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Tytuł pozycji:

Rapid temporary coiling of the parent artery for the management of intraprocedural aneurysm rupture.

Tytuł :
Rapid temporary coiling of the parent artery for the management of intraprocedural aneurysm rupture.
Autorzy :
Waqas M; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.; Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA.
Vakharia K; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.; Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA.
Levy BR; Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA.
Housley SB; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.; Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA.
Dossani RH; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.; Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA.
Gong A; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.
Cappuzzo J; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.; Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA.
Levy EI; Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.; Department of Neurosurgery, Gates Vascular Institute at Kaleida Health, Buffalo, New York, USA.; Department of Radiology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.; Canon Stroke and Vascular Research Center, University at Buffalo, Buffalo, New York, USA.; Jacobs Institute, Buffalo, New York, USA.
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Źródło :
Brain circulation [Brain Circ] 2020 Dec 29; Vol. 6 (4), pp. 274-279. Date of Electronic Publication: 2020 Dec 29 (Print Publication: 2020).
Typ publikacji :
Case Reports
Język :
English
Imprint Name(s) :
Original Publication: [Mumbai] : Wolters Kluwer Health - Medknow, [2015]-
References :
AJNR Am J Neuroradiol. 2012 Nov;33(10):2017-21. (PMID: 22555586)
AJNR Am J Neuroradiol. 1998 Oct;19(9):1653-8. (PMID: 9802487)
Neurosurgery. 2001 Oct;49(4):807-11; discussion 811-3. (PMID: 11564240)
Neurosurgery. 1997 Dec;41(6):1235-45; discussion 1245-6. (PMID: 9402574)
Stroke. 2008 May;39(5):1501-6. (PMID: 18323484)
AJNR Am J Neuroradiol. 2001 Nov-Dec;22(10):1825-32. (PMID: 11733309)
J Neurosurg. 2003 May;98(5):959-66. (PMID: 12744354)
J Neurosurg. 1998 Jul;89(1):87-92. (PMID: 9647177)
Contributed Indexing :
Keywords: *embolization; Aneurysm; cerebral angiography; embolization; intracranial aneurysm therapy; intracranial aneurysm/pathology; intraoperative complications/neurosurgical procedures/*adverse effects; risk factors; ruptured/therapy; subarachnoid hemorrhage therapy; subarachnoid hemorrhage/treatment outcome; therapeutic; therapeutic/*adverse effects/*instrumentation; therapeutic/humans
Entry Date(s) :
Date Created: 20210128 Latest Revision: 20210130
Update Code :
20210210
PubMed Central ID :
PMC7821804
DOI :
10.4103/bc.bc_54_20
PMID :
33506151
Raport
Intraprocedural rupture (IPR) of an intracranial aneurysm is the most feared complication of primary and stent-assisted coiling because it carries a high risk of morbidity and mortality. The endovascular strategy applied to control IPR depends on the cause of the rupture and stage of the procedure. Rupture during primary or stent-assisted coiling is traditionally managed with the use of continued packing, balloon microcatheter placement, or in rare cases, with parent artery sacrifice. In this technical note, we describe the use of temporary coiling of the parent artery to control IPR in three cases. Temporary parent artery coiling creates a subocclusive state, resulting in aneurysmal blood flow reduction without interruption of blood flow to the distal territory. Flow reduction combined with the thrombogenicity of the previously deployed coils results in hemostasis. In the cases presented here, IPR occurred during the late stage of coiling. In each case, parent artery coiling was performed along with heparin reversal. After confirmation of hemostasis, the coils were retrieved to restore normal blood flow. We demonstrate that the technique of temporary parent artery coiling may be a safe and effective option for the management of IPR during primary or stent-assisted coiling.
(Copyright: © 2020 Brain Circulation.)

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