Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection
Intracranial aneurysms located on distal arterial branches are sporadic and scarce. They account for 2%-7% of the middle cerebral artery and 0.7%-2.3% of the posterior cerebral artery aneurysms, where they mainly arise distally from the P2-related sites. Such aneurysms usually remain asymptomatic...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2020-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/370375 |
| _version_ | 1797206987859034112 |
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| author | Krešimir Rotim Bruno Splavski Vladimir Kalousek Mia Jurilj Tomislav Sajko |
| author_facet | Krešimir Rotim Bruno Splavski Vladimir Kalousek Mia Jurilj Tomislav Sajko |
| author_sort | Krešimir Rotim |
| collection | DOAJ |
| description | Intracranial aneurysms located on distal arterial branches are sporadic and scarce.
They account for 2%-7% of the middle cerebral artery and 0.7%-2.3% of the posterior cerebral artery
aneurysms, where they mainly arise distally from the P2-related sites. Such aneurysms usually remain
asymptomatic prior to rupture, making their diagnosis and management really demanding. Endovascular
treatment comprising of different neurointerventional techniques is becoming the most operational
up-to-date routine to approach distal cerebral branch aneurysms. In this single-institution case
series, endovascular selective coiling and/or parent vessel occlusion resulted in successful and total
aneurysmal exclusion from cerebral circulation, which brought good recovery. Hereby, we present an
illustrative case series of distal arterial branch intracranial aneurysms, discussing their possible etiology
and various endovascular management modalities. We also provide a literature retrospection concerned
with this rare entity. In conclusion, due to their predisposition for rupture, distal branch intracranial
aneurysms should be treated early and aggressively. We do believe that endovascular selective
coil occlusion is the management method of choice, while parent vessel occlusion (with liquid embolics)
is optimal when aneurysmal coiling cannot be achieved, or when distal cortical territory is well
vascularized by strong collateral cerebral circulation. |
| first_indexed | 2024-04-24T09:15:45Z |
| format | Article |
| id | doaj.art-2ee5cd0e2c8445b4b7a9fcca8ce871c9 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:15:45Z |
| publishDate | 2020-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-2ee5cd0e2c8445b4b7a9fcca8ce871c92024-04-15T16:51:28ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512020-01-0159.4.71271910.20471/acc.2020.59.04.18Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature RetrospectionKrešimir Rotim0Bruno Splavski1Vladimir Kalousek2Mia Jurilj3Tomislav Sajko4Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, CroatiaDepartment of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health, Osijek, CroatiaDepartment of Radiology, Sestre milosrdnice University Hospital Centre, Zagreb, CroatiaDepartment of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, CroatiaDepartment of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, CroatiaIntracranial aneurysms located on distal arterial branches are sporadic and scarce. They account for 2%-7% of the middle cerebral artery and 0.7%-2.3% of the posterior cerebral artery aneurysms, where they mainly arise distally from the P2-related sites. Such aneurysms usually remain asymptomatic prior to rupture, making their diagnosis and management really demanding. Endovascular treatment comprising of different neurointerventional techniques is becoming the most operational up-to-date routine to approach distal cerebral branch aneurysms. In this single-institution case series, endovascular selective coiling and/or parent vessel occlusion resulted in successful and total aneurysmal exclusion from cerebral circulation, which brought good recovery. Hereby, we present an illustrative case series of distal arterial branch intracranial aneurysms, discussing their possible etiology and various endovascular management modalities. We also provide a literature retrospection concerned with this rare entity. In conclusion, due to their predisposition for rupture, distal branch intracranial aneurysms should be treated early and aggressively. We do believe that endovascular selective coil occlusion is the management method of choice, while parent vessel occlusion (with liquid embolics) is optimal when aneurysmal coiling cannot be achieved, or when distal cortical territory is well vascularized by strong collateral cerebral circulation.https://hrcak.srce.hr/file/370375Cerebral arterial branches, distalAneurysm, intracranialEndovascular treatment |
| spellingShingle | Krešimir Rotim Bruno Splavski Vladimir Kalousek Mia Jurilj Tomislav Sajko Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection Acta Clinica Croatica Cerebral arterial branches, distal Aneurysm, intracranial Endovascular treatment |
| title | Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection |
| title_full | Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection |
| title_fullStr | Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection |
| title_full_unstemmed | Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection |
| title_short | Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection |
| title_sort | endovascular management of intracranial aneurysms on distal arterial branches illustrative case series and literature retrospection |
| topic | Cerebral arterial branches, distal Aneurysm, intracranial Endovascular treatment |
| url | https://hrcak.srce.hr/file/370375 |
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