title: Treatment of a spontaneous intracranial dissecting aneurysm with stent-assisted coil embolization.
abstract: Arterial dissection is now recognized as an important cause of stroke. Most reported dissections involve the extracranial portion of the internal carotid artery (ICA) and vertebral arteries. Spontaneous dissecting aneurysms of the intracranial ICA are uncommon. Endovascular treatment for cerebral aneurysms has become widespread; however, the dissecting aneurysm is still difficult to treat if the parent artery has to be preserved. More recently, stenting has been advocated for use with endosaccular coiling, with the coils held in place by the stent. We herein report a spontaneous intracranial ICA dissecting aneurysm in a 51-year-old woman who was treated using a new technique of combined stent and coils.
authors.affiliation: Department of Neurosurgery, Fujita Health University, 1-98 Dengakugakubo, Kutsukakecho, Toyoake, 470-1192 Aichi, Japan. kirie@fujita-hu.ac.jp
authors.forename: Keiko
authors.initials: K
authors.lastname: Irie
authors.forename: Makoto
authors.initials: M
authors.lastname: Negoro
authors.forename: Motoharu
authors.initials: M
authors.lastname: Hayakawa
authors.forename: Junichi
authors.initials: J
authors.lastname: Hayashi
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Kanno
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000628:therapy*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000628:therapy*; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D015607:Stents