Endovascular Embolization of Ruptured Infundibular Dilation of Posterior Communicating Artery: A Case Report

Hemorrhage due to the rupture of the infundibular dilatation of the posterior communicating artery (ID of the PCo-A) occurs infrequently. The preferred treatment of such hemorrhages is surgical clipping through craniotomy. There are few reports about endovascular coil embolization in such cases. We...

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Main Authors: Jinlu Yu, Honglei Wang, Kan Xu, Bai Wang, Qi Luo
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/210397
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author Jinlu Yu
Honglei Wang
Kan Xu
Bai Wang
Qi Luo
author_facet Jinlu Yu
Honglei Wang
Kan Xu
Bai Wang
Qi Luo
author_sort Jinlu Yu
collection DOAJ
description Hemorrhage due to the rupture of the infundibular dilatation of the posterior communicating artery (ID of the PCo-A) occurs infrequently. The preferred treatment of such hemorrhages is surgical clipping through craniotomy. There are few reports about endovascular coil embolization in such cases. We report such a case treated by endovascular embolization. A 35-year-old man, who had experienced 2 episodes of subarachnoid hemorrhage (SAH), was found to have a ruptured ID of the PCo-A by head computed tomography angiography (CTA) and digital subtraction angiography (DSA). We performed stent-assisted endovascular coil embolization through a combined anterior and posterior circulation approach. Postembolization angiography showed absence of contrast filling of the ID of the PCo-A and nonleakage of the contrast agent. The patient recovered well with no complications. SAH recurrence was not recorded during the 1-year followup. The postoperative angiographic result was good. To our knowledge, this is the first case of hemorrhage due to ruptured ID of the PCo-A that was treated by such a technique.
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spelling doaj-art-c3bba2c9dbd247b1a83cd16ebbecd7e62025-02-03T06:12:40ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/210397210397Endovascular Embolization of Ruptured Infundibular Dilation of Posterior Communicating Artery: A Case ReportJinlu Yu0Honglei Wang1Kan Xu2Bai Wang3Qi Luo4Department of Neurosurgery, First Hospital of Jilin University, Changchun 130021, ChinaDepartment of Neurosurgery, First Hospital of Jilin University, Changchun 130021, ChinaDepartment of Neurosurgery, First Hospital of Jilin University, Changchun 130021, ChinaDepartment of Radiology, First Hospital of Jilin University, Changchun 130021, ChinaDepartment of Neurosurgery, First Hospital of Jilin University, Changchun 130021, ChinaHemorrhage due to the rupture of the infundibular dilatation of the posterior communicating artery (ID of the PCo-A) occurs infrequently. The preferred treatment of such hemorrhages is surgical clipping through craniotomy. There are few reports about endovascular coil embolization in such cases. We report such a case treated by endovascular embolization. A 35-year-old man, who had experienced 2 episodes of subarachnoid hemorrhage (SAH), was found to have a ruptured ID of the PCo-A by head computed tomography angiography (CTA) and digital subtraction angiography (DSA). We performed stent-assisted endovascular coil embolization through a combined anterior and posterior circulation approach. Postembolization angiography showed absence of contrast filling of the ID of the PCo-A and nonleakage of the contrast agent. The patient recovered well with no complications. SAH recurrence was not recorded during the 1-year followup. The postoperative angiographic result was good. To our knowledge, this is the first case of hemorrhage due to ruptured ID of the PCo-A that was treated by such a technique.http://dx.doi.org/10.1155/2010/210397
spellingShingle Jinlu Yu
Honglei Wang
Kan Xu
Bai Wang
Qi Luo
Endovascular Embolization of Ruptured Infundibular Dilation of Posterior Communicating Artery: A Case Report
Case Reports in Medicine
title Endovascular Embolization of Ruptured Infundibular Dilation of Posterior Communicating Artery: A Case Report
title_full Endovascular Embolization of Ruptured Infundibular Dilation of Posterior Communicating Artery: A Case Report
title_fullStr Endovascular Embolization of Ruptured Infundibular Dilation of Posterior Communicating Artery: A Case Report
title_full_unstemmed Endovascular Embolization of Ruptured Infundibular Dilation of Posterior Communicating Artery: A Case Report
title_short Endovascular Embolization of Ruptured Infundibular Dilation of Posterior Communicating Artery: A Case Report
title_sort endovascular embolization of ruptured infundibular dilation of posterior communicating artery a case report
url http://dx.doi.org/10.1155/2010/210397
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