Endovascular Treatment of a Ruptured Distal Anterior Cerebral Artery Aneurysm Using Coils and N-Butyl-Cyanoacrylate in a 5-Month-Old Baby
Intracranial aneurysms in pediatric population are rare and differ in several features with their adult counterpart. Clipping and endovascular therapy have both demonstrated favorable clinical outcomes with reconstructive and deconstructive techniques. We present the case of a 5-month-old infant who...
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Format: | Article |
Language: | English |
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Thieme Medical Publishers, Inc.
2021-03-01
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Series: | Journal of Clinical Interventional Radiology ISVIR |
Subjects: | |
Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1715027 |
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author | Giancarlo Saal-Zapata Jesús Flores Ricardo Vallejos Dante Valer Walter Durand Rodolfo Rodriguez |
author_facet | Giancarlo Saal-Zapata Jesús Flores Ricardo Vallejos Dante Valer Walter Durand Rodolfo Rodriguez |
author_sort | Giancarlo Saal-Zapata |
collection | DOAJ |
description | Intracranial aneurysms in pediatric population are rare and differ in several features with their adult counterpart. Clipping and endovascular therapy have both demonstrated favorable clinical outcomes with reconstructive and deconstructive techniques. We present the case of a 5-month-old infant who was admitted to the emergency with interhemispheric and sylvian subarachnoid hemorrhage. CT angiography and three-dimensional digital subtraction angiography revealed a ruptured left pericallosal aneurysm with morphological features of a dissecting aneurysm. Coiling and N-butyl-cyanoacrylate administration were employed to occlude the aneurysm without complications. Endovascular therapy is an effective and safe option in cases of ruptured intracranial aneurysms in pediatric patients with favorable clinical and radiological outcomes. |
first_indexed | 2024-12-14T14:42:05Z |
format | Article |
id | doaj.art-d11fbaba071648dab50afbd73801131d |
institution | Directory Open Access Journal |
issn | 2456-4869 |
language | English |
last_indexed | 2024-12-14T14:42:05Z |
publishDate | 2021-03-01 |
publisher | Thieme Medical Publishers, Inc. |
record_format | Article |
series | Journal of Clinical Interventional Radiology ISVIR |
spelling | doaj.art-d11fbaba071648dab50afbd73801131d2022-12-21T22:57:24ZengThieme Medical Publishers, Inc.Journal of Clinical Interventional Radiology ISVIR2456-48692021-03-01501555810.1055/s-0040-1715027Endovascular Treatment of a Ruptured Distal Anterior Cerebral Artery Aneurysm Using Coils and N-Butyl-Cyanoacrylate in a 5-Month-Old BabyGiancarlo Saal-Zapata0Jesús Flores1Ricardo Vallejos2Dante Valer3Walter Durand4Rodolfo Rodriguez5Department of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen-EsSalud, La Victoria, Lima, PeruDepartment of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen-EsSalud, La Victoria, Lima, PeruDepartment of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen-EsSalud, La Victoria, Lima, PeruDepartment of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen-EsSalud, La Victoria, Lima, PeruDepartment of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen-EsSalud, La Victoria, Lima, PeruDepartment of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen-EsSalud, La Victoria, Lima, PeruIntracranial aneurysms in pediatric population are rare and differ in several features with their adult counterpart. Clipping and endovascular therapy have both demonstrated favorable clinical outcomes with reconstructive and deconstructive techniques. We present the case of a 5-month-old infant who was admitted to the emergency with interhemispheric and sylvian subarachnoid hemorrhage. CT angiography and three-dimensional digital subtraction angiography revealed a ruptured left pericallosal aneurysm with morphological features of a dissecting aneurysm. Coiling and N-butyl-cyanoacrylate administration were employed to occlude the aneurysm without complications. Endovascular therapy is an effective and safe option in cases of ruptured intracranial aneurysms in pediatric patients with favorable clinical and radiological outcomes.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1715027aneurysmpediatric aneurysmgluecoils n-butyl-cyanoacrylate |
spellingShingle | Giancarlo Saal-Zapata Jesús Flores Ricardo Vallejos Dante Valer Walter Durand Rodolfo Rodriguez Endovascular Treatment of a Ruptured Distal Anterior Cerebral Artery Aneurysm Using Coils and N-Butyl-Cyanoacrylate in a 5-Month-Old Baby Journal of Clinical Interventional Radiology ISVIR aneurysm pediatric aneurysm glue coils n-butyl-cyanoacrylate |
title | Endovascular Treatment of a Ruptured Distal Anterior Cerebral Artery Aneurysm Using Coils and N-Butyl-Cyanoacrylate in a 5-Month-Old Baby |
title_full | Endovascular Treatment of a Ruptured Distal Anterior Cerebral Artery Aneurysm Using Coils and N-Butyl-Cyanoacrylate in a 5-Month-Old Baby |
title_fullStr | Endovascular Treatment of a Ruptured Distal Anterior Cerebral Artery Aneurysm Using Coils and N-Butyl-Cyanoacrylate in a 5-Month-Old Baby |
title_full_unstemmed | Endovascular Treatment of a Ruptured Distal Anterior Cerebral Artery Aneurysm Using Coils and N-Butyl-Cyanoacrylate in a 5-Month-Old Baby |
title_short | Endovascular Treatment of a Ruptured Distal Anterior Cerebral Artery Aneurysm Using Coils and N-Butyl-Cyanoacrylate in a 5-Month-Old Baby |
title_sort | endovascular treatment of a ruptured distal anterior cerebral artery aneurysm using coils and n butyl cyanoacrylate in a 5 month old baby |
topic | aneurysm pediatric aneurysm glue coils n-butyl-cyanoacrylate |
url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1715027 |
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