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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Main Authors: Giancarlo Saal-Zapata, Jesús Flores, Ricardo Vallejos, Dante Valer, Walter Durand, Rodolfo Rodriguez
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2021-03-01
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.
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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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