prikaz prve stranice dokumenta Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection
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Scientific paper - Original scientific paper
Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection
Acta clinica Croatica, 59 (2020), 4; 712-720. https://doi.org/10.20471/acc.2020.59.04.18
Rotim, Krešimir; Splavski, Bruno; Kalousek, Vladimir; Jurilj, Mia; Sajko, Tomislav

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Rotim, K., Splavski, B., Kalousek, V., Jurilj, M. & Sajko, T. (2020). Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection. Acta clinica Croatica, 59. (4), 712-720. doi: 10.20471/acc.2020.59.04.18

Rotim, Krešimir, et al. "Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection." Acta clinica Croatica, vol. 59, no. 4, 2020, pp. 712-720. https://doi.org/10.20471/acc.2020.59.04.18

Rotim, Krešimir, Bruno Splavski, Vladimir Kalousek, Mia Jurilj and Tomislav Sajko. "Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection." Acta clinica Croatica 59, no. 4 (2020): 712-720. https://doi.org/10.20471/acc.2020.59.04.18

Rotim, K., et al. (2020) 'Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection', Acta clinica Croatica, 59(4), pp. 712-720. doi: 10.20471/acc.2020.59.04.18

Rotim K, Splavski B, Kalousek V, Jurilj M, Sajko T. Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection. Acta clinica Croatica [Internet]. 2020 [cited 2024 December 08];59(4):712-720. doi: 10.20471/acc.2020.59.04.18

K. Rotim, B. Splavski, V. Kalousek, M. Jurilj and T. Sajko, "Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection", Acta clinica Croatica, vol. 59, no. 4, pp. 712-720, 2020. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:637390. [Accessed: 08 December 2024]

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Metadata
Title (english)Endovascular Management of Intracranial Aneurysms on Distal Arterial Branches: Illustrative Case Series and Literature Retrospection
Title (croatian)Endovaskularno liječenje intrakranijskih aneurizmi distalnih arterijskih ogranaka: ilustrativni prikaz slučajeva i uvid u dosadašnju literaturu
AuthorKrešimir Rotim
AuthorBruno Splavski https://orcid.org/0000-0002-4483-9364
AuthorVladimir Kalousek
AuthorMia Jurilj
AuthorTomislav Sajko
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (english)
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.
Abstract (croatian)
Intrakranijske se aneurizme distalnih arterijskih ogranaka javljaju sporadično i rijetko. One predstavljaju 2%-7% aneurizmi srednje moždane arterije i 0,7%-2,3% aneurizmi stražnje moždane arterije, gdje uglavnom nastaju na odsječku P2 i distalno od njega. Ovakve aneurizme najčešće ostaju asimptomatske i samim time neprepoznate prije nego rupturiraju, što čini njihovo dijagnosticiranje i liječenje iznimno zahtjevnim. Endovaskularno liječenje koje se sastoji od uporabe različitih neurointervencijskih tehnika postaje najučinkovitiji suvremeni rutinski pristup u opskrbi aneurizmi distalnih arterijskih cerebralnih ogranaka. U našem institucijskom prikazu slučajeva endovaskularno selektivno postavljanje zavojnica i/ili okluzija matične krvne žile rezultirali su uspješnim i potpunim isključenjem aneurizme iz moždane cirkulacije, što je osiguralo dobar oporavak bolesnika. U radu predstavljamo ilustrativni prikaz slučajeva bolesnika s intrakranijskim aneurizmama distalnih arterijskih ogranaka, raspravljajući o mogućim uzrocima njihovog nastanka i oblicima endovaskularnog liječenja. Također donosimo uvid u dosadašnju literaturu povezanu s ovom rijetkom bolesti. Zaključujemo kako bi aneurizme distalnih moždanih arterijskih ogranaka trebalo opskrbiti rano i agresivno zbog njihove sklonosti rupturi. Uvjereni smo kako je endovaskularno selektivno postavljanje zavojnica metoda izbora u liječenju, dok je okluzija matične krvne žile (pomoću tekućeg embolizacijskog sredstva) optimalna u slučaju kada nije moguće postaviti zavojnice u aneurizmatsku tvorbu, odnosno kada je distalno kortikalno područje dobro prokrvljeno snažnom kolateralnom moždanom cirkulacijom.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 59, no. 4, pp. 712-720
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2020.59.04.18
URN:NBNurn:nbn:hr:220:637390
Publication2020
Document URLhttps://hrcak.srce.hr/254885
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2024-06-25 08:27:22