Iatrogenic pericallosal artery aneurysm after endovascular procedure

2021
journal article
article
2
cris.lastimport.wos2024-04-10T03:06:20Z
dc.abstract.enIatrogenic brain aneurysms are rare and are usually a result of direct trauma to the arterial wall during various neurosurgical or endovascular procedures. Single cases of pericallosal posttraumatic and postsurgical aneurysms were previously reported. Herein, we report the first confirmed case of iatrogenic pericallosal artery aneurysm caused by an arterial wall injury during the endovascular treatment of another aneurysm. A 50-year-old woman with ruptured anterior communicating artery aneurysm was initially treated with balloon-assisted coiling. During the procedure the tip of a microwire inserted into balloon catheter placed in the pericallosal artery caused a local injury of the inner layer of the vessel wall and vasoconstriction, without bleeding, dissection, or flow disturbances visible in digital subtraction angiography (DSA). Control examination revealed dissecting pericallosal aneurysm. After standard dual-antiplatelet oral preparation, stent-assisted coiling of the pericallosal artery aneurysm was performed with residual contrast filling of the base of the aneurysm sac in control angiography (RROC III). After 6 months the control DSA examination showed entirely cured pericallosal aneurysm (RROC I) and reconstruction of the parent artery. Successful endovascular treatment of an iatrogenic pericallosal aneurysm was previously reported, and this method seems to be the first-choice treatment. In our case, endovascular stent-assisted coiling also allowed for safe exclusion from circulation of pericallosal dissecting aneurysm, and the implanted stent caused reconstruction of the parent artery, restoring the normal lumen diameter. The second endovascular treatment option considered was implantation of a flow-diverted stent into the pericallosal artery.pl
dc.affiliationWydział Lekarski : Zakład Radiologiipl
dc.affiliationWydział Lekarski : Klinika Neurochirurgii i Neurotraumatologiipl
dc.cm.id103875
dc.cm.idOmegaUJCM8aa2cca12f5544a19054e03331e86400pl
dc.contributor.authorBrzegowy, Paweł - 128881 pl
dc.contributor.authorCiuk, Katarzynapl
dc.contributor.authorŁasocha, Bartłomiej - 215017 pl
dc.contributor.authorChukwu, Ositpl
dc.contributor.authorKwinta, Borys - 152902 pl
dc.contributor.authorUrbanik, Andrzej - 133713 pl
dc.contributor.authorPopiela, Tadeusz - 133200 pl
dc.date.accession2022-02-01pl
dc.date.accessioned2021-02-03T11:31:10Z
dc.date.available2021-02-03T11:31:10Z
dc.date.issued2021pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. e52pl
dc.description.number1pl
dc.description.physicale50-e52pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume86pl
dc.identifier.doi10.5114/pjr.2021.103238pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/262338
dc.identifier.weblinkhttp://www.polradiol.com/Iatrogenic-pericallosal-artery-aneurysm-after-endovascular-procedure,126,43174,0,1.htmlpl
dc.languageengpl
dc.language.containerpolpl
dc.pbn.affiliationDziedzina nauk medycznych i nauk o zdrowiu : nauki medyczne
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.enstent-assisted coilingpl
dc.subject.eniatrogenic cerebral aneurysmpl
dc.subject.enpericallosal artery aneurysmpl
dc.subtypeArticlepl
dc.titleIatrogenic pericallosal artery aneurysm after endovascular procedurepl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-10T03:06:20Z
dc.abstract.enpl
Iatrogenic brain aneurysms are rare and are usually a result of direct trauma to the arterial wall during various neurosurgical or endovascular procedures. Single cases of pericallosal posttraumatic and postsurgical aneurysms were previously reported. Herein, we report the first confirmed case of iatrogenic pericallosal artery aneurysm caused by an arterial wall injury during the endovascular treatment of another aneurysm. A 50-year-old woman with ruptured anterior communicating artery aneurysm was initially treated with balloon-assisted coiling. During the procedure the tip of a microwire inserted into balloon catheter placed in the pericallosal artery caused a local injury of the inner layer of the vessel wall and vasoconstriction, without bleeding, dissection, or flow disturbances visible in digital subtraction angiography (DSA). Control examination revealed dissecting pericallosal aneurysm. After standard dual-antiplatelet oral preparation, stent-assisted coiling of the pericallosal artery aneurysm was performed with residual contrast filling of the base of the aneurysm sac in control angiography (RROC III). After 6 months the control DSA examination showed entirely cured pericallosal aneurysm (RROC I) and reconstruction of the parent artery. Successful endovascular treatment of an iatrogenic pericallosal aneurysm was previously reported, and this method seems to be the first-choice treatment. In our case, endovascular stent-assisted coiling also allowed for safe exclusion from circulation of pericallosal dissecting aneurysm, and the implanted stent caused reconstruction of the parent artery, restoring the normal lumen diameter. The second endovascular treatment option considered was implantation of a flow-diverted stent into the pericallosal artery.
dc.affiliationpl
Wydział Lekarski : Zakład Radiologii
dc.affiliationpl
Wydział Lekarski : Klinika Neurochirurgii i Neurotraumatologii
dc.cm.id
103875
dc.cm.idOmegapl
UJCM8aa2cca12f5544a19054e03331e86400
dc.contributor.authorpl
Brzegowy, Paweł - 128881
dc.contributor.authorpl
Ciuk, Katarzyna
dc.contributor.authorpl
Łasocha, Bartłomiej - 215017
dc.contributor.authorpl
Chukwu, Osit
dc.contributor.authorpl
Kwinta, Borys - 152902
dc.contributor.authorpl
Urbanik, Andrzej - 133713
dc.contributor.authorpl
Popiela, Tadeusz - 133200
dc.date.accessionpl
2022-02-01
dc.date.accessioned
2021-02-03T11:31:10Z
dc.date.available
2021-02-03T11:31:10Z
dc.date.issuedpl
2021
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. e52
dc.description.numberpl
1
dc.description.physicalpl
e50-e52
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
86
dc.identifier.doipl
10.5114/pjr.2021.103238
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/262338
dc.identifier.weblinkpl
http://www.polradiol.com/Iatrogenic-pericallosal-artery-aneurysm-after-endovascular-procedure,126,43174,0,1.html
dc.languagepl
eng
dc.language.containerpl
pol
dc.pbn.affiliation
Dziedzina nauk medycznych i nauk o zdrowiu : nauki medyczne
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
stent-assisted coiling
dc.subject.enpl
iatrogenic cerebral aneurysm
dc.subject.enpl
pericallosal artery aneurysm
dc.subtypepl
Article
dc.titlepl
Iatrogenic pericallosal artery aneurysm after endovascular procedure
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication

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