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Journal of ZheJiang University(Medical Science)  2015, Vol. 44 Issue (4): 396-399    DOI: 10.3785/j.issn.1008-9292.2015.07.08
    
A3-A3 side-to-side anastomosis combined with endovascular intervention in recurrent complex anterior artery aneurysm: a case report and literature review
CHEN Xian-yi, WANG Lin, FANG Bing, YU Jun
Department of Neurosurgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
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Abstract  

A 28-year-old female patient was admitted to the Second Affiliated Hospital, Zhejiang University School of Medicine, with sudden headache and vomiting for 1 day. CT scan conducted at emergency revealed subarachnoid hemorrhage, whereas digital subtraction angiography demonstrated a wide-neck aneurysm located at A1 segment of the left anterior cerebral artery. The aneurysm was totally coiled using stent assistance, which, however, was recanalized at 3 month follow-up. This patient was then subjected to aneurysm and parent artery occlusion after bypass of the bilateral A3 segments, who recovered well and discharged without ischemic complications.



Key wordsIntracranial aneurysm/surgery      Corpus callosum/anatomy &      histology      Embolization, therapeutic      Cerebral revascularization/methods     
Received: 06 February 2015     
CLC:  R651  
Cite this article:

CHEN Xian-yi, WANG Lin, FANG Bing, YU Jun. A3-A3 side-to-side anastomosis combined with endovascular intervention in recurrent complex anterior artery aneurysm: a case report and literature review. Journal of ZheJiang University(Medical Science), 2015, 44(4): 396-399.

URL:

http://www.zjujournals.com/xueshu/med/10.3785/j.issn.1008-9292.2015.07.08     OR     http://www.zjujournals.com/xueshu/med/Y2015/V44/I4/396


胼周动脉A3段侧—侧搭桥治疗介入治疗后复发的大脑前动脉A1段动脉瘤一例

一例28岁女性患者因"突发头痛伴呕吐1天"入院.颅脑CT平扫提示蛛网膜下腔出血.数字减影血管造影检查提示左侧大脑前动脉A1段远侧大型动脉瘤.急诊全身麻醉下行支架辅助动脉瘤栓塞术,术毕即刻动脉瘤完全栓塞,载瘤动脉通畅.术后3个月随访发现动脉瘤明显复发.随后通过双侧胼周动脉A3-A3搭桥后再次行动脉瘤及载瘤动脉栓塞治疗,取得满意疗效.


关键词: 颅内动脉瘤/外科学,  胼胝体/解剖学和组织学,  栓塞,治疗性,  脑血管重建术/方法 
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