Interval growth in an ICA bifurcation aneurysm treated with balloon occlusion, and possible contribution of vasa vasorum hypertrophy
| Autor: | Marius Poitelea, Muhammad Usman, Giles Critchley, Panayiotis Koumellis |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Muscle hypertrophy 03 medical and health sciences 0302 clinical medicine Aneurysm Internal medicine medicine.artery Rare case medicine cardiovascular diseases business.industry General Medicine medicine.disease Aneurysm recurrence Catheter medicine.anatomical_structure Balloon occlusion 030220 oncology & carcinogenesis Vasa vasorum cardiovascular system Cardiology Surgery Neurology (clinical) Internal carotid artery business 030217 neurology & neurosurgery |
| Zdroj: | British journal of neurosurgery. |
| ISSN: | 1360-046X |
| Popis: | We present a rare case of an ICA aneurysm recurrence despite treatment with ICA balloon occlusion. There was evidence of ICA recanalization bypassing the balloons on a catheter angiogram follow-up 1 year post-procedure. Although initially stable in size, at 5 years after the original procedure, the aneurysm demonstrated evidence of enlargement and on angiography there was further enlargement of the recanalized ICA around the occluding balloons. We postulate that this has been caused by increasing antegrade flow through hypertrophied vasa vasorum in response to persistently increased demand for blood flow by the ipsilateral hemisphere; this indirectly may have also contributed to some extent to the aneurysm enlargement. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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