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Abstracts
Case Reports
Aneurysms
P069 Unusual management of 2 cases of MCA dissecting aneurysms
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  1. Mariangela Piano,
  2. Alessio Vitiello,
  3. Antonio MacEra,
  4. Claudia Rollo,
  5. Amedeo Cervo,
  6. Guglielmo Pero
  1. Neuroradiology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

Abstract

Introduction We present 2 cases of subarachnoid hemorrhage (SAH) due to the rupture of a middle cerebral artery (MCA) dissecting aneurysms treated with multiple Flow-Diverter Devices (FDDs).

Case Description A 63 yo male symptomatic for SAH and an intraparenchymal hematoma due to a left MCA perforator dissecting aneurysm, treated with 3 overlapped FDDs.

Because of systemic clinical conditions, he did not receive any antiplatelet drugs.

CT-angio and DSA follow-up showed the patency of MCA and no rebleeding.

A 46 yo female experienced a SAH due to a right perforator MCA aneurysm.

The plan was to put an external ventricular drainage and then a FDD.

Due to the worsening of clinical conditions, a surgical clipping was done.

The post-clipping DSA showed the persistence of the aneurysm and it was treated by 2 overlapped FDDs.

Abstract P069 Figure 1
Abstract P069 Figure 1

Results The acute treatment of dissecting perforator aneurysm using FDDs is feasable and safe, even in complex managements.

https://doi.org/10.1136/jnis-2024-ESMINT.106

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