[Therapeutic and endovascular management of cerebral mycotic aneurysms].
Traitement interventionnel des anévrismes mycotiques cérébraux.
Accidents vasculaires cérébraux
Aneurysms: Mycotic
Anévrismes
Complication
Embolisation
Endocardite
Endocarditis
Hemorrhage
Hémorragie
Infection
Stroke
mycotique
Journal
Annales de cardiologie et d'angeiologie
ISSN: 1768-3181
Titre abrégé: Ann Cardiol Angeiol (Paris)
Pays: France
ID NLM: 0142167
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
29
09
2020
accepted:
04
10
2020
pubmed:
3
11
2020
medline:
30
10
2021
entrez:
2
11
2020
Statut:
ppublish
Résumé
Infective endocardites are associated with both ischemic and hemorrhagic neurological complications and also with cerebral abscesses and the development of "mycotic" aneurysms, which are detected in about 5 % of patients in the acute and sub-acute phase of the infection. Data about their natural history and their hemorrhagic risk are scarce and fragmented. The therapeutic management is represented by the medical treatment of the infection with interventional abstention, the surgical treatment and the endovascular approach by selective embolization of the aneurysm. No evidence is provided concerning the superiority of a specific approach. Mycotic aneurysms remain a diagnostic and therapeutic challenge and their management is necessarily based on a multidiscplinary approach.
Identifiants
pubmed: 33131724
pii: S0003-3928(20)30154-2
doi: 10.1016/j.ancard.2020.10.002
pii:
doi:
Types de publication
Journal Article
Review
Langues
fre
Sous-ensembles de citation
IM
Pagination
411-414Informations de copyright
Copyright © 2020 Elsevier Masson SAS. All rights reserved.