Cargando…

Does Systemic Lupus Erythematosus Increase the Risk of Procedure-Related Complication in Endovascular Treatment of Intracranial Aneurysm?

Cerebral aneurysms associated with systemic lupus erythematosus (SLE) are more likely to grow rapidly and rupture, compared to those found in the general population. The main underlying pathology of intracranial aneurysm and its rupture is presumed to be SLE-related intracranial vasculitis and fragi...

Descripción completa

Detalles Bibliográficos
Autores principales: Lee, Jung Hwan, Lee, Sang Weon, Choi, Chang Hwa, Ko, Jun Kyeung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Yonsei University College of Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214111/
https://www.ncbi.nlm.nih.gov/pubmed/32390369
http://dx.doi.org/10.3349/ymj.2020.61.5.441
_version_ 1783531907410034688
author Lee, Jung Hwan
Lee, Sang Weon
Choi, Chang Hwa
Ko, Jun Kyeung
author_facet Lee, Jung Hwan
Lee, Sang Weon
Choi, Chang Hwa
Ko, Jun Kyeung
author_sort Lee, Jung Hwan
collection PubMed
description Cerebral aneurysms associated with systemic lupus erythematosus (SLE) are more likely to grow rapidly and rupture, compared to those found in the general population. The main underlying pathology of intracranial aneurysm and its rupture is presumed to be SLE-related intracranial vasculitis and fragility of blood vessels due to prolonged use of steroid. For these reasons, both surgical and endovascular options are challenging. On the other hand, given the possibility that SLE may predispose to growth and rupture of intracranial aneurysm, early intervention for cerebral aneurysms associated with SLE may be more necessary and beneficial than other cerebral aneurysms in the general population. Here we would like to report on the unexpected complications that occurred during or after endovascular treatment of an SLE patient with multiple aneurysms. The complications include intraprocedural rupture of unruptured aneurysm, coil stretching, contrast-induced encephalopathy, and delayed ipsilateral intraparenchymal hemorrhage after stent-assisted coiling. Our unique case highlights that the SLE patient with multiple intracranial aneurysms had a higher risk of endovascular procedure-related complications, which might be due to the increased bleeding tendency and fragility of blood vessels.
format Online
Article
Text
id pubmed-7214111
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Yonsei University College of Medicine
record_format MEDLINE/PubMed
spelling pubmed-72141112020-05-18 Does Systemic Lupus Erythematosus Increase the Risk of Procedure-Related Complication in Endovascular Treatment of Intracranial Aneurysm? Lee, Jung Hwan Lee, Sang Weon Choi, Chang Hwa Ko, Jun Kyeung Yonsei Med J Case Report Cerebral aneurysms associated with systemic lupus erythematosus (SLE) are more likely to grow rapidly and rupture, compared to those found in the general population. The main underlying pathology of intracranial aneurysm and its rupture is presumed to be SLE-related intracranial vasculitis and fragility of blood vessels due to prolonged use of steroid. For these reasons, both surgical and endovascular options are challenging. On the other hand, given the possibility that SLE may predispose to growth and rupture of intracranial aneurysm, early intervention for cerebral aneurysms associated with SLE may be more necessary and beneficial than other cerebral aneurysms in the general population. Here we would like to report on the unexpected complications that occurred during or after endovascular treatment of an SLE patient with multiple aneurysms. The complications include intraprocedural rupture of unruptured aneurysm, coil stretching, contrast-induced encephalopathy, and delayed ipsilateral intraparenchymal hemorrhage after stent-assisted coiling. Our unique case highlights that the SLE patient with multiple intracranial aneurysms had a higher risk of endovascular procedure-related complications, which might be due to the increased bleeding tendency and fragility of blood vessels. Yonsei University College of Medicine 2020-05-01 2020-04-24 /pmc/articles/PMC7214111/ /pubmed/32390369 http://dx.doi.org/10.3349/ymj.2020.61.5.441 Text en © Copyright: Yonsei University College of Medicine 2020 https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Jung Hwan
Lee, Sang Weon
Choi, Chang Hwa
Ko, Jun Kyeung
Does Systemic Lupus Erythematosus Increase the Risk of Procedure-Related Complication in Endovascular Treatment of Intracranial Aneurysm?
title Does Systemic Lupus Erythematosus Increase the Risk of Procedure-Related Complication in Endovascular Treatment of Intracranial Aneurysm?
title_full Does Systemic Lupus Erythematosus Increase the Risk of Procedure-Related Complication in Endovascular Treatment of Intracranial Aneurysm?
title_fullStr Does Systemic Lupus Erythematosus Increase the Risk of Procedure-Related Complication in Endovascular Treatment of Intracranial Aneurysm?
title_full_unstemmed Does Systemic Lupus Erythematosus Increase the Risk of Procedure-Related Complication in Endovascular Treatment of Intracranial Aneurysm?
title_short Does Systemic Lupus Erythematosus Increase the Risk of Procedure-Related Complication in Endovascular Treatment of Intracranial Aneurysm?
title_sort does systemic lupus erythematosus increase the risk of procedure-related complication in endovascular treatment of intracranial aneurysm?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214111/
https://www.ncbi.nlm.nih.gov/pubmed/32390369
http://dx.doi.org/10.3349/ymj.2020.61.5.441
work_keys_str_mv AT leejunghwan doessystemiclupuserythematosusincreasetheriskofprocedurerelatedcomplicationinendovasculartreatmentofintracranialaneurysm
AT leesangweon doessystemiclupuserythematosusincreasetheriskofprocedurerelatedcomplicationinendovasculartreatmentofintracranialaneurysm
AT choichanghwa doessystemiclupuserythematosusincreasetheriskofprocedurerelatedcomplicationinendovasculartreatmentofintracranialaneurysm
AT kojunkyeung doessystemiclupuserythematosusincreasetheriskofprocedurerelatedcomplicationinendovasculartreatmentofintracranialaneurysm