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Endovascular glue embolization of the medial posterior choroidal artery aneurysm: A case report and a literature review

BACKGROUND: The medial posterior choroidal artery (MPCA) aneurysm is extremely uncommon. Thus yet, just a few cases have been reported. Due to the deep position, narrow lumen, fragile walls, and extensive tortuosity, both endovascular and microsurgical procedures are strictly limited. A case study o...

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Detalles Bibliográficos
Autores principales: Jha, Vikas Chandra, Alam, Mohammad Shahnawaz, Sinha, Vivek Sharan, Verma, Gaurav, Kumar, Nitish, Jain, Rahul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629291/
https://www.ncbi.nlm.nih.gov/pubmed/37941621
http://dx.doi.org/10.25259/SNI_310_2023
Descripción
Sumario:BACKGROUND: The medial posterior choroidal artery (MPCA) aneurysm is extremely uncommon. Thus yet, just a few cases have been reported. Due to the deep position, narrow lumen, fragile walls, and extensive tortuosity, both endovascular and microsurgical procedures are strictly limited. A case study of successful endovascular glue embolization of a left MPCA aneurysm and a literature review is included in this report. CASE DESCRIPTION: A 17-year-old female arrived at our institution 2 days after suffering a major intraventricular hemorrhage with a minor subarachnoid hemorrhage. Digital subtraction angiography revealed a left MPCA aneurysm. The patient underwent a successful endovascular glue embolization and had a favorable functional outcome. CONCLUSION: Endovascular glue embolization yielded favorable clinical and angiographic results in MPCA aneurysms where microcatheter access and maneuverability are challenging.