Endovascular treatment of dissecting aneurysms of the posterior cerebral artery.
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Publication Date: | 2001 |
Other Authors: | , , |
Format: | Article |
Language: | por |
Source: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Download full: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1816 |
Summary: | In the literature, there are few reports of posterior cerebral artery aneurysms resulting from isolated dissections. In these cases the treatment is still a matter of discussion and includes anticoagulation, surgical intervention, endovascular techniques and conservative management. We present five cases of Posterior Cerebral Artery (PCA) aneurysms, with angiographic criteria of dissection (double lumen, proximal narrowing), all being situated at the P2 segment, three being close to the P1/P2 junction. In one case, a large aneurysm ruptured during the attempted catheterization with subsequent death of the patient. In three patients occlusion of the parent vessel was performed with Guglielmi detachable coils located proximal to the aneurysm, with no new neurological deficits. In the other case there was spontaneous thrombosis of the aneurysm. Occlusion of the parent vessel by endovascular techniques in dissecting PCA aneurysms has a low probability of neurological deficits and seems to be an appropriate approach for these aneurysms. |
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Endovascular treatment of dissecting aneurysms of the posterior cerebral artery.Tratamento endovascular de aneurismas dissecantes da artéria cerebral posterior.In the literature, there are few reports of posterior cerebral artery aneurysms resulting from isolated dissections. In these cases the treatment is still a matter of discussion and includes anticoagulation, surgical intervention, endovascular techniques and conservative management. We present five cases of Posterior Cerebral Artery (PCA) aneurysms, with angiographic criteria of dissection (double lumen, proximal narrowing), all being situated at the P2 segment, three being close to the P1/P2 junction. In one case, a large aneurysm ruptured during the attempted catheterization with subsequent death of the patient. In three patients occlusion of the parent vessel was performed with Guglielmi detachable coils located proximal to the aneurysm, with no new neurological deficits. In the other case there was spontaneous thrombosis of the aneurysm. Occlusion of the parent vessel by endovascular techniques in dissecting PCA aneurysms has a low probability of neurological deficits and seems to be an appropriate approach for these aneurysms.In the literature, there are few reports of posterior cerebral artery aneurysms resulting from isolated dissections. In these cases the treatment is still a matter of discussion and includes anticoagulation, surgical intervention, endovascular techniques and conservative management. We present five cases of Posterior Cerebral Artery (PCA) aneurysms, with angiographic criteria of dissection (double lumen, proximal narrowing), all being situated at the P2 segment, three being close to the P1/P2 junction. In one case, a large aneurysm ruptured during the attempted catheterization with subsequent death of the patient. In three patients occlusion of the parent vessel was performed with Guglielmi detachable coils located proximal to the aneurysm, with no new neurological deficits. In the other case there was spontaneous thrombosis of the aneurysm. Occlusion of the parent vessel by endovascular techniques in dissecting PCA aneurysms has a low probability of neurological deficits and seems to be an appropriate approach for these aneurysms.Ordem dos Médicos2001-02-27info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1816oai:ojs.www.actamedicaportuguesa.com:article/1816Acta Médica Portuguesa; Vol. 14 No. 1 (2001): Janeiro-Fevereiro; 65-70Acta Médica Portuguesa; Vol. 14 N.º 1 (2001): Janeiro-Fevereiro; 65-701646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1816https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1816/1393Xavier, JVasconcelos, CCruz, RStocker, Ainfo:eu-repo/semantics/openAccess2022-12-20T10:59:13Zoai:ojs.www.actamedicaportuguesa.com:article/1816Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:17:25.083166Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Endovascular treatment of dissecting aneurysms of the posterior cerebral artery. Tratamento endovascular de aneurismas dissecantes da artéria cerebral posterior. |
title |
Endovascular treatment of dissecting aneurysms of the posterior cerebral artery. |
spellingShingle |
Endovascular treatment of dissecting aneurysms of the posterior cerebral artery. Xavier, J |
title_short |
Endovascular treatment of dissecting aneurysms of the posterior cerebral artery. |
title_full |
Endovascular treatment of dissecting aneurysms of the posterior cerebral artery. |
title_fullStr |
Endovascular treatment of dissecting aneurysms of the posterior cerebral artery. |
title_full_unstemmed |
Endovascular treatment of dissecting aneurysms of the posterior cerebral artery. |
title_sort |
Endovascular treatment of dissecting aneurysms of the posterior cerebral artery. |
author |
Xavier, J |
author_facet |
Xavier, J Vasconcelos, C Cruz, R Stocker, A |
author_role |
author |
author2 |
Vasconcelos, C Cruz, R Stocker, A |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Xavier, J Vasconcelos, C Cruz, R Stocker, A |
description |
In the literature, there are few reports of posterior cerebral artery aneurysms resulting from isolated dissections. In these cases the treatment is still a matter of discussion and includes anticoagulation, surgical intervention, endovascular techniques and conservative management. We present five cases of Posterior Cerebral Artery (PCA) aneurysms, with angiographic criteria of dissection (double lumen, proximal narrowing), all being situated at the P2 segment, three being close to the P1/P2 junction. In one case, a large aneurysm ruptured during the attempted catheterization with subsequent death of the patient. In three patients occlusion of the parent vessel was performed with Guglielmi detachable coils located proximal to the aneurysm, with no new neurological deficits. In the other case there was spontaneous thrombosis of the aneurysm. Occlusion of the parent vessel by endovascular techniques in dissecting PCA aneurysms has a low probability of neurological deficits and seems to be an appropriate approach for these aneurysms. |
publishDate |
2001 |
dc.date.none.fl_str_mv |
2001-02-27 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1816 oai:ojs.www.actamedicaportuguesa.com:article/1816 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1816 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/1816 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1816 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1816/1393 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 14 No. 1 (2001): Janeiro-Fevereiro; 65-70 Acta Médica Portuguesa; Vol. 14 N.º 1 (2001): Janeiro-Fevereiro; 65-70 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799130627140747264 |