebellar Diseases/radiography/*therapy
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Cerebral Angiography
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Embolization, Therapeutic/instrumentation/*methods
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Humans
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Intracranial Aneurysm/radiography/*therapy
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Male
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Middle Aged
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*Stents
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Tomography, X-Ray Computed