| Stent-Assisted Coil Embolization for the Proximal Middle Cerebral Artery Fusiform Aneurysm. |
| Seong Man Jeong, Shin Hyuk Kang, Nam Joon Lee, Dong Jun Lim |
1Department of Neurosurgery, College of Medicine, Korea University, Seoul, Korea. djlim@korea.ac.kr
2Department of Radiology, College of Medicine, Korea University, Seoul, Korea. |
|
|
|
|
| |
| 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. |
| Key Words:
Middle cerebral artery; Fusiform aneurysm; Therapeutic embolization; Stent |
|
Full text via DOI
Download Citation 
