Usefulness of intravascular ultrasonography for treatment of a ruptured vertebral dissecting aneurysm.
We report successful stent implantation and secondary coil embolization in a wide-necked dissecting aneurysm in the vertebral artery. Intravascular ultrasonography (IVUS) showed the thrombosed pseudolumen clearly and enabled precise determination of the appropriate stent size. After stent implantation, Guglielmi detachable coil embolization was performed. Further experience is necessary to refine the technique, but IVUS may be useful to improve the safety of stent-assisted embolization.
Kono
Atsushi K
AK
Department of Radiology, Hyogo Brain and Heart Center, 520 Saishoko, Himeji, Hyogo 670-0981, Japan. akouno@hbhc.jp
Fukuda
Tetsuya
T
Shibata
Yuji
Y
Iwakura
Masaki
M
Komatsu
Hideki
H
Sasaki
Hiroki
H
Kawaguchi
Tetsuro
T
Ishii
Kazunari
K
D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D015607:Stents; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional; D020217:Vertebral Artery Dissection / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D014715:Vertebrobasilar Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy