Central Retinal Artery Thromboembolism without Ophthalmic Artery Occlusion During Stent-Assisted Coil Embolization of Ophthalmic Artery Aneurysm.
Blindness
Embolic complication
Ophthalmic aneurysm
Retinal infarct
Journal
World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
28
07
2018
revised:
22
09
2018
accepted:
24
09
2018
pubmed:
7
10
2018
medline:
18
1
2019
entrez:
7
10
2018
Statut:
ppublish
Résumé
Recent reports have described that endovascular treatment of coil embolization of opththalmic artery (OphA) aneurysms has a relative risk of visual disruption caused by thromboembolic infarction of the central retinal artery (CRA), especially the OphA when it originates within the body of the aneurysm. Patent microthrombus in the OphA might also cause retinal infarction that affects visual acuity. We describe stent-assisted coil embolization of an OphA aneurysm complicated with a severe visual disturbance, although normal flow was scrupulously maintained in the OphA during the procedure. The visual disturbance was recovered by early treatment. A 40-year-old woman who presented with an intracranial aneurysm arising from the right OphA underwent stent-assisted coil embolization under general anesthesia. Although the area around the origin of the OphA was intentionally avoided and anterograde flow in the OphA was monitored by repeated angiography during this procedure, sight in the right eye was lost immediately thereafter. The immediate application of ocular massage and intraarterial fibrinolysis improved vision in the right eye to essentially normal status after discharge. Despite good anterograde flow in the OphA during aneurysm embolization, the procedural risk of a visual disturbance due to thromboembolic complications of CRA occlusion cannot be avoided. Anterograde flow in the OphA and retinochoroidal blush should be monitored by repeated angiography during coil embolization to prevent vision loss. Should vision be lost, a rapid response including ocular massage and intraarterial fibrinolysis is required for recovery.
Sections du résumé
BACKGROUND
BACKGROUND
Recent reports have described that endovascular treatment of coil embolization of opththalmic artery (OphA) aneurysms has a relative risk of visual disruption caused by thromboembolic infarction of the central retinal artery (CRA), especially the OphA when it originates within the body of the aneurysm. Patent microthrombus in the OphA might also cause retinal infarction that affects visual acuity. We describe stent-assisted coil embolization of an OphA aneurysm complicated with a severe visual disturbance, although normal flow was scrupulously maintained in the OphA during the procedure. The visual disturbance was recovered by early treatment.
CASE DESCRIPTION
METHODS
A 40-year-old woman who presented with an intracranial aneurysm arising from the right OphA underwent stent-assisted coil embolization under general anesthesia. Although the area around the origin of the OphA was intentionally avoided and anterograde flow in the OphA was monitored by repeated angiography during this procedure, sight in the right eye was lost immediately thereafter. The immediate application of ocular massage and intraarterial fibrinolysis improved vision in the right eye to essentially normal status after discharge.
CONCLUSIONS
CONCLUSIONS
Despite good anterograde flow in the OphA during aneurysm embolization, the procedural risk of a visual disturbance due to thromboembolic complications of CRA occlusion cannot be avoided. Anterograde flow in the OphA and retinochoroidal blush should be monitored by repeated angiography during coil embolization to prevent vision loss. Should vision be lost, a rapid response including ocular massage and intraarterial fibrinolysis is required for recovery.
Identifiants
pubmed: 30292035
pii: S1878-8750(18)32239-3
doi: 10.1016/j.wneu.2018.09.184
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
77-82Informations de copyright
Copyright © 2018 Elsevier Inc. All rights reserved.