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Journal of Korean Neurosurgical Society > Volume 34(6); 2003 > Article
Journal of Korean Neurosurgical Society 2003;34(6): 575-577.
Failed GDC Embolization for Aneurysms Arising at the Fenestrated Anterior Communicating Artery.
Seok Ki Hong, Kyung Soo Min, Dong Ho Kim, Sang Hoon Cha
1Department of Neurosurgery, College of Medicine, Chungbuk National University, Cheongju, Korea. ksmin@med.chungbuk.ac.kr
2Department of Radiology, College of Medicine, Chungbuk National University, Cheongju, Korea.
ABSTRACT
Fenestration of anterior communicating artery is one of relatively common anomalies. It is not always possible to check all of the anomalies in the anterior communicating artery by conventional angiogram. In case of coil embolization on aneurysm located in anterior communicating artery, the fenestration may cause unexpected complications. The evidential example taken here shows a 41-year-old patient with an anterior communicating artery aneurysm, on whom GDC embolization failed due to coil migration and ligation of aneurysm was given in a surgical treatment. The operative findings led to the discovery of the unexpected fenestration of anterior communicating artery and two separate aneurysms arising at each side of the fenestrated anterior communicating artery. A great concern should be given in coil embolization of aneurysms arising at the anterior communicating arteries.
Key Words: Anterior communicating artery; Aneurysm; Anomaly; Guglielmi detachable coil embolization
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