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Endovascular treatment of an adolescent patient with a ruptured intracranial aneurysm - case report and review of literature.

Juszkat R, Jończyk-Potoczna K, Stanisławska K, Bartkowska-Śniatkowska A, Rosada-Kurasińska J, Liebert W, Moskal J - Pol J Radiol (2015)

Bottom Line: An ad hoc coil embolization was performed with angiographic success.Clinical examination revealed no neurological deficits and the patient was rated 0 in mRS (modified Rankin Scale).In experienced departments of interventional neuroradiology the endovascular treatment should be the treatment of choice.

View Article: PubMed Central - PubMed

Affiliation: Department of General and Interventional Radiology, Poznań University of Medical Sciences, Poznań, Poland.

ABSTRACT

Background: The occurence of aneurysms in young patients, under 18 years of age, is estimated at 0.5-2% of all diagnosed aneurysms.

Case report: We reported on a case of a 16-year-old patient with subarachnoid hemorrhage diagnosed due to a ruptured cerebral vessel aneurysm. The angio-CT revealed an aneurysm of the middle cerebral artery, in its distal branch. An ad hoc coil embolization was performed with angiographic success. After 6 months following the ictus, the patient underwent a control angiography which confirmed total occlusion of the aneurysm with no residual inflow. Clinical examination revealed no neurological deficits and the patient was rated 0 in mRS (modified Rankin Scale).

Conclusions: In experienced departments of interventional neuroradiology the endovascular treatment should be the treatment of choice.

No MeSH data available.


Related in: MedlinePlus

A 6-month follow-up angiography of the left common carotid artery – complete embolization of the aneurysm.
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f5-poljradiol-80-10: A 6-month follow-up angiography of the left common carotid artery – complete embolization of the aneurysm.

Mentions: The patient hospitalized at an intensive care unit was transferred to the Department of Neurosurgery and Neurotraumatology of the University of Medical Sciences in Poznań. After angiography, the diagnosis of the aneurysm of the middle cerebral artery was made (Figure 3). The aneurysm was localized in the distal part of the middle cerebral artery (M3 segment). The decision on ad hoc embolization was made. The patient was put under general anesthesia. With vascular access being the right femoral artery, a guiding catheter (Casasco, Balt, Montmorency, France) was introduced in the left internal carotid artery. The patient received 5000 IU of heparin i.v. Then a microcatheter Vasco 10 (Balt, Montmorency, France) with a microguidewire Sor 0,009 (Balt, Montmorency, France) was located in the aneurysmal sack. Coil embolization with 4 hydrogel coils (Microvention, Terumo) was performed with angiographic success (Figure 4). In a follow-up angiography at 6 months, total occlusion of the aneurysm was observed (Figure 5). The patient was graded 0 in mRS (modified Rankin Scale).


Endovascular treatment of an adolescent patient with a ruptured intracranial aneurysm - case report and review of literature.

Juszkat R, Jończyk-Potoczna K, Stanisławska K, Bartkowska-Śniatkowska A, Rosada-Kurasińska J, Liebert W, Moskal J - Pol J Radiol (2015)

A 6-month follow-up angiography of the left common carotid artery – complete embolization of the aneurysm.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4284941&req=5

f5-poljradiol-80-10: A 6-month follow-up angiography of the left common carotid artery – complete embolization of the aneurysm.
Mentions: The patient hospitalized at an intensive care unit was transferred to the Department of Neurosurgery and Neurotraumatology of the University of Medical Sciences in Poznań. After angiography, the diagnosis of the aneurysm of the middle cerebral artery was made (Figure 3). The aneurysm was localized in the distal part of the middle cerebral artery (M3 segment). The decision on ad hoc embolization was made. The patient was put under general anesthesia. With vascular access being the right femoral artery, a guiding catheter (Casasco, Balt, Montmorency, France) was introduced in the left internal carotid artery. The patient received 5000 IU of heparin i.v. Then a microcatheter Vasco 10 (Balt, Montmorency, France) with a microguidewire Sor 0,009 (Balt, Montmorency, France) was located in the aneurysmal sack. Coil embolization with 4 hydrogel coils (Microvention, Terumo) was performed with angiographic success (Figure 4). In a follow-up angiography at 6 months, total occlusion of the aneurysm was observed (Figure 5). The patient was graded 0 in mRS (modified Rankin Scale).

Bottom Line: An ad hoc coil embolization was performed with angiographic success.Clinical examination revealed no neurological deficits and the patient was rated 0 in mRS (modified Rankin Scale).In experienced departments of interventional neuroradiology the endovascular treatment should be the treatment of choice.

View Article: PubMed Central - PubMed

Affiliation: Department of General and Interventional Radiology, Poznań University of Medical Sciences, Poznań, Poland.

ABSTRACT

Background: The occurence of aneurysms in young patients, under 18 years of age, is estimated at 0.5-2% of all diagnosed aneurysms.

Case report: We reported on a case of a 16-year-old patient with subarachnoid hemorrhage diagnosed due to a ruptured cerebral vessel aneurysm. The angio-CT revealed an aneurysm of the middle cerebral artery, in its distal branch. An ad hoc coil embolization was performed with angiographic success. After 6 months following the ictus, the patient underwent a control angiography which confirmed total occlusion of the aneurysm with no residual inflow. Clinical examination revealed no neurological deficits and the patient was rated 0 in mRS (modified Rankin Scale).

Conclusions: In experienced departments of interventional neuroradiology the endovascular treatment should be the treatment of choice.

No MeSH data available.


Related in: MedlinePlus