Endovascular thrombectomy in the setting of occult cerebral artery aneurysm: Reducing the risk of iatrogenic rupture

Cerebral artery aneurysms are present in up to 10% of ischemic stroke patients, often within or adjacent to the occluded vessel. In some cases, the approach to intervention may need to be modified based on the size and location of the aneurysm. We describe a 99-year-old female with a known history o...

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Autores principales: Beutler, Bryce David, Raghuram, Karthik, Tabaac, Burton J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8427202/
https://www.ncbi.nlm.nih.gov/pubmed/34522282
http://dx.doi.org/10.1016/j.radcr.2021.08.029
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author Beutler, Bryce David
Raghuram, Karthik
Tabaac, Burton J.
author_facet Beutler, Bryce David
Raghuram, Karthik
Tabaac, Burton J.
author_sort Beutler, Bryce David
collection PubMed
description Cerebral artery aneurysms are present in up to 10% of ischemic stroke patients, often within or adjacent to the occluded vessel. In some cases, the approach to intervention may need to be modified based on the size and location of the aneurysm. We describe a 99-year-old female with a known history of cerebral aneurysm who underwent successfully mechanical thrombectomy of a right middle cerebral artery thrombus; an 8-mm aneurysm involving the right M1 bifurcation was identified only on post-procedural digital subtraction angiography. In addition, we discuss strategies to reduce the risk of iatrogenic aneurysm rupture in the setting of endovascular thrombectomy.
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spelling pubmed-84272022021-09-13 Endovascular thrombectomy in the setting of occult cerebral artery aneurysm: Reducing the risk of iatrogenic rupture Beutler, Bryce David Raghuram, Karthik Tabaac, Burton J. Radiol Case Rep Case Report Cerebral artery aneurysms are present in up to 10% of ischemic stroke patients, often within or adjacent to the occluded vessel. In some cases, the approach to intervention may need to be modified based on the size and location of the aneurysm. We describe a 99-year-old female with a known history of cerebral aneurysm who underwent successfully mechanical thrombectomy of a right middle cerebral artery thrombus; an 8-mm aneurysm involving the right M1 bifurcation was identified only on post-procedural digital subtraction angiography. In addition, we discuss strategies to reduce the risk of iatrogenic aneurysm rupture in the setting of endovascular thrombectomy. Elsevier 2021-09-05 /pmc/articles/PMC8427202/ /pubmed/34522282 http://dx.doi.org/10.1016/j.radcr.2021.08.029 Text en © 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Beutler, Bryce David
Raghuram, Karthik
Tabaac, Burton J.
Endovascular thrombectomy in the setting of occult cerebral artery aneurysm: Reducing the risk of iatrogenic rupture
title Endovascular thrombectomy in the setting of occult cerebral artery aneurysm: Reducing the risk of iatrogenic rupture
title_full Endovascular thrombectomy in the setting of occult cerebral artery aneurysm: Reducing the risk of iatrogenic rupture
title_fullStr Endovascular thrombectomy in the setting of occult cerebral artery aneurysm: Reducing the risk of iatrogenic rupture
title_full_unstemmed Endovascular thrombectomy in the setting of occult cerebral artery aneurysm: Reducing the risk of iatrogenic rupture
title_short Endovascular thrombectomy in the setting of occult cerebral artery aneurysm: Reducing the risk of iatrogenic rupture
title_sort endovascular thrombectomy in the setting of occult cerebral artery aneurysm: reducing the risk of iatrogenic rupture
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8427202/
https://www.ncbi.nlm.nih.gov/pubmed/34522282
http://dx.doi.org/10.1016/j.radcr.2021.08.029
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AT tabaacburtonj endovascularthrombectomyinthesettingofoccultcerebralarteryaneurysmreducingtheriskofiatrogenicrupture

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