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  • Title: Dissecting aneurysms of all four cervicocranial arteries in fibromuscular dysplasia: treatment with self-expanding endovascular stents, coil embolization, and surgical ligation.
    Author: Manninen HI, Koivisto T, Saari T, Matsi PJ, Vanninen RL, Luukkonen M, Hernesniemi J.
    Journal: AJNR Am J Neuroradiol; 1997 Aug; 18(7):1216-20. PubMed ID: 9282844.
    Abstract:
    A patient with cervicocranial fibromuscular dysplasia (FMD) presented with subarachnoid hemorrhage. A ruptured dissecting distal vertebral artery aneurysm required clip ligation of the parent artery; a contralateral dissecting proximal vertebral aneurysm was occluded with detachable coils. Progressive dissecting, extracranial aneurysms of the internal carotid artery were treated with self-expanding stents. Subsequent angiography and intravascular sonography revealed patent stents, a smooth luminal surface, and total occlusion of the aneurysm. Clinical outcome was excellent.
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