[Ruptured fenestrated aneurysm of vertebral artery union successfully treated by endovascular surgery with GDC].
It is difficult to operate on ruptured basilar artery aneurysms in the acute phase because of the anatomical complexity, brain swelling, patients' medical condition, etc., but because there is some risk of rebleeding and/or vasospasm if surgery is delayed, early surgery is recommended. We encountered a rare case of ruptured fenestrated aneurysm of the vertebral artery (VA) union, treated it safely by endovascular surgery with Guglielmi detachable coils (GDCs) in the acute phase, and obtained a good outcome after intensive care. We therefore conclude that endovascular surgery with GDCs is a first-line therapy for fenestrated aneurysms of the VA union in the acute phase after subarachnoid hemorrhage. Fenestrated aneurysms of the VA union are very rare, and long-term follow-up is mandatory.
Department of Neurological Surgery, Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata-cho, Okayamacity, Okayama 700-8558, Japan.
Mitsuhisa
M
Nishiguchi
Kenji
K
Sugiu
Takashi
T
Ohmoto
Toshikazu
T
Saijyo
Hiroyuki
H
Fujisawa
D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D013345:Subarachnoid Hemorrhage / Q000209:etiology; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*; D014711:Vertebral Artery / Q000601:surgery*