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- Title
Intra-aneurysmatic thrombectomy in a distal anterior cerebral artery aneurysm.
- Authors
Luis Gómez-Amador, Juan; Alberto Tovar-Romero, Leoncio; Castillo-Matus, Andrea; Marian-Magaña, Ricardo; Fernando Aragón-Arreola, Jorge; Vinicius Sangrador-Deitos, Marcos; Hernández-Hernández, Alan; López-Valencia, Germán; Yoshiaki Guinto-Nishimura, Gerardo; Ríos-Zermeño, Jorge
- Abstract
Thrombectomy procedures following intra-aneurysmatic lesions are extremely rare, and few cases have been reported. This article describes a microsurgical intra-aneurysmatic thrombectomy (MIaT) for a distal anterior cerebral artery (DACA) aneurysm. We present the case of a 48-year-old female that was admitted to the emergency room, showing neurologic deterioration with focal deficits. A computed tomography angiography (CTA) scan revealed an aneurysm located in the distal segment of the left anterior cerebral artery. During the surgical procedure, after clipping, a wellformed clot was visualized through the aneurysm's wall obstructing the left DACA flow. We proceeded to open the aneurysm's dome to remove the thrombus and clip the aneurysm neck, re-establishing the flow of the left DACA. Intra-aneurysmatic thrombosis can occur as a complication during clipping, obstructing the distal flow of vital arteries and causing fatal results in the patient's postoperative status. MIaT is a good technique for restoring the flow of the affected vessel and allows a secure aneurysm clipping after thrombus removal.
- Subjects
ANTERIOR cerebral artery; INTRACRANIAL aneurysms; THROMBECTOMY; RENOVASCULAR hypertension; COMPUTED tomography; OPERATIVE surgery
- Publication
Journal of Cerebrovascular & Endovascular Neurosurgery, 2023, Vol 25, Issue 4, p462
- ISSN
2234-8565
- Publication type
Case Study
- DOI
10.7461/jcen.2023.E2023.01.002