AJDRAJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 2008;29:1418.

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American Journal of Neuroradiology
DOI 10.3174/ajnr.A1071

INTERVENTIONAL

Endovascular Treatment of Giant Serpentine Aneurysms

W.J. van Rooij, M. Sluzewski and G.N. Beute

From the Departments of Radiology (W.J.v.R., M.S.) and Neurosurgery (G.N.B.), St. Elisabeth Ziekenhuis, Tilburg, the Netherlands.

Please address correspondence to Willem Jan van Rooij, MD, PhD, Department of Radiology, St. Elisabeth Ziekenhuis, Hilvarenbeekseweg 60, 5022 GC Tilburg, the Netherlands; e-mail: radiol{at}knmg.nl

SUMMARY: Giant serpentine aneurysms are fusiform partially thrombosed aneurysms with a separate outflow tract to normal distal cerebral vessels. Three patients with giant serpentine aneurysms of the anterior and middle cerebral arteries were treated with endovascular occlusion of the aneurysmal lumen with coils or glue after balloon test occlusion of the involved vessel. In all 3 patients, leptomeningeal collateral circulation was sufficient to prevent distal ischemia.






Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X