Endovascular treatment of aneurysms associated with fenestrated A1 segment of anterior cerebral artery: report of two cases.
Fenestration in A1 segment of anterior cerebral artery is a rare entity. Treatment of aneurysms derived from a fenestrated artery may be more challenging because the fenestrations provide specific difficulties. A thorough radiologic work-up driven by high clinical suspicion is needed. Endovascular treatment, although it has been tried only once, appears to be the treatment of choice. We successfully treated 2 cases using endovascular techniques and can conclude that endovascular treatment is a safe and effective treatment of aneurysms associated with this rare variation in the A1 segment of ACA.
Mantatzis
Michael
M
Division of Neuroradiology, Department of Radiology, Cerrahpasa Medical School, Istanbul University, Kocamustafapasa, Istanbul, Turkey.
Kizilkilic
Osman
O
Albayram
Sait
S
Kocer
Naci
N
Islak
Civan
C
D000328:Adult; D015901:Angiography, Digital Subtraction; D020771:Anterior Cerebral Artery; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome