Ishigaki T, Kawasaki R, Matsuda H, Mukohara N
Department of Cardiovascular Surgery, Hyogo Brain and Heart Centre, Himeji, Japan.
Department of Radiology, Hyogo Brain and Heart Centre, Himeji, Japan.
EJVES Short Rep. 2017 Dec 6;38:1-3. doi: 10.1016/j.ejvssr.2017.11.003. eCollection 2018.
Vasculopathy, such as an aneurysm, stenosis, rupture, or arteriovenous fistula, in patients with neurofibromatosis type I (NF-1; von Recklinghausen disease) is well recognised. However, there has been no report regarding treatment for a ruptured lumbar artery aneurysm associated with NF-1. We present the first report of successful endovascular treatment by coil embolisation for a ruptured lumbar artery aneurysm in a patient with NF-I.
A 52 year old man with a history of NF-1 was referred with back pain and anaemia. The computed tomography scan showed rupture of a solitary lumbar artery aneurysm. The rupture was successfully treated by endovascular embolisation with a coil and -butyl-2-cyanoacrylate.
Endovascular treatment with coil embolisation was performed safely in this patient.