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izvor podataka: crosbi

Endovascular management of intracranial aneurysms on distal arterial branches: Illustrative case series and literature retrospection (CROSBI ID 302803)

Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija

Rotim, Krešimir ; Splavski, Bruno ; Kalousek, Vladimir ; Jurilj, Mia ; Sajko, Tomislav Endovascular management of intracranial aneurysms on distal arterial branches: Illustrative case series and literature retrospection // Acta clinica Croatica, 59 (2020), 4; 712-720. doi: 10.20471/acc.2020.59.04.18

Podaci o odgovornosti

Rotim, Krešimir ; Splavski, Bruno ; Kalousek, Vladimir ; Jurilj, Mia ; Sajko, Tomislav

engleski

Endovascular management of intracranial aneurysms on distal arterial branches: Illustrative case series and literature retrospection

Intracranial aneurysms located on distal arterial branches are sporadic and scarce. They account for 2%-7% of the middle cerebral artery and 0.7%-2.3% of the posterior cerebral artery aneurysms, where they mainly arise distally from the P2-related sites. Such aneurysms usually remain asymptomatic prior to rupture, making their diagnosis and management really demanding. Endovascular treatment comprising of different neurointerventional techniques is becoming the most operational up-to-date routine to approach distal cerebral branch aneurysms. In this single- institution case series, endovascular selective coiling and/or parent vessel occlusion resulted in successful and total aneurysmal exclusion from cerebral circulation, which brought good recovery. Hereby, we present an illustrative case series of distal arterial branch intracranial aneurysms, discussing their possible etiology and various endovascular management modalities. We also provide a literature retrospection concerned with this rare entity. In conclusion, due to their predisposition for rupture, distal branch intracranial aneurysms should be treated early and aggressively. We do believe that endovascular selective coil occlusion is the management method of choice, while parent vessel occlusion (with liquid embolics) is optimal when aneurysmal coiling cannot be achieved, or when distal cortical territory is well vascularized by strong collateral cerebral circulation.

Cerebral arterial branches ; Distal ; Aneurysm ; Intracranial ; Endovascular treatment

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Podaci o izdanju

59 (4)

2020.

712-720

objavljeno

0353-9466

1333-9451

10.20471/acc.2020.59.04.18

Povezanost rada

Biotehnologija u biomedicini (prirodno područje, biomedicina i zdravstvo, biotehničko područje), Kliničke medicinske znanosti

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