38 YO FEMALE WITH RUPTURED DACA ANEURYSM A …...AXIOM-Artis 28.032014 AM Hospi -630 CRANSCAUD -5...
Transcript of 38 YO FEMALE WITH RUPTURED DACA ANEURYSM A …...AXIOM-Artis 28.032014 AM Hospi -630 CRANSCAUD -5...
38 YO FEMALE WITH RUPTURED DACA ANEURYSM A MONTH
AGO..PERICALLOSAL ARTERY COMES OFF FROM THE ANEURYSM SAC…HOW
DO YOU TREAT THISCASE?..
A FD WAS JUST DEPLOYED FROM A2 TO
CALLOSOMARGINAL ARTERY JAILING THE ANEURYSM
AND PERICALLOSAL ARTERY WITH OF COURSE GOOD
THROMBOCYTE INHIBITION LEVEL OF %72… POST TREATMENT
2 YEARS CONTROL SHOWING COMPLETELY REMODELLED DACA BIFURCATION WITH
ANEURYM OCCLUSION AND PATENCY OF PERICALLOSAL ARTERY WHICH BECOME
HYPOPLASTIC..THE PATIENT IS NEUROLOGICALLY INTACT…
2 YEARS CONTROL SHOWING COMPLETELY
REMODELLED DACA BIFURCATION BUT PATENT
HYPOPLASTIC PERICALLOSAL ARTERY..
58 yo female,
neurologically
intact, w ruptured
DACA aneurysm
presented to us at
post SAH 3rd week..
6 months control
6 months control revealed flow remodelling with aneurysm and
pericallosal artery occlusion which was reconstructed retrogradly
with pial anostomoses..A moderate stenosis was also noted at
proximal stent
However, 18th month control revealed aneurysm occlusion and nice
antegrad patency of pericallosal artery.. This proves that, like in many cases
we observed, flow remodelling is not completed at early FUs….Proximal
instent stenosis looked improved..
18th month control
1 month CTA
6 MONTHS CONTROL
6 MONTHS CONTROL 1 YEAR CONTROL 3 YEARS CONTROL
3 YEARS CONTROL
6 months control