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Pericallosal Artery Aneurysm: WEB Occlusion of a Ruptured Flow-Related Distal Aneurysm of the Pericallosal Artery in a Patient with a Parietal Arteriovenous Malformation and Intracerebral Hemorrhage

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The Aneurysm Casebook

Abstract

We report on a 50-year-old female patient with an acute intracerebral hemorrhage (ICH) due to a ruptured flow-related aneurysm of the A3 segment of the right anterior cerebral artery (ACA) and a parietal arteriovenous malformation (AVM). Due to the shape and size of the aneurysm, treatment with a Woven EndoBridge (WEB) device was chosen to occlude the aneurysm while preserving the artery. The aneurysm was successfully obliterated in the acute stage and the AVM later treated with radiosurgery. A complete sealing of the aneurysm and the AVM with an excellent neurological outcome was achieved. The case will be discussed based on the acute-stage angiography images and the long-term follow-up. The main topic of this chapter is the treatment of very distal aneurysms with a WEB in select cases.

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Correspondence to Donald Lobsien .

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Lobsien, D., Klisch, J., Sychra, V., Clajus, C. (2020). Pericallosal Artery Aneurysm: WEB Occlusion of a Ruptured Flow-Related Distal Aneurysm of the Pericallosal Artery in a Patient with a Parietal Arteriovenous Malformation and Intracerebral Hemorrhage. In: Henkes, H., Lylyk, P., Ganslandt, O. (eds) The Aneurysm Casebook. Springer, Cham. https://doi.org/10.1007/978-3-319-70267-4_149-1

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  • DOI: https://doi.org/10.1007/978-3-319-70267-4_149-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-70267-4

  • Online ISBN: 978-3-319-70267-4

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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