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자료유형
학술저널
저자정보
Yeong-Il Yun (Department of Neurosurgery Yeungnam University Medical Center Deagu Korea) Chul-Hoon Chang (Department of Neurosurgery Yeungnam University Medical Center Deagu Korea) Jong-Hun Kim (Department of Neurosurgery Yeungnam University Medical Center Deagu Korea) Young-Jin Jung (Department of Neurosurgery Yeungnam University Medical Center Deagu Korea)
저널정보
대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.25 No.1
발행연도
2023.3
수록면
69 - 74 (6page)
DOI
10.7461/jcen.2022.E2022.03.002

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초록· 키워드

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Subarachnoid hemorrhage (SAH) due to ruptured posterior cerebral artery (PCA) intracranial arterial dolichoectasia (IADE) is very rare. As these lesions are difficult to treat microsurgically, neurointervention is preferred because the dolichoectatic artery does not have a clear neck, and the surgical field of view was deep seated with the SAH. However, in some cases, neurointervention is difficult due to anatomical variation of the blood vessel to access the lesion. In this case, a 30-year-old male patient presented with a ruptured PCA IADE and an aortic arch anomaly. Aortic arch anomalies render it difficult to reach the ruptured PCA IADE via endovascular treatment. The orifice of the vertebral artery (VA) was different from the usual cases, so it was difficult to find the entrance. After only finding the VA and arriving at the lesion along the VA, trapping was performed. Herein, we report the PCA IADE with aortic arch anomaly endovascular treatment methods and results.

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