CURRENT ENDOVASCULAR MANAGEMENT OF INFECTED DISTAL BRANCH INTRACRANIAL ANEURYSMS: A CASE REPORT AND INSIGHT INTO THE LITERATURE.
Aneurysmal rupture
Distal cerebral arterial branches
Endovascular coiling
Infected intracranial multiple aneurysms
Outcome
Treatment modalities
Journal
Acta clinica Croatica
ISSN: 1333-9451
Titre abrégé: Acta Clin Croat
Pays: Croatia
ID NLM: 9425483
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
11
09
2020
accepted:
20
11
2020
entrez:
21
7
2021
pubmed:
22
7
2021
medline:
23
7
2021
Statut:
ppublish
Résumé
Infected intracranial aneurysms are a rare type of inflammatory vascular lesions that occur due to infection of intracranial arterial wall. Brain aneurysms of distal arterial branches are equally rare and frequently multiple, including those situated at the peripheral middle cerebral artery segments. Although both types represent a small percentage of all intracranial aneurysms, they may bring about high mortality in case of rupture. The management of such aneurysms includes conservative treatment with broad-spectrum antibiotics, and microsurgical or endovascular treatment, which is gaining more prominence for both asymptomatic and ruptured aneurysms. Herein, we present a case of a 61-year-old male patient with a history of cardiac infective disease and multiple bilateral aneurysms of infected distal branch middle cerebral arteries, discussing the efficacy of available endovascular treatment modalities and reviewing the literature. In conclusion, selective endovascular coiling is a preferable method in the current management of distal branch infected ruptured intracranial aneurysms, which may bring a favorable outcome.
Identifiants
pubmed: 34285448
doi: 10.20471/acc.2020.59.04.24
pii: acc-59-754
pmc: PMC8253077
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
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