Microvascular revascularization for recurrent A1 anterior cerebral artery aneurysm postendovascular treatment: A case report and review of the literature

Aaron Musara; Yasuhiro Yamada; Katsumi Takizawa; Kenichi Haraguchi; Tsukasa Kawase; Riki Tanaka; Kyosuke Miyatani; Takao Teranishi; Krishna Mohan; Yoko Kato

doi:10.4103/ajns.AJNS_113_19

Asian Journal of Neurosurgery, Table of Contents

CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 1004-1007
DOI: 10.4103/ajns.AJNS_113_19

Case Report

Microvascular revascularization for recurrent A1 anterior cerebral artery aneurysm postendovascular treatment: A case report and review of the literature

Authors

Aaron Musara

Department of Surgery, Neurosurgery Unit, University of Zimbabwe College of Health Sciences, Harare
Yasuhiro Yamada

¹Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake
Katsumi Takizawa

²Department of Neurosurgery, Asahikawa Red Cross Hospital, Hokkaido
Kenichi Haraguchi

¹Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake
Tsukasa Kawase

¹Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake
Riki Tanaka

¹Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake
Kyosuke Miyatani

¹Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake
Takao Teranishi

¹Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake
Krishna Mohan

³Department of Neurosurgery, KIMS Hospital, Nellore, Andhra Pradesh
Yoko Kato

¹Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Toyoake

Abstract

The recurrence of aneurysms postcoil embolization is a common occurrence. Endovascular coiling has been noted to be more effective for small lesions rather than the giant aneurysms. A postembolization recurrent aneurysm is a difficult condition to manage. We present a case of a recurrent giant aneurysm of the anterior cerebral arteries (ACAs) first segment (A1). It was managed by superficial temporal artery to A3 segment of anterior cerebral artery bypass anastomotic revascularization plus distal A1- segment clipping. A literature review is presented for the management of giant A1 artery aneurysms.

Key-words:

Aneurysm - coil embolization - clipping - cranial bypass - giant aneurysm - revascularization

Full Text

References

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