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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2019; 38(02): 149-152
DOI: 10.1055/s-0039-1688459
Case Report | Relato de Caso
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Endovascular Treatment of Ruptured Vertebral Artery Dissecting Aneurysm in Fibromuscular Dysplasia

Tratamento endovascular de aneurisma dissecante roto de artéria vertebral na displasia fibromuscular
Luana Antunes Maranha Gatto 
1   Department of Neurosurgery and Interventional Neuroradiology, Hospital Universitário Cajuru, Curitiba, PA, Brazil
,
Diego do Monte Rodrigues Seabra
1   Department of Neurosurgery and Interventional Neuroradiology, Hospital Universitário Cajuru, Curitiba, PA, Brazil
,
Jennyfer Paulla Galdino Chaves
1   Department of Neurosurgery and Interventional Neuroradiology, Hospital Universitário Cajuru, Curitiba, PA, Brazil
,
Gelson Luis Koppe
1   Department of Neurosurgery and Interventional Neuroradiology, Hospital Universitário Cajuru, Curitiba, PA, Brazil
,
Zeferino Demartini Jr
1   Department of Neurosurgery and Interventional Neuroradiology, Hospital Universitário Cajuru, Curitiba, PA, Brazil
› Author Affiliations
Further Information

Publication History

21 January 2019

20 March 2019

Publication Date:
23 May 2019 (online)

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Abstract

Background Fibromuscular dysplasia (FMD) affects predominantly the cervical and renal arteries and may cause the classical angiographic pattern of string-of-beads. The diagnosis is increasing with the advances of imaging techniques.

Case Report A 37-year-old man presenting with subarachnoid hemorrhage due to a dissecting aneurysm of the vertebral artery was treated by angioplasty with stent, with good outcome. All of the cervical and renal arteries were diseased and showed dysplasia and/or ectasias.

Conclusions There are no guidelines or protocols to treat patients with FMD.

Resumo

Introdução A displasia fibromuscular (DFM) afeta predominantemente as artérias cervicais e renais e pode causar o padrão angiográfico clássico de cordão de contas. O diagnóstico tem aumentado com os avanços das técnicas de imagem.

Relato de Caso Homem de 37 anos, apresentando hemorragia subaracnoidea por aneurisma dissecante da artéria vertebral, foi tratado por angioplastia com stent, com bom resultado. Todas as artérias cervicais e renais estavam doentes e apresentavam displasia e / ou ectasias.

Conclusões Não existem diretrizes ou protocolos para o tratamento de pacientes com DFM.

Keywords

fibromuscular dysplasia - dissecting aneurysm - endovascular procedure - carotid stenosis - angioplasty - postoperative complications

Palavras-chave

displasia fibromuscular - aneurisma dissecante - procedimento endovascular - estenose carotídea - angioplastia - complicações pós operatórias
 

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