A Patient with an Unruptured Aneurysm in the Internal Carotid Artery-duplicated Middle Cerebral Artery on Whom Coil Embolization with Balloon Remodeling Was Performed

Ryotaro Suzuki; Tomoji Takigawa; Toru Anazawa; Nobuo Shirasaka; Yoshiyuki Matsumoto; Yoshiko Fujii; Yasuhiko Nariai; Yoshiki Sugiura; Yosuke Kawamura; Issei Takano; Yoshihiro Tanaka; Masaya Nagaishi; Akio Hyodo; Kensuke Suzuki

doi:10.5797/jnet.cr.2019-0061

Case Reports

A Patient with an Unruptured Aneurysm in the Internal Carotid Artery-duplicated Middle Cerebral Artery on Whom Coil Embolization with Balloon Remodeling Was Performed

Ryotaro Suzuki, Tomoji Takigawa, Toru Anazawa, Nobuo Shirasaka, Yoshiyuki Matsumoto, Yoshiko Fujii, Yasuhiko Nariai, Yoshiki Sugiura, Yosuke Kawamura, Issei Takano, Yoshihiro Tanaka, Masaya Nagaishi, Akio Hyodo, Kensuke Suzuki

Author information

Ryotaro Suzuki
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Tomoji Takigawa
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Toru Anazawa
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Nobuo Shirasaka
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Yoshiyuki Matsumoto
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Yoshiko Fujii
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Yasuhiko Nariai
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Yoshiki Sugiura
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Yosuke Kawamura
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Issei Takano
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Yoshihiro Tanaka
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Masaya Nagaishi
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Akio Hyodo
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan
Kensuke Suzuki
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan

Keywords: duplication of middle cerebral artery, cerebral unruptured aneurysm, coil embolization, balloon remodeling

JOURNAL OPEN ACCESS

2020 Volume 14 Issue 5 Pages 183-187

DOI https://doi.org/10.5797/jnet.cr.2019-0061

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Details

Abstract

Objective: Treatment of an unruptured aneurysm at the origin of duplicated middle cerebral artery (DMCA) by coil embolization using balloon remodeling has not been reported. We report a case of coil embolization using balloon remodeling for an unruptured aneurysm at the origin of DMCA.

Case Presentation: A 71-year-old female was found to have an unruptured aneurysm at the origin of DMCA during an examination for headache. Coil embolization using balloon remodeling for the wide neck aneurysm to preserve both the internal carotid artery (ICA) and DMCA was successful. The perioperative course was uneventful.

Conclusion: This treatment enables complete embolization, and preserves both the ICA and DMCA. Thus, it is useful for aneurysms at the origin of DMCA.

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