RT Journal Article
SR Electronic
T1 Rapid Enlargement of a Posterior Communicating Artery Aneurysm after Guglielmi Detachable Coil Treatment of Ipsilateral Carotid Artery Aneurysms
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1577
OP 1579
VO 23
IS 9
A1 D. T. Jeck
A1 J. R. Leonard
A1 D. T. Cross III
A1 C. J. Moran
A1 R. G. Dacey, Jr
A1 C. P. Derdeyn
YR 2002
UL http://www.ajnr.org/content/23/9/1577.abstract
AB Summary: This case illustrates rapid aneurysm enlargement, presumably due to altered hemodynamics resulting from endovascular treatment of aneurysms on the same artery. We postulate that increased hemodynamic force directed to the inflow zone of the posterior communicating artery aneurysm was caused by the treatment of the two ophthalmic artery aneurysms. Originally, many of the flow vectors may have been directed into the larger ophthalmic segment aneurysm, located on the outside of the curve of the internal carotid artery. After treatment, flow may have been directed more smoothly around the carotid siphon and into the posterior communicating artery aneurysm.