Interventional Neuroradiology Department, Erasme University Hospital, Brussels, Belgium.
Interv Neuroradiol. 2021 Dec;27(6):746-750. doi: 10.1177/15910199211011879. Epub 2021 Apr 20.
We report a case of cerebral aneurysm rerupture 24 months after initial bleeding and complete occlusion using a WEB device. A middle-aged patient was transferred at our institution because of a recurrent aneurysmal bleeding. The patient was graded WFNS2 and unenhanced CT showed a modified Fisher grade 3 SAH. DSA showed an increased compaction and an evolutive "proximal recess" of the WEB device associated with a small unprotected part of the aneurysm wall and a bleb pointing towards the haemorrhage. Balloon- and stent-assisted coiling was performed, allowing to completely occlude the recurrence. The patient suffered no neurological deficit neither delayed complication and was discharged at day 16.
我们报告一例使用 WEB 装置初次出血和完全闭塞 24 个月后再次破裂的脑动脉瘤。一位中年患者因复发性动脉瘤出血被转入我院。患者 WFNS 分级 2 级,非增强 CT 显示改良 Fisher 分级 3 级蛛网膜下腔出血。DSA 显示 WEB 装置的压缩程度增加,并且出现“近端凹陷”进展,伴有动脉瘤壁一小部分未受保护,以及指向出血的小疱。采用球囊和支架辅助弹簧圈栓塞,可完全闭塞复发。患者无神经功能缺损,也无迟发性并发症,于第 16 天出院。