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KMID : 1005420150170030246
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Journal of Cerebrovascular and Endovascular Neurosurgery
2015 Volume.17 No. 3 p.246 ~ p.251
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Spontaneous Occluded Anterior Communicating Artery Aneurysm during Coil Embolization Treated with One Coil Insertion into Remaining Stump
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Chang Se-Hun
Lee Seung-Hwan
Shin Hee-Sup
Koh Jun-Seok
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Abstract
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Spontaneous thrombosis of a ruptured aneurysm during coil embolization is a rare event, and some reports on recanalization of a spontaneous occluded ruptured aneurysm have been published. We report on a case of a 54-year-old male who presented with a subarachnoid hemorrhage due to rupture of a small aneurysm of the anterior communicating artery (ACoA). Cerebral angiography confirmed the presence of the ACoA aneurysm, but, during coil embolization, the aneurysm was near completely occluded with a remaining small neck. A small coil was inserted into the remaining stump of the neck to prevent recanalization, and the angiographic result at 1 year after coil embolization showed complete obliteration of the aneurysm.
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KEYWORD
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Intracranial aneurysm, Subarachnoid hemorrhage, Thrombosis, Recanalization
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