Surpass Flow-Diverter in the Treatment of Two Wide-Neck Aneurysms in the Scheme of an Arteriovenous Malformation Patient: A Case Study

Dang Duc Phuc; Do Duc Thuan; Pham Dinh Dai; Dang Minh Duc; Nguyen Quang Anh; Nguyen Thi Nga; Chu Dinh Toi; Dao Viet Phuong; Duy Ton Mai

doi:10.3889/oamjms.2019.382

Surpass Flow-Diverter in the Treatment of Two Wide-Neck Aneurysms in the Scheme of an Arteriovenous Malformation Patient: A Case Study

Open Access Maced J Med Sci. 2019 Dec 20;7(24):4316-4318. doi: 10.3889/oamjms.2019.382. eCollection 2019 Dec 30.

Authors

Dang Duc Phuc¹, Do Duc Thuan¹, Pham Dinh Dai¹, Dang Minh Duc¹, Nguyen Quang Anh^{2

3}, Nguyen Thi Nga⁴, Chu Dinh Toi⁵, Dao Viet Phuong⁶, Duy Ton Mai⁶

Affiliations

¹ Department of Stroke, Military Hospital 103, No 261 Phung Hung Street, Ha Dong District, Hanoi, Vietnam.
² Radiology Center, Bach Mai Hospital, Hanoi, Vietnam.
³ Faculty of Radiology, Hanoi Medical University, Hanoi, Vietnam.
⁴ Institute for Research and Development, Duy Tan University, 03 Quang Trung, Danang, Vietnam.
⁵ Faculty of Biology, Hanoi National University of Education, Hanoi, Vietnam.
⁶ Emergency Department, Bach Mai Hospital, Hanoi, Vietnam.

Abstract

Background: The cerebral arterial aneurysm, especially in the circumstances of ateriovenous malformation (AVM), has higher risk of rupture than normal isolated aneursym. Therefore, the treatment strategy needs to be plan very carefully in such case.

Case presentation: We report a patient with 2 wide-neck aneurysms located in the feeding artery of the arteriovenous malformation and he, then, was treated by using Surpass stent (flow-diverter) to eliminate the aneurysms.

Conclusion: In our case, multiple wide-neck aneurysms in combination with low risk unruptured AVM, using long Surpass stent-diversion is an effective way to eliminate all the aneurysms in the main feeding artery while still preserving the AVM anatomy.

Keywords: Arteriovenous malformation; Surpass flow-diverter stent; Wide-neck aneurysm.