Clip reconstruction of giant vertebral artery aneurysm after failed flow reduction therapy.

Abstract

Flow reduction therapy is sometimes utilized for difficult aneurysms, but it does not always work. A 42-year-old man presented with headache, dizziness, and slight gait disturbance due to left thrombosed giant vertebral aneurysm. Clip ligation of the VA after the PICA origin was performed for flow reduction based on the CFD analysis. Two months later, the aneurysm showed minor hemorrhage and hydrocephalus, and thrombectomy and clip reconstruction of the VA was performed. He returned to work with slight ipsilateral facial palsy (House & Brackmann grade 2). The video can be found here: http://youtu.be/-AUVk6nxefQ.

• Authors: Toshikazu Kimura, Taichi Kin, Masaaki Shojima, Akio Morita
• Journal: Neurosurgical focus (Neurosurg Focus) Vol. 39 Video Suppl 1 Pg. V5 (Jul 2015) ISSN: 1092-0684 [Electronic] United States
• PMID: 26132622 (Publication Type: Case Reports, Journal Article, Video-Audio Media)

Topics

• Adult
• Aneurysm (pathology, surgery)
• Cerebral Angiography
• Cervicoplasty
• Humans
• Imaging, Three-Dimensional (methods)
• Intracranial Thrombosis
• Male
• Microsurgery
• Surgical Instruments
• Vertebral Artery (surgery)