Evidence map›Paper›PMID 40819570›Full record

ArticleInternational journal of surgery case reports2025

Ruptured dissection of the A1 segment of the anterior cerebral artery treated by a flow diverter to cover the A1 origin: A case report.

Jinlu Yu

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In one paragraph

Article in International journal of surgery case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

1 author.

Jinlu YuDepartment of Neurosurgery, The First Hospital of Jilin University, Changchun, China. Electronic address: jlyu@jlu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceA1 dissection of the anterior cerebral artery (ACA) is difficult to treat with endovascular treatment (EVT). There are many EVT options for treating A1 aneurysms. However, the use of a flow diverter (FD) to cover the origin of the ACA is uncommon. We such a case. CASE PRESENTATIONS: A 51-year-old male experienced subarachnoid hemorrhage. The patient's Hunt-Hess scale score was Grade II. Angiography revealed a ruptured A1 dissecting aneurysm. Under general anesthesia, FD was used to cover the origin of the ACA. Postoperatively, the patient had no new neurological deficits. During the one-year follow-up, the patient recovered well and returned to normal life. Angiography revealed that the A1 dissecting aneurysm regressed, and the right ACA was patent and thinner than before. Follow-up magnetic resonance imaging did not reveal a brain infarction. CLINICAL DISCUSSION: FD can be used to cover the origin of the ACA to remodeled the proximal ACA and A1 aneurysm by flow diverting effect. During follow-up, the ruptured A1 dissection can be remodeled and regressed.

conclusionTherefore, for ruptured A1 dissection, a FD to cover the origin of the ACA may be a feasible therapeutic option. After this, A1 dissecting aneurysms can regress due to reduced blood flow.

Indexed as

A1 segmentAnterior cerebral arteryCase reportDissectionFlow diverter

Identifiers

PMID40819570
PMCPMC12391513

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