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Radical treatment of ruptured dissecting aneurysm on the P1 segment with monotherapy using multiple LVIS stents
  1. Natsuhi Sasaki1,2,
  2. Hirotoshi Imamura1,
  3. Masashi Shigeyasu1 and
  4. Nobuyuki Sakai1
  1. 1Neurosurgery, Kobe City Medical Center General Hospital Department of Neurosurgery, Kobe, Hyogo, Japan
  2. 2Neurosurgery, Kyoto University Graduate School of Medicine Faculty of Medicine, Kyoto, Japan
  1. Correspondence to Dr Natsuhi Sasaki; nsasaki{at}kuhp.kyoto-u.ac.jp

Abstract

The standard endovascular treatment for ruptured dissecting aneurysm is a parent artery occlusion. However, this treatment is unsuitable when the artery of the lesion gives off perforating vessels that supply blood to critical regions or when the collateral flow cannot be expected due to the sacrifice of the parent artery. Here, we present an infrequent case of ruptured dissecting aneurysm on P1 segment of the posterior cerebral artery. The aneurysm had little sac for coiling and the artery of the lesion had some perforator branches; thus, we selected the monotherapy with three overlapping low-profile visualised intraluminal support stents as radical treatment, which resulted in prompt obliteration of the aneurysm. The patient was fully recovered at 3 months after the procedure. Previous studies have reported the effectiveness of multiple stents alone for dissecting aneurysms, whereas this case showed that overlapping stents may also be effective on the P1 segment.

  • interventional radiology
  • neurosurgery

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Footnotes

  • Contributors Supervised by NS. NS, HI, MS and NS provided treatment and management of the patient. Report was written by NS and HI. MS assisted in the acquisition of data and obtaining of patient’s consent.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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