Rebleeding From a Vertebral Artery Dissecting Aneurysm After Endovascular Internal Trapping : Adverse Effect of Intrathecal Urokinase Injection or Incomplete Occlusion? : Case Report
スポンサーリンク
概要
- 論文の詳細を見る
A 67-year-old woman suffered rebleeding from a ruptured vertebral artery dissecting aneurysm after endovascular internal trapping. The dissecting aneurysm was initially successfully occluded with the affected vertebral artery using detachable coils. However, rebleeding from the aneurysm occurred on the next day. The rebleeding may have resulted from the thrombolytic effect of urokinase, which was injected intrathecally 3 hours before rebleeding occurred, or the relatively loose coil packing of the aneurysm. This case indicates the potential risk of intrathecal use of thrombolytic agents and the importance of complete tight coil packing of the whole dissected site in the treatment of ruptured vertebral artery dissecting aneurysms.
- 2009-12-15
著者
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SUGIU Kenji
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Ph
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TOKUNAGA Koji
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Ph
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ONO Shigeki
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Ph
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NISHIDA Ayumi
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Ph
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DATE Isao
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Ph
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Date Isao
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Phar
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Date Isao
Department Of Neurological Surgery Okayama Graduate School Of Medicine And Dentistry
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Ono Shigeki
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Phar
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Ono Shigeki
Department Of Neurological Surgery Okayama Graduate School Of Medicine And Dentistry
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Sugiu Kenji
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Phar
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Nishida Ayumi
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Phar
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Tokunaga Koji
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Phar
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Tokunaga Koji
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Phar
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Sugiu Kenji
Department Of Neurological Surgery Okayama University Graduate School Of Medicine Dentistry And Phar
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