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Keywords = DuraGen®, partially thrombosed

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7 pages, 1665 KB  
Case Report
Partial Clipping and Multilayered Wrapping Using Collagen Matrix for Partially Thrombosed Basilar Trunk Aneurysm: A Technical Case Report
by Taichi Sayanagi, Yuki Kuranari, Makoto Katayama and Ryota Tamura
Surgeries 2022, 3(4), 357-363; https://doi.org/10.3390/surgeries3040038 - 12 Dec 2022
Cited by 1 | Viewed by 2048
Abstract
Treatment of basilar artery trunk aneurysms is still challenging today, although numerous approaches and modalities of treatment exist. The authors present a case of a patient with a partially thrombosed, ruptured basilar trunk artery aneurysm successfully treated by clipping occlusion of the rupture [...] Read more.
Treatment of basilar artery trunk aneurysms is still challenging today, although numerous approaches and modalities of treatment exist. The authors present a case of a patient with a partially thrombosed, ruptured basilar trunk artery aneurysm successfully treated by clipping occlusion of the rupture point and multilayered wrapping of the aneurysmal dome. A 49-year-old man presented to our emergency room with a chief complaint of altered mental status. The patient was diagnosed with subarachnoid hemorrhage (SAH). No apparent bleeding point was identified on initial 3-dimension computerized tomography (CT) angiography and digital subtraction angiography (DSA). Follow-up DSA revealed a partially thrombosed saccular aneurysm emerging from the basilar trunk. We decided to treat the aneurysm surgically with partial clipping including the bleb and wrapping via the anterior transpetrosal approach. The surgery was performed successfully without any complications, and the residual blood flow within the aneurysm diminished remarkably over time. Although direct clipping and wrapping for basilar trunk artery aneurysms is one of the most challenging operations, it is a highly effective treatment for complex aneurysms, especially if other treatments are not available. Full article
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