PMID- 29707096 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 1918-3003 (Print) IS - 1918-3011 (Electronic) IS - 1918-3003 (Linking) VI - 10 IP - 6 DP - 2018 Jun TI - Dissecting Vertebral Artery Aneurysm Presenting Regrowth After Stent-Assisted Coil Embolization in Acute Stage. PG - 527-530 LID - 10.14740/jocmr3397w [doi] AB - For a case of dissecting vertebral artery aneurysm (DVAA) in a dominant vertebral artery (VA) or posterior inferior cerebellar artery (PICA)-involving lesion, stent-assisted coil embolization (SACE) is an effective technique to preserve blood flow of the VA. A 41-year-old man presented with subarachnoid hemorrhage. Angiography demonstrated DVAA on the left VA just distal to the PICA, and the right VA was thinner than the left. For this case, SACE was performed to preserve the left VA and PICA. On the 10th day, angiography showed recurrence of the dissection. The dissected portion had thickened and extended to both distal and proximal sides involving the PICA origin and proximal portion to the PICA. A second endovascular embolization was performed and the recurrent dissecting aneurysm was embolized including the main VA cavity. In cases of DVAA, there is a possibility of recurrence after SACE, if a dissecting cavity remains unembolized. Therefore, total embolization is necessary under close observation from multiple angles, including the down-the-barrel view. FAU - Hijikata, Takamichi AU - Hijikata T AD - Department of Neurosurgery, Kanto Rosai Hospital, Kawasaki, Japan. FAU - Baba, Eiichi AU - Baba E AD - Department of Neurosurgery, Kanto Rosai Hospital, Kawasaki, Japan. FAU - Shirokane, Kazutaka AU - Shirokane K AD - Department of Neurosurgery, Kanto Rosai Hospital, Kawasaki, Japan. FAU - Tsuchiya, Atsushi AU - Tsuchiya A AD - Department of Neurology, Kanto Rosai Hospital, Kawasaki, Japan. FAU - Nomura, Motohiro AU - Nomura M AD - Department of Neurosurgery, Kanto Rosai Hospital, Kawasaki, Japan. LA - eng PT - Case Reports DEP - 20180413 PL - Canada TA - J Clin Med Res JT - Journal of clinical medicine research JID - 101538301 PMC - PMC5916543 OTO - NOTNLM OT - Dissecting aneurysm OT - Embolization OT - Recurrence OT - Stent-assisted OT - Vertebral artery COIS- None. EDAT- 2018/05/01 06:00 MHDA- 2018/05/01 06:01 PMCR- 2018/04/13 CRDT- 2018/05/01 06:00 PHST- 2018/03/04 00:00 [received] PHST- 2018/03/19 00:00 [accepted] PHST- 2018/05/01 06:00 [entrez] PHST- 2018/05/01 06:00 [pubmed] PHST- 2018/05/01 06:01 [medline] PHST- 2018/04/13 00:00 [pmc-release] AID - 10.14740/jocmr3397w [doi] PST - ppublish SO - J Clin Med Res. 2018 Jun;10(6):527-530. doi: 10.14740/jocmr3397w. Epub 2018 Apr 13.