D.V. Svistov, D.V. Kandyba, A.V. Savello
(Faculty of Neurosurgery, Kirov Medicomilitary Academy, Saint Petersburg)
Female patient K., aged 57, was admitted to the clinic with complaints of periodic headache. The former outpatient examination had revealed unruptured aneurysm of the ICA ophthalmic segment. Left-side carotid angiography and rotation angiography demonstrated aneurysm with a wide neck (5.5 mm); a dome/neck ratio was 1:1. Preoperative preparation (PlavixÒ and AspirinÒ in a dose of 75 mg/day and 300 mg/day respectively) was followed by implantation of self-expandable Neuroform2 stent into sub-supraclinoid segments of ICA and embolization of aneurysm with Matrix biodegrading coils. A postoperative period was uneventful. The patient took antiaggregants during a month after operation; it was done in compliance with a preoperative scheme. Control MRI-examination, carried out a month after intervention, showed no signs of blood flow in an aneurysm cavity.
The demonstration goal was to inform about the nearest favorable result of stent-assisted embolization with use of biodegrading coils, performed in Russia for the first time.