Ineffective endovascular treatment of a giant internal carotid artery aneurysm

2020
journal article
article
dc.abstract.enPurpose: Despite a growing range of therapeutic possibilities, including various intravascular methods, treating cerebral aneurysms can be still a therapeutic challenge. A growing number of patients previously treated with older techniques require additional therapy. Treatment options as well as their efficiency may be influenced by previous procedures. Case report: We report a rare case of a giant treatment-resistant aneurysm in a 65-year-old woman. The aneurysm was first diagnosed due to visual disturbances in the right eye. Computed tomography angiography showed large (20 x 18 mm) wide neck aneurysm of the right internal carotid artery. The patient was subsequently treated with several methods including coiling with regular stent implantation, two flow diverter stent implantations, and hybrid neurosurgery. Full occlusion was not achieved after any of those procedures. After the last procedure (hybrid neurosurgery) the patient, in vegetative state, was transferred to the intensive care unit and then to the Health and Care Centre. Conclusions: Discussion focuses on endovascular treatment options after failure of previous treatment such as "stent in stent" technique. We conclude that three subsequent stent implantations are technically possible; however, subsequent procedures are associated with technical difficulties and their effectiveness is questionable. Ventriculoperitoneal shunt may influence the outcome of flow diversion therapy.pl
dc.affiliationWydział Lekarski : Zakład Radiologiipl
dc.affiliationWydział Lekarski : Klinika Neurochirurgii i Neurotraumatologiipl
dc.cm.id100077
dc.contributor.authorBrzegowy, Paweł - 128881 pl
dc.contributor.authorChukwu, Ositadimapl
dc.contributor.authorCiuk, Katarzynapl
dc.contributor.authorUrbanik, Andrzej - 133713 pl
dc.contributor.authorPopiela, Tadeusz - 133200 pl
dc.contributor.authorKwinta, Borys - 152902 pl
dc.contributor.authorŁasocha, Bartłomiej - 215017 pl
dc.date.accessioned2020-10-14T10:11:19Z
dc.date.available2020-10-14T10:11:19Z
dc.date.issued2020pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. e327pl
dc.description.physicale323-e327pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume85pl
dc.identifier.doi10.5114/pjr.2020.96979pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/247968
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enendovascular treatmentpl
dc.subject.enflow diverterpl
dc.subject.enstent-in-stent techniquepl
dc.subject.enintracranial aneurysmpl
dc.subtypeArticlepl
dc.titleIneffective endovascular treatment of a giant internal carotid artery aneurysmpl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Purpose: Despite a growing range of therapeutic possibilities, including various intravascular methods, treating cerebral aneurysms can be still a therapeutic challenge. A growing number of patients previously treated with older techniques require additional therapy. Treatment options as well as their efficiency may be influenced by previous procedures. Case report: We report a rare case of a giant treatment-resistant aneurysm in a 65-year-old woman. The aneurysm was first diagnosed due to visual disturbances in the right eye. Computed tomography angiography showed large (20 x 18 mm) wide neck aneurysm of the right internal carotid artery. The patient was subsequently treated with several methods including coiling with regular stent implantation, two flow diverter stent implantations, and hybrid neurosurgery. Full occlusion was not achieved after any of those procedures. After the last procedure (hybrid neurosurgery) the patient, in vegetative state, was transferred to the intensive care unit and then to the Health and Care Centre. Conclusions: Discussion focuses on endovascular treatment options after failure of previous treatment such as "stent in stent" technique. We conclude that three subsequent stent implantations are technically possible; however, subsequent procedures are associated with technical difficulties and their effectiveness is questionable. Ventriculoperitoneal shunt may influence the outcome of flow diversion therapy.
dc.affiliationpl
Wydział Lekarski : Zakład Radiologii
dc.affiliationpl
Wydział Lekarski : Klinika Neurochirurgii i Neurotraumatologii
dc.cm.id
100077
dc.contributor.authorpl
Brzegowy, Paweł - 128881
dc.contributor.authorpl
Chukwu, Ositadima
dc.contributor.authorpl
Ciuk, Katarzyna
dc.contributor.authorpl
Urbanik, Andrzej - 133713
dc.contributor.authorpl
Popiela, Tadeusz - 133200
dc.contributor.authorpl
Kwinta, Borys - 152902
dc.contributor.authorpl
Łasocha, Bartłomiej - 215017
dc.date.accessioned
2020-10-14T10:11:19Z
dc.date.available
2020-10-14T10:11:19Z
dc.date.issuedpl
2020
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. e327
dc.description.physicalpl
e323-e327
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
85
dc.identifier.doipl
10.5114/pjr.2020.96979
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/247968
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
endovascular treatment
dc.subject.enpl
flow diverter
dc.subject.enpl
stent-in-stent technique
dc.subject.enpl
intracranial aneurysm
dc.subtypepl
Article
dc.titlepl
Ineffective endovascular treatment of a giant internal carotid artery aneurysm
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication

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