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Scientific paper - Case study
Current Endovascular Management of Infected Distal Branch Intracranial Aneurysms: a Case Report and Insight into the Literature
Acta clinica Croatica, 59 (2020), 4; 754-760. https://doi.org/10.20471/acc.2020.59.04.24
Kalousek, Vladimir; Sajko, Tomislav; Splavski, Bruno; Rotim, Krešimir; Jurilj, Mia; Čulo, Branimir; Rotim, Ante

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Kalousek, V., Sajko, T., Splavski, B., Rotim, K., Jurilj, M., Čulo, B. & Rotim, A. (2020). Current Endovascular Management of Infected Distal Branch Intracranial Aneurysms: a Case Report and Insight into the Literature. Acta clinica Croatica, 59. (4), 754-760. doi: 10.20471/acc.2020.59.04.24

Kalousek, Vladimir, et al. "Current Endovascular Management of Infected Distal Branch Intracranial Aneurysms: a Case Report and Insight into the Literature." Acta clinica Croatica, vol. 59, no. 4, 2020, pp. 754-760. https://doi.org/10.20471/acc.2020.59.04.24

Kalousek, Vladimir, Tomislav Sajko, Bruno Splavski, Krešimir Rotim, Mia Jurilj, Branimir Čulo and Ante Rotim. "Current Endovascular Management of Infected Distal Branch Intracranial Aneurysms: a Case Report and Insight into the Literature." Acta clinica Croatica 59, no. 4 (2020): 754-760. https://doi.org/10.20471/acc.2020.59.04.24

Kalousek, V., et al. (2020) 'Current Endovascular Management of Infected Distal Branch Intracranial Aneurysms: a Case Report and Insight into the Literature', Acta clinica Croatica, 59(4), pp. 754-760. doi: 10.20471/acc.2020.59.04.24

Kalousek V, Sajko T, Splavski B, Rotim K, Jurilj M, Čulo B, and sur.. Current Endovascular Management of Infected Distal Branch Intracranial Aneurysms: a Case Report and Insight into the Literature. Acta clinica Croatica [Internet]. 2020 [cited 2024 September 13];59(4):754-760. doi: 10.20471/acc.2020.59.04.24

V. Kalousek, et al., "Current Endovascular Management of Infected Distal Branch Intracranial Aneurysms: a Case Report and Insight into the Literature", Acta clinica Croatica, vol. 59, no. 4, pp. 754-760, 2020. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:921159. [Accessed: 13 September 2024]

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Metadata
Title (english)Current Endovascular Management of Infected Distal Branch Intracranial Aneurysms: a Case Report and Insight into the Literature
Title (croatian)Suvremeno endovaskularno liječenje inficirajućih intrakranijskih aneurizma distalnih ogranaka: prikaz slučaja i uvid u literaturu
AuthorVladimir Kalousek
AuthorTomislav Sajko
AuthorBruno Splavski
AuthorKrešimir Rotim
AuthorMia Jurilj
AuthorBranimir Čulo
AuthorAnte Rotim
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (english)
Infected intracranial aneurysms are a rare type of inflammatory vascular lesions that occur due to infection of intracranial arterial wall. Brain aneurysms of distal arterial branches are equally rare and frequently multiple, including those situated at the peripheral middle cerebral artery segments. Although both types represent a small percentage of all intracranial aneurysms, they may bring about high mortality in case of rupture. The management of such aneurysms includes conservative treatment with broad-spectrum antibiotics, and microsurgical or endovascular treatment, which is gaining more prominence for both asymptomatic and ruptured aneurysms. Herein, we present a case of a 61-year-old male patient with a history of cardiac infective disease and multiple bilateral aneurysms of infected distal branch middle cerebral arteries, discussing the efficacy of available endovascular treatment modalities and reviewing the literature. In conclusion, selective endovascular coiling is a preferable method in the current management of distal branch infected ruptured intracranial aneurysms, which may bring a favorable outcome.
Abstract (croatian)
Inficirajuće intrakranijske aneurizme rijedak su tip inflamatorne vaskularne bolesti koji nastaje uslijed upalnih promjena arterijske stijenke moždanih krvnih žila. Aneurizmatske tvorbe distalnih arterijskih ogranaka podjednako su rijetke i učestalo višestruke, uključujući i one nastale na završnim odsječcima srednje moždane arterije. Iako oba tipa predstavljaju mali postotak u učestalosti intrakranijskih aneurizma, one mogu biti uzrokom povećane smrtnosti u slučaju rupture. Liječenje ovakvih aneurizma sastoji se od primjene antibiotika širokog spektra djelovanja, kao i od mikrokirurškog ili raznih oblika endovaskularnog liječenja, koje je sve zastupljenije u slučaju asimptomatskih i rupturiranih aneurizma. U ovom radu dajemo prikaz bolesnika u dobi od 61 godine s opsežnim komorbiditetom uključujući i upalnu bolest srca, koji je liječen zbog višestrukih obostranih inficirajućih aneurizma distalnih ogranaka srednje moždane arterije. Također raspravljamo o učinkovitosti postojećih endovaskularnih metoda liječenja te donosimo uvid u relevantnu literaturu. Zaključujemo kako je selektivna endovaskularna embolizacija zavojnicama preporučljiva metoda suvremenog liječenja rupturiranih inficirajućih aneurizma distalnih intrakranijskih arterijskih ogranaka, koja može rezultirati povoljnim ishodom.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 59, no. 4, pp. 754-760
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2020.59.04.24
URN:NBNurn:nbn:hr:220:921159
Publication2020
Document URLhttps://hrcak.srce.hr/255232
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2024-09-06 10:00:42