Naslov
Current endovascular management of infected distal branch intracranial aneurysms: A case report and insight into the literature

Autori
Kalousek, Vladimir ; Sajko, Tomislav ; Splavski, Bruno ; Rotim, Krešimir ; Jurilj, Mia ; Čulo, Branimir ; Rotim, Ante

Izvornik
Acta clinica Croatica (0353-9466) 59 (2020), 4; 754-760

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, pregledni rad, znanstveni

Ključne riječi
Aneurysmal rup-ture ; Distal cerebral arterial branches ; Endovascular coiling ; Infected intracranial multiple aneurysms ; Outcome ; Treatment modalities

Sažetak
Infected intracranial aneurysms are a rare type of inflammatory vascular lesions that occur due to infection of intracranial arterial wall. Brain aneurysms of distal arterial branches are equally rare and frequently multiple, including those situated at the peripheral middle cerebral artery segments. Although both types represent a small percentage of all intracranial aneurysms, they may bring about high mortality in case of rupture. The management of such aneurysms includes conserva- tive treatment with broad-spectrum antibiotics, and microsurgical or endovascular treatment, which is gaining more prominence for both asymptomatic and ruptured aneurysms. Herein, we present a case of a 61-year-old male patient with a history of cardiac infective disease and multiple bilateral aneurysms of infected distal branch middle cerebral arteries, discussing the efficacy of available endovascu-lar treatment modalities and reviewing the literature. In conclusion, selective endovascular coiling is a preferable method in the current management of distal branch infected ruptured intracranial aneu-rysms, which may bring a favorable outcome.

Izvorni jezik
Engleski

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

POVEZANOST RADA