J Korean Neurosurg Soc.
2003 Dec;34(6):575-577.
Failed GDC Embolization for Aneurysms Arising at the Fenestrated Anterior Communicating Artery
- Affiliations
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- 1Department of Neurosurgery, College of Medicine, Chungbuk National University, Cheongju, Korea. ksmin@med.chungbuk.ac.kr
- 2Department of Radiology, College of Medicine, Chungbuk National University, Cheongju, Korea.
Abstract
- Fenestration of anterior communicating artery is one of relatively common anomalies. It is not always possible to check all of the anomalies in the anterior communicating artery by conventional angiogram. In case of coil embolization on aneurysm located in anterior communicating artery, the fenestration may cause unexpected complications. The evidential example taken here shows a 41-year-old patient with an anterior communicating artery aneurysm, on whom GDC embolization failed due to coil migration and ligation of aneurysm was given in a surgical treatment. The operative findings led to the discovery of the unexpected fenestration of anterior communicating artery and two separate aneurysms arising at each side of the fenestrated anterior communicating artery. A great concern should be given in coil embolization of aneurysms arising at the anterior communicating arteries.
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