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Central Retinal Artery Occlusion after the Endovascular Treatment of Unruptured Ophthalmic Artery Aneurysm: A Case Report and a Literature Review

Endovascular coil embolization for ophthalmic artery (OphA) aneurysms has a risk of occlusion of the OphA, which can lead to loss of vision. The authors report a patient with unruptured OphA aneurysm which treated with endovascular coiling and were complicated by blindness due to OphA thromboembolic...

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Autores principales: Elkordy, Alaa Mohammed, Sato, Kenichi, Inoue, Yasuhide, Mano, Yui, Matsumoto, Yasushi, Takahashi, Akira, Tominaga, Teiji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5386170/
https://www.ncbi.nlm.nih.gov/pubmed/28664002
http://dx.doi.org/10.2176/nmccrj.cr.2015-0243
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author Elkordy, Alaa Mohammed
Sato, Kenichi
Inoue, Yasuhide
Mano, Yui
Matsumoto, Yasushi
Takahashi, Akira
Tominaga, Teiji
author_facet Elkordy, Alaa Mohammed
Sato, Kenichi
Inoue, Yasuhide
Mano, Yui
Matsumoto, Yasushi
Takahashi, Akira
Tominaga, Teiji
author_sort Elkordy, Alaa Mohammed
collection PubMed
description Endovascular coil embolization for ophthalmic artery (OphA) aneurysms has a risk of occlusion of the OphA, which can lead to loss of vision. The authors report a patient with unruptured OphA aneurysm which treated with endovascular coiling and were complicated by blindness due to OphA thromboembolic occlusion after the procedure. The OphA successfully recanalized using local intra-arterial fibrinolysis with complete regain of visual acuity. The risk of visual loss due to thromboembolic complications cannot be ignored during endovascular coiling of the OphA aneurysm despite of good retrograde flow during OphA occlusion test using a balloon catheter. Rapid intervention is required for recovering visual disturbance in such a situation.
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spelling pubmed-53861702017-06-29 Central Retinal Artery Occlusion after the Endovascular Treatment of Unruptured Ophthalmic Artery Aneurysm: A Case Report and a Literature Review Elkordy, Alaa Mohammed Sato, Kenichi Inoue, Yasuhide Mano, Yui Matsumoto, Yasushi Takahashi, Akira Tominaga, Teiji NMC Case Rep J Case Report Endovascular coil embolization for ophthalmic artery (OphA) aneurysms has a risk of occlusion of the OphA, which can lead to loss of vision. The authors report a patient with unruptured OphA aneurysm which treated with endovascular coiling and were complicated by blindness due to OphA thromboembolic occlusion after the procedure. The OphA successfully recanalized using local intra-arterial fibrinolysis with complete regain of visual acuity. The risk of visual loss due to thromboembolic complications cannot be ignored during endovascular coiling of the OphA aneurysm despite of good retrograde flow during OphA occlusion test using a balloon catheter. Rapid intervention is required for recovering visual disturbance in such a situation. The Japan Neurosurgical Society 2016-05-19 /pmc/articles/PMC5386170/ /pubmed/28664002 http://dx.doi.org/10.2176/nmccrj.cr.2015-0243 Text en Copyright © 2016 The Japan Neurosurgical Society This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
Elkordy, Alaa Mohammed
Sato, Kenichi
Inoue, Yasuhide
Mano, Yui
Matsumoto, Yasushi
Takahashi, Akira
Tominaga, Teiji
Central Retinal Artery Occlusion after the Endovascular Treatment of Unruptured Ophthalmic Artery Aneurysm: A Case Report and a Literature Review
title Central Retinal Artery Occlusion after the Endovascular Treatment of Unruptured Ophthalmic Artery Aneurysm: A Case Report and a Literature Review
title_full Central Retinal Artery Occlusion after the Endovascular Treatment of Unruptured Ophthalmic Artery Aneurysm: A Case Report and a Literature Review
title_fullStr Central Retinal Artery Occlusion after the Endovascular Treatment of Unruptured Ophthalmic Artery Aneurysm: A Case Report and a Literature Review
title_full_unstemmed Central Retinal Artery Occlusion after the Endovascular Treatment of Unruptured Ophthalmic Artery Aneurysm: A Case Report and a Literature Review
title_short Central Retinal Artery Occlusion after the Endovascular Treatment of Unruptured Ophthalmic Artery Aneurysm: A Case Report and a Literature Review
title_sort central retinal artery occlusion after the endovascular treatment of unruptured ophthalmic artery aneurysm: a case report and a literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5386170/
https://www.ncbi.nlm.nih.gov/pubmed/28664002
http://dx.doi.org/10.2176/nmccrj.cr.2015-0243
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