Endovascular coil embolization of a recurrent giant internal carotid artery aneurysm via the posterior communicating artery after cervical carotid ligation: case report.

Abstract

The case of a 29-year-old man with a giant fusiform aneurysm of the left internal carotid artery (ICA) is presented. The aneurysm, treated by cervical ICA ligation and extracranial-intracranial bypass, recurred 4 years later owing to recruitment of the posterior communicating artery (PCoA). Because of the previous bypass surgery a direct surgical approach was excluded. After an initial failure with balloon embolization, the aneurysm was embolized successfully with occlusive platinum microcoils through the microcatheter navigated into the aneurysm via the enlarged PCoA. Endovascular coil embolization may be useful in the treatment of cerebral aneurysms not amenable to direct surgery or balloon embolization.

• Authors: I Nakahara, H Handa, M Nishikawa, T Koide, H Yamakawa, S Inagawa, M Kojima
• Journal: Surgical neurology (Surg Neurol) Vol. 38 Issue 1 Pg. 57-62 (Jul 1992) ISSN: 0090-3019 [Print] United States
• PMID: 1615375 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Carotid Artery Diseases (pathology, therapy)
• Carotid Artery, Internal
• Cerebral Revascularization
• Embolization, Therapeutic (methods)
• Humans
• Intracranial Aneurysm (pathology, therapy)
• Ligation
• Male
• Recurrence