A Case of Coil Embolization for a Ruptured Anterior Spinal Artery Aneurysm Associated with Bilateral Vertebral Artery Occlusion.
A Case of Coil Embolization for a Ruptured Anterior Spinal Artery Aneurysm Associated with Bilateral Vertebral Artery Occlusion.
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DOI：
10.2176/nmccrj.cr.2020-0178
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Yoshino K
中科院分区：
文献类型：
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作者：
Kawai N;Tatano M;Imoto R;Hirashita K;Yunoki M;Yoshino K
脊髓前动脉（阿萨）动脉瘤是罕见的，大多数与血管病变，如动静脉畸形，烟雾病，主动脉瓣狭窄。在此，我们报告一例因双侧椎动脉（VA）闭塞引起的脊髓前动脉瘤破裂，并采用弹簧圈栓塞治疗。一名83岁男子被发现昏倒在家中，被紧急送往医院。他的意识水平在日本昏迷量表上为I-1，没有四肢瘫痪等症状。计算机断层扫描显示Fisher 3蛛网膜下腔出血，而磁共振血管造影显示右侧VA动脉瘤。数字减影血管造影显示双侧VA闭塞，在扩张的阿萨上发现动脉瘤作为侧支循环。在确认无血流动力学问题后进行弹簧圈栓塞。未观察到术后不良事件。弹簧圈栓塞可能是阿萨破裂动脉瘤的有效治疗方法。
Anterior spinal artery (ASA) aneurysms are rare, and the majority are associated with vascular lesions such as arteriovenous malformations, moyamoya disease, and aortic stenosis. Herein, we report a case of a ruptured anterior spinal artery aneurysm caused by bilateral vertebral artery (VA) occlusion, which was treated by coil embolization. An 83-year-old man was found collapsed at home, and was brought in by emergency. His consciousness level was I-1 on the Japan Coma Scale, and there were no symptoms such as paralysis in the extremities. Computed tomography showed Fisher 3 subarachnoid hemorrhage, while magnetic resonance angiography showed an aneurysm in the right VA. Digital subtraction angiography showed bilateral VA occlusion, and an aneurysm was found on the dilated ASA as a collateral circulation. Coil embolization was performed after confirmation of no hemodynamic problems. No postoperative adverse events were observed. Coil embolization may be an effective treatment for ruptured aneurysms of the ASA.