title: Multiple cerebral aneurysms associated with Takayasu arteritis successfully treated with coil embolization.
abstract: The cerebrovascular complications of Takayasu arteritis are primarily related to the presence of occlusive lesions. Cerebral aneurysms rarely occur as complications; only 18 cases have been reported thus far. The use of coil embolization to treat cerebral aneurysms occurring as a complication of Takayasu arteritis has not been previously reported. We report a case of Takayasu arteritis with a basilar tip aneurysm and a P1 segment aneurysm of the left posterior cerebral artery that were successfully treated with coil embolization. Because coil embolization for cerebral aneurysms associated with Takayasu arteritis requires the use of limited access routes that have extremely curved and tortuous courses, catheter navigation was difficult. The guide catheter, microcatheter, and guidewire must be selected and navigated with greater care than is usually required for common aneurysm embolization.
authors.affiliation: Department of Interventional Neuroradiology, Ishinkai Yao General Hospital, 1-41 Numa, Yao 581-0036, Japan. takayamaneuroivs@par.odn.ne.jp
authors.forename: Katsutoshi
authors.initials: K
authors.lastname: Takayama
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nakagawa
authors.forename: Satoru
authors.initials: S
authors.lastname: Iwasaki
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Taoka
authors.forename: Kaoru
authors.initials: K
authors.lastname: Myouchin
authors.forename: Takeshi
authors.initials: T
authors.lastname: Wada
authors.forename: Masahiko
authors.initials: M
authors.lastname: Sakamoto
authors.forename: Akio
authors.initials: A
authors.lastname: Fukusumi
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Kurokawa
authors.forename: Kimihiko
authors.initials: K
authors.lastname: Kichikawa
mesh_terms: D000368:Aged; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D018810:Magnetic Resonance Angiography; D013625:Takayasu Arteritis / Q000150:complications*