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American Journal of Neuroradiology, Vol 18, Issue 7 1216-1220, Copyright © 1997 by American Society of Neuroradiology

ARTICLES

Dissecting aneurysms of all four cervicocranial arteries in fibromuscular dysplasia: treatment with self-expanding endovascular stents, coil embolization, and surgical ligation

HI Manninen, T Koivisto, T Saari, PJ Matsi, RL Vanninen, M Luukkonen and J Hernesniemi
Department of Clinical Radiology, Kuopio University Hospital, Finland.

A patient with cervicocranial fibromuscular dysplasia (FMD) presented with subarachnoid hemorrhage. A ruptured dissecting distal vertebral artery aneurysm required clip ligation of the parent artery; a contralateral dissecting proximal vertebral aneurysm was occluded with detachable coils. Progressive dissecting, extracranial aneurysms of the internal carotid artery were treated with self-expanding stents. Subsequent angiography and intravascular sonography revealed patent stents, a smooth luminal surface, and total occlusion of the aneurysm. Clinical outcome was excellent.


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Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X