Endovascular Treatment of Intracerebral Giant Cell Arteritis

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Tytuł:: Endovascular Treatment of Intracerebral Giant Cell Arteritis
Autorzy:: Claus Z. Simonsen
Lasse Speiser
Ib Tønder Hansen
David Jayne
Paul von Weitzel-Mudersbach
Temat:: giant cell arteritis
stroke
endovascular therapy
immunosuppression
vasculitis
Neurology. Diseases of the nervous system
RC346-429
Źródło:: Frontiers in Neurology, Vol 11 (2020)
Wydawca:: Frontiers Media S.A., 2020.
Rok publikacji:: 2020
Kolekcja:: LCC:Neurology. Diseases of the nervous system
Typ dokumentu:: article
Opis pliku:: electronic resource
Język:: English
ISSN:: 1664-2295
Relacje:: https://www.frontiersin.org/article/10.3389/fneur.2020.00287/full; https://doaj.org/toc/1664-2295
DOI:: 10.3389/fneur.2020.00287
Dostęp URL:: https://doaj.org/article/c53524c0bd364040a0ea5a2f0b02a4c6 Link otwiera się w nowym oknie
Numer akcesji:: edsdoj.53524c0bd364040a0ea5a2f0b02a4c6
: Czasopismo naukowe

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Background: Giant cell arteritis (GCA) is the most common primary systemic vasculitis predominantly affecting large and medium sized vessels. In rare cases, the vasculitis can affect the vessels of the brain.Results: We describe four cases of GCA with involvement of the cerebral vessels causing stroke. These cases were unresponsive to aggressive immunosuppression and we opted to treat with endovascular balloon dilatation of the stenotic areas. The procedure was safe. The four patients were treated in nine sessions and a total of 16 vessels were treated. We observed two dissections with no clinical influence on the patients.Discussion: In patients with stroke due to progressive GCA that is non-responsive to immunosuppression, endovascular therapy is feasible.

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