High-flow bypass and trapping for ruptured intracranial internal carotid artery dissection in fibromuscular dysplasia: illustrative case

Hidenori Ohbuchi, Kae Nishiyama, Suguru Yokosako, Hitomi Ujiie, Mizuki Aoki, Sanenari Machida, Mayu Kambe, Yuichi Kubota · 2026

Read High-flow bypass and trapping for ruptured intracranial internal carotid artery dissection in fibromuscular dysplasia: illustrative case by Hidenori Ohbuchi, Kae Nishiyama, Suguru Yokosako, Hitomi Ujiie, Mizuki Aoki, Sanenari Machida, Mayu Kambe, Yuichi Kubota (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13201970.txt.

Description

A ruptured dissecting aneurysm in a patient with fragile vessels required a two-part surgery in a 2026 illustrative case authored by Hidenori Ohbuchi. The article presents a 43-year-old woman with fibromuscular dysplasia who suffered a subarachnoid hemorrhage from a torn internal carotid artery inside the skull.

Angiography showed the string-of-beads pattern of fibromuscular dysplasia in both neck vessels, plus another aneurysm in a vertebral artery. Surgeons first built a high-flow bypass using a radial artery graft from the external carotid to the middle cerebral artery. They then trapped the damaged segment, and at three months she had no neurological deficits, backing this approach for carefully selected patients.

Catalog record

CREATORHidenori Ohbuchi, Kae Nishiyama, Suguru Yokosako, Hitomi Ujiie, Mizuki Aoki, Sanenari Machida, Mayu Kambe, Yuichi Kubota
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE13 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13201970

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