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Transradial Intracranial Aneurysm Coiling in a Seven-Year-Old Patient

Pediatric intracranial aneurysms (PIA) are very rare and can be fatal if left untreated. There are many treatment strategies including microsurgical and endovascular techniques. We feel that endovascular treatment using trans-radial access (TRA) is safe and convenient for PIA compared to the trans-f...

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Autores principales: Gorijala, Vamsi Krishna, Vutla, Gopi Krishna, Chakravarthi, Sudheer, Guntamukkala, Anusha, Sajja, Kalyan Chakravarthy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9162888/
https://www.ncbi.nlm.nih.gov/pubmed/35663642
http://dx.doi.org/10.7759/cureus.24696
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author Gorijala, Vamsi Krishna
Vutla, Gopi Krishna
Chakravarthi, Sudheer
Guntamukkala, Anusha
Sajja, Kalyan Chakravarthy
author_facet Gorijala, Vamsi Krishna
Vutla, Gopi Krishna
Chakravarthi, Sudheer
Guntamukkala, Anusha
Sajja, Kalyan Chakravarthy
author_sort Gorijala, Vamsi Krishna
collection PubMed
description Pediatric intracranial aneurysms (PIA) are very rare and can be fatal if left untreated. There are many treatment strategies including microsurgical and endovascular techniques. We feel that endovascular treatment using trans-radial access (TRA) is safe and convenient for PIA compared to the trans-femoral access (TFA), which is commonly employed in this population. We present the case of the youngest patient in the world whose ruptured aneurysm was treated with endovascular coiling via the TRA. The seven-year-old patient was brought to the ER with a severe headache. He had several episodes of vomiting and an episode of seizure as well. Computerized tomography (CT) of the brain showed subarachnoid hemorrhage. A magnetic resonance angiogram (MRA) showed an aneurysm at the bifurcation of the right internal carotid artery (ICA). An intermediate catheter/microcatheter system was used to navigate up into the ICA and then into the aneurysm. Two coils were deployed with good packing. The patient had a good clinical recovery and is currently doing good without any neurological deficits. With the availability of newer devices, we believe the TRA will be widely used in the coming years. We need to have larger randomized controlled trials to really understand the advantages of TRA in this patient population.
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spelling pubmed-91628882022-06-04 Transradial Intracranial Aneurysm Coiling in a Seven-Year-Old Patient Gorijala, Vamsi Krishna Vutla, Gopi Krishna Chakravarthi, Sudheer Guntamukkala, Anusha Sajja, Kalyan Chakravarthy Cureus Neurology Pediatric intracranial aneurysms (PIA) are very rare and can be fatal if left untreated. There are many treatment strategies including microsurgical and endovascular techniques. We feel that endovascular treatment using trans-radial access (TRA) is safe and convenient for PIA compared to the trans-femoral access (TFA), which is commonly employed in this population. We present the case of the youngest patient in the world whose ruptured aneurysm was treated with endovascular coiling via the TRA. The seven-year-old patient was brought to the ER with a severe headache. He had several episodes of vomiting and an episode of seizure as well. Computerized tomography (CT) of the brain showed subarachnoid hemorrhage. A magnetic resonance angiogram (MRA) showed an aneurysm at the bifurcation of the right internal carotid artery (ICA). An intermediate catheter/microcatheter system was used to navigate up into the ICA and then into the aneurysm. Two coils were deployed with good packing. The patient had a good clinical recovery and is currently doing good without any neurological deficits. With the availability of newer devices, we believe the TRA will be widely used in the coming years. We need to have larger randomized controlled trials to really understand the advantages of TRA in this patient population. Cureus 2022-05-03 /pmc/articles/PMC9162888/ /pubmed/35663642 http://dx.doi.org/10.7759/cureus.24696 Text en Copyright © 2022, Gorijala et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurology
Gorijala, Vamsi Krishna
Vutla, Gopi Krishna
Chakravarthi, Sudheer
Guntamukkala, Anusha
Sajja, Kalyan Chakravarthy
Transradial Intracranial Aneurysm Coiling in a Seven-Year-Old Patient
title Transradial Intracranial Aneurysm Coiling in a Seven-Year-Old Patient
title_full Transradial Intracranial Aneurysm Coiling in a Seven-Year-Old Patient
title_fullStr Transradial Intracranial Aneurysm Coiling in a Seven-Year-Old Patient
title_full_unstemmed Transradial Intracranial Aneurysm Coiling in a Seven-Year-Old Patient
title_short Transradial Intracranial Aneurysm Coiling in a Seven-Year-Old Patient
title_sort transradial intracranial aneurysm coiling in a seven-year-old patient
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9162888/
https://www.ncbi.nlm.nih.gov/pubmed/35663642
http://dx.doi.org/10.7759/cureus.24696
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