Surgical management of an ACM aneurysm eight years after coiling.
The authors present a case report on rebleeding of a medial cerebral aneurysm (MCA) eight years after complete endovascular coiling. The primarily successfully coiled MCA aneurysm showed a local regrowth which, however, was not the source of the rebleeding. The angiogram demonstrated no evidence of contrast filling of the coiled segment, but according to intraoperative findings (haematoma location, displacement of coils, evident place of rupture) there is no doubt that the coiled segment of the aneurysm was responsible for the haemorrhage.
Department of Neurosurgery, Landesnervenklinik Wagner-Jauregg, Linz, Austria. peter.pogady@gespag.at
P
P
Pogády
F
F
Fellner
J
J
Trenkler
G
G
Wurm
D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D008875:Middle Aged; D020768:Middle Cerebral Artery / Q000473:pathology* / Q000601:surgery*; D011182:Postoperative Care / Q000592:standards; D019736:Prostheses and Implants; D012008:Recurrence; D012086:Reoperation; D013525:Surgical Instruments; D013997:Time Factors; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000295:instrumentation / Q000379:methods*