A Case of Ruptured Anterior Cerebral Artery Dissection Prevented from Re-rupture with Stenting and Modification of Antiplatelet Agents

Yu OTAKI; Tatsuya SHIMIZU; Masanori AIHARA; Rei YAMAGUCHI; Kaoru AISHIMA; Yuhei YOSHIMOTO

doi:10.2176/nmccrj.cr.2021-0184

Case Reports

A Case of Ruptured Anterior Cerebral Artery Dissection Prevented from Re-rupture with Stenting and Modification of Antiplatelet Agents

Yu OTAKI, Tatsuya SHIMIZU, Masanori AIHARA, Rei YAMAGUCHI, Kaoru AISHIMA, Yuhei YOSHIMOTO

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Keywords: anterior cerebral artery dissection, stenting, antiplatelet, acute phase

JOURNAL OPEN ACCESS FULL-TEXT HTML

2021 Volume 8 Issue 1 Pages 841-845

DOI https://doi.org/10.2176/nmccrj.cr.2021-0184

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Abstract

A case of ruptured anterior cerebral artery (ACA) dissection was treated with multiple neck-bridge stents, with modification of antiplatelet administration according to changes in the shape of the aneurysm in the acute phase. A 67-year-old woman presented with severe subarachnoid hemorrhage and fusiform dilatation was observed in the left ACA between the A1 and A2 segments. The use of stents in the acute phase is associated with high risk of ischemic complications. Prasugrel administration, which is considered to have low drug resistance, may have allowed safe stent use in the acute phase.

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