Stent-assisted coil trapping in a manual internal carotid artery compression test for the treatment of a fusiform dissecting aneurysm

• Published in: Journal of Korean Neurosurgical Society Vol. 51; no. 5; pp. 296 - 300
• Main Authors: Seung, Won-Bae, Kim, Jin-Wook, Park, Yong-Seok
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Neurosurgical Society 01.05.2012; 대한신경외과학회
• Subjects: Case Report; 신경외과학; Occlusion; Trapping; Endovascular treatment; Internal carotid artery; Fusiform aneurysm
• ISSN: 2005-3711; 1598-7876
• DOI: 10.3340/jkns.2012.51.5.296

Internal carotid artery (ICA) trapping can be used for the treatment of giant intracranial aneurysms, blood blister-like aneurysms, and fusiform dissecting aneurysms. Fusiform dissecting aneurysms are challenging to treat surgically and endovascularly because of no definite neck and critical perforators. Surgical or endovascular trapping of the ICA with or without an extracranial-intracranial bypass has commonly been used as an effective method to treat these lesions, but balloon test occlusion (BTO) must be performed. Here, we report a case of a ruptured fusiform dissecting aneurysm of the distal ICA, which was successfully treated using an endovascular ICA trapping with a manual ICA compression test instead of BTO.