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Park Jaechan - - 2011
On occasion, the wall of the aneurysm base can be the rupture site of the lesion, which poses a unique challenge for treatment. Although there has already been a report of the angiographic depiction of a basal rupture of a saccular aneurysm by a small outpouching at the aneurysm neck, ...
Rosdy N M M N M - - 2010
The authors present five cases of calibre-persistent labial artery (CPLA) all of which were diagnosed clinically as a labial mucocoele. The purpose of this article is to bring this rarely reported lesion to the attention of clinicians.
Haga Sei - - 2010
The authors describe an intraoperative technique in which a triangular rubber dam is inserted between the aneurysm and the perforating arteries. In this way, we can avoid obstruction of perforating arteries on application of a clip. This technique is especially useful for deep-seated aneurysms, such as basilar bifurcation aneurysms.
Razavian Mahmoud - - 2010
Rupture and dissection are major causes of morbidity and mortality in arterial aneurysm and occur more frequently in rapidly expanding aneurysms. Current imaging modalities provide little information on aneurysm beyond size. Matrix metalloproteinase (MMP) activation plays a key role in the pathogenesis of aneurysm. We investigated whether imaging MMP activation ...
Reynolds Matthew R - - 2011
Aneurysmal subarachnoid hemorrhage (SAH) is a significant cause of death in young and middle-aged individuals and causes tremendous morbidity in affected patients. Despite the identification of various risk factors, the series of events leading to the formation, growth, and rupture of intracranial aneurysms is poorly understood. Cerebral aneurysm rupture has ...
Humphries Misty Dawn - - 2010
Iliac vein aneurysms are an exceedingly uncommon problem faced by vascular specialists. We report a case of a healthy 32 year old woman who had large asymptomatic bilateral external iliac vein aneurysms found incidentally on CT scan. They may present with thromboembolism, spontaneous rupture, or they may be asymptomatic. In ...
Wolfe Stacey Quintero - - 2010
Endovascular obliteration of wide-necked aneurysms may be precluded by the inability to navigate across the aneurysm neck. The authors present a technique in which a Hyperform balloon is inflated within the aneurysm and used as a contact surface to "bounce" the remodeling balloon across the aneurysm neck. They have successfully ...
Mathieson Calan S - - 2010
A 51-year-old gentleman with no significant past medical history presented with a WFNS grade 1 subarachnoid haemorrhage. Initial angiographic investigations revealed no cause, but repeat tests showed a small basilar perforator aneurysm. Following a failed attempt at endovascular treatment, a craniotomy and excision of the aneurysm was performed. Post-operatively the ...
Krammer Matthias J - - 2010
Currently, there is an ongoing debate regarding the best treatment option for ruptured aneurysms. The International Subarachnoid Aneurysm Trial study suggests that an endovascular procedure is the best treatment. In some complex cases, or in patients with an additional large intracerebral hemorrhage, aneurysms require further microsurgical clipping. We introduce a ...
Hänggi Daniel - - 2010
Seizures as the unique initial manifestation of unruptured intracranial aneurysms have rarely been documented and not systematically described until now. The purpose of this large retrospective analysis was to focus on the incidence of primary epileptogenic aneurysms and the influence of treatment on epilepsy. Within a 16-year period, 347 unruptured ...
Geibprasert S - - 2010
Isolated posterior spinal artery aneurysms are rare vascular lesions. We describe the case of a 43-year-old man presenting with spinal subarachnoid hemorrhage after a minor trauma who was found to have a dissecting aneurysm of a posterior spinal artery originating from the right T4 level. Endovascular treatment was not contemplated ...
Park Paul J - - 2010
The Sundt clip graft is a vessel-encircling clip that can be used to repair a significant dehiscence or tear in an intracerebral vessel wall during urgent situations. This article analyzes the use of the Sundt clip in a variety of acute intraoperative situations. Under institutional review board (IRB) approval, a ...
Hauck Erik Friedrich - - 2010
OBJECT: Because the risks are reduced, larger basilar apex aneurysms are usually treated endovascularly instead of with surgery. However, small basilar apex aneurysms are more common and an unfavorable shape may prevent definitive endovascular treatment. The goal of this study was to reevaluate the outcome of traditional surgery for small ...
Kashimura Hiroshi - - 2010
BACKGROUND: When the fundus of an aneurysm is superiorly or posteriorly directed or the anterior communicating artery (ACoA) is located far from the sphenoidal plane, wide dissection of the interhemispheric fissure is needed to expose the ACoA aneurysm. METHODS: When the thickened arachnoid membrane covering the dorsal surface of the ...
Baharoglu Merih I - - 2010
BACKGROUND AND PURPOSE: The ability to discriminate between ruptured and unruptured cerebral aneurysms on a morphological basis may be useful in clinical risk stratification. The objective was to evaluate the importance of inflow-angle (IA), the angle separating parent vessel and aneurysm dome main axes. METHODS: IA, maximal dimension, height-width ratio, ...
Masuoka Jun - - 2010
Systemic sclerosis (SSc) associated with cerebral aneurysm is rare. We describe a patient with multiple cerebral aneurysms with the calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, telangiectasia (CREST) variant of SSc. A 61-year-old woman with a 20-year history of CREST syndrome was incidentally found to have four cerebral aneurysms located at ...
Lee C-C - - 2010
Background: Aneurysms located at non-branching sites, protruding from the dorsal wall of the supraclinoid internal carotid artery (ICA) with rapid configurational changes, were retrospectively reviewed in effort to identify and characterize these high-risk aneurysms. Methods: A total of 447 patients with 491 intracranial aneurysms were treated from March 2005 to ...
Sweeting Michael J MJ MRC Biostatistics Unit, Institute of Public Health, Cambridge, United - - 2010
To evaluate whether either angiotensin converting enzyme (ACE) inhibitors or other classes of antihypertensive drug attenuate or increase growth rates of small infrarenal abdominal aortic aneurysms. Prospective cohort study of 1701 patients enrolled in the UK Small Aneurysm Trial or associated study at 93 hospitals between 1991 and 1995 and ...
Nourbakhsh Ali - - 2010
We retrospectively analyzed long-term follow-up data for 15 patients after treatment for posterior inferior cerebellar artery (PICA) aneurysm, particularly in relation to disability as assessed using the Modified Rankin Scale (MRS) score. Patients had a mean follow-up of 38 months. At follow-up, 53% of patients, those with an MRS score ...
Peron Stefano - - 2010
Intracranial arterial aneurysms in the pediatric population are rare. Among these, dissecting aneurysms are the most frequent, followed by saccular, infectious, and posttraumatic. It is widely known that aneurysmal rupture is uncommon in the first two decades of life. Spontaneous dissecting aneurysms (SDAs) of the middle cerebral artery (MCA) affecting ...
Robaldo Alessandro - - 2010
We report an unusual case of a true atherosclerotic dorsalis pedis aneurysm in a relatively young (53-year-old), ex-semi-professional soccer player patient. This lesion is a rare entity and due to its location may require surgical intervention and removal. The presentation, the diagnostic evaluation, and the surgical treatment of the aneurysm ...
Choke Edward E St. George's Vascular Institute, London, United - - 2010
Abdominal aortic aneurysm (AAA) development is associated with increased angiogenesis and overexpression of vascular endothelial growth factor (VEGF). Inhibition of angiogenesis results in attenuation of experimental aneurysms. This study investigated the effects of recombinant human (rh)VEGF on experimental aneurysms. Apolipoprotein E-deficient (apoE(-/-)) mice were assigned to one of four groups: ...
Altintas Garip - - 2010
A venous aneurysm is defined as a dilatation of a localized segment of vein occurring in most major veins, affecting the lower extremities the most and the upper extremities the least, occurring equally between sexes at any age. A 62-year-old man was referred to our polyclinic's cardiovascular surgery department. He ...
Gemayel Gino - - 2010
BACKGROUND: Isolated bilateral profunda femoris artery aneurysm (PFAA) is a very rare entity. Most of the cases are unilateral and occur with synchronous aneurysms elsewhere. Symptoms range from none to limb ischemia or hemorrhage because of rupture. METHODS: We present a rare case of PFAA. In contrast to the general ...
Lehecka Martin - - 2010
OBJECTIVE: Anterior choroid artery aneurysms (AChAAs) constitute 2%-5% of all intracranial aneurysms. They are usually small, thin walled with one or several arteries originating at their base, and often associated with multiple aneurysms. In this article, we review the practical microsurgical anatomy, the preoperative imaging, surgical planning, and the microneurosurgical ...
Mousa Albeir - - 2010
A persistent sciatic artery (PSA) is a rare congenital anomaly, usually associated with hypoplasia of the iliofemoral system. In most cases, the sciatic artery is the main dominant inflow vessel to the lower extremity. Persistent sciatic artery is strongly associated with aneurysmal disease, with a high potential for thromboembolic events. ...
Collins Michael J - - 2010
Aortic aneurysms remain a common medical condition in the twenty-first century. Although surgical repair remains the standard of care for patients with enlarging and advanced aneurysmal disease, new insights into the pathogenesis of aortic aneurysm have resulted in an interest in targeting these pathways and reducing the rate of aneurysm ...
Verikokos Christos - - 2010
Persistent sciatic artery (PSA), a persistent embryologic continuation of the internal iliac artery, represents a rare yet clinically important vascular anomaly. PSA is prone to aneurysmal change, which can subsequently lead to distal embolization, sciatic neuropathy, or rupture. The conventional surgical treatment of PSA aneurysms is commonly complex and carries ...
Kimura Toshikazu - - 2010
OBJECTIVE: Fusiform aneurysm of the anterior cerebral artery is rare and difficult to treat because of perforators. We encountered a patient with subarachnoid hemorrhage due to rupture of a fusiform aneurysm of the anterior communicating artery complex, and treated this patient with cerebral revascularization. CASE PRESENTATION: A 39-year-old man presented ...
de Figueiredo Borges Luciano - - 2010
In Menkes disease, arterial tortuosity is frequent, whereas true aneurysms are rare. Here, we report aneurysmal pathology occurring in an infant with Menkes disease. An iliac aneurysm was diagnosed in a 2-month-old boy and attributed to Menkes syndrome on the basis of plasma copper deficiency. Samples of the aneurysmal wall ...
Takahashi Yosuke - - 2010
We report a case of a giant mediastinal bronchial artery aneurysm disguised as an aneurysm with multiple feeding arteries. A 74-year-old man with a history of bronchiectasis was admitted to our hospital for treatment of a bronchial artery aneurysm. Because the segment of feeding vessels between the thoracic aorta and ...
Star Ava - - 2010
OBJECTIVE: We present a comprehensive review of intracranial aneurysms in Klippel-Trenaunay and Klippel-Trenaunay-Weber syndromes (KTS/KTWS), and examine factors influencing the risks of surgery vs conservative management. CLINICAL PRESENTATION: A 58-year-old physician with KTS affecting the right extremities presented with left hemispheric cerebellar stroke and was discovered to harbor four intracranial ...
Son Seong - - 2010
Trochlear nerve palsy associated with spontaneous subarachnoid hemorrhage (SAH) is known to be a rare malady. We report here on a patient who suffered with left trochlear nerve palsy following rupture of a right posterior communicating artery aneurysm. A 56-year-woman visited our emergency department with stuporous mental change. Her Hunt-and-Hess ...
Reslan Ossama M - - 2010
Aneurysms of the extracranial carotid arteries are rare and account for 0.4-1% of all arterial aneurysms and about 4% of all peripheral arterial aneurysms. Causes include atherosclerosis, fibromuscular dysplasia, trauma (penetrating and blunt cervical trauma and hyperextension of the neck), iatrogenic lesions, infection, congenital defects, and irradiation arteritis. Atherosclerosis is ...
Kanematsu Masayuki - - 2010
Two cases of ruptured aneurysms in the posterior cervical regions associated with type-1 neurofibromatosis treated by transcatheter embolization are reported. Patients presented with acute onset of swelling and pain in the affected areas. Emergently performed contrast-enhanced CT demonstrated aneurysms and large hematomas widespread in the posterior cervical regions. Angiography revealed ...
Bosman W M P F - - 2010
OBJECTIVE: This study aimed to test a percutaneous technique for aneurysm-sac filling by means of in situ polymerisation in an in vivo model. DESIGN: Aortic Customize is a new endovascular treatment concept for aortic aneurysms: a non-cross-linked liquid elastomer is injected to fill the aneurysm sac around a balloon-catheter. With ...
Vasconcelos Leonor - - 2010
Celiac artery aneurysms are extremely rare vascular lesions that are frequently asymptomatic. When present, clinical manifestations are often vague and unspecific. The most serious complication of celiac artery aneurysms is rupture with a mortality rate up to 100%. Elective surgical repair, with a mortality rate of 5%, is recommended except ...
Tarulli Emidio - - 2010
There is a high incidence of intracranial aneurysms of the AcomA suggesting the possibility of an anatomic risk factor. There also exists an association of termination-type aneurysms with anatomic variations of 1 anterior cerebral artery trunk (A1) as the exclusive or dominant supply to both pericallosal arteries (A2). This yields ...
Adachi Shinya - - 2010
Kawasaki disease is an acute vasculitis syndrome of unknown etiology that mainly affects small and medium-size arteries, particularly the coronary artery. Coronary artery lesions may develop into aneurismal formation and thrombotic occlusion, and progress to ischemic heart disease. The aim of the present study was to investigate the effect of ...
Dave Bhavika - - 2010
OBJECTIVES: To report our experience with percutaneous TAE of true IPDA aneurysms. BACKGROUND: Most IPDA aneurysms are ruptured at presentation causing a high mortality risk. Minimally invasive treatment approaches may improve overall outcomes in such patients. METHODS: Between 1996 and 2007, seven patients (5 Males; mean age 55 y) with ...
Amichetti Maurizio - - 2010
Chondrosarcoma (CSA) of the skull base (SB) is an uncommon, slowly growing, neoplasm comprising approximately 0.1% of all intracranial tumors and 6% of SB lesions. Even though its growth is slow, CSA is a potentially lethal tumor. The therapeutic approach to CSA of the SB is still controversial and clinical ...
Furtado Sunil V - - 2010
INTRODUCTION: Choroidal segment aneurysms occur in close relation to terminal internal carotid branches and concomitant anatomical variations in the anterior choroidal artery. The authors evaluate the demographics, presentation, operative techniques, and surgical outcome in 13 patients with this aneurysm. METHODS: After identifying the study group from a retrospective review of ...
Zanini Marco Antonio - - 2010
Taking into account the number of craniotomies performed every day around the world, iatrogenic aneurysm post-craniotomy is extremely rare with only anecdotal cases reported in literature. We report an iatrogenic aneurysm affecting a cortical vessel which probably developed during dural closure of a conventional craniotomy. The aneurysm was discovered 6 ...
Kim Hyung-Seok - - 2010
A 51-year-old man presented with a pulsatile scalp mass over the right occipital region, which had increased in size over the previous 1 month. He had no previous history of head trauma. Three-dimensional computed tomography (3D-CT) angiography of the brain revealed a 3.0 x 1.5 cm occipital artery aneurysm arising ...
Smith R J Paul - - 2010
Popliteal artery aneurysms are the most common of the peripheral aneurysms. Rupture is a rare complication of these aneurysms. Here we present a case of a ruptured popliteal aneurysm in a patient with severe joint disease and immobility due to rheumatoid arthritis. The condition was treated endovascularly with an Amplatzer ...
Turowski Bernd - - 2011
A 69-year-old woman presenting with short lasting recent episodes of visual impairment was treated uneventfully with a flow diverter covering the neck of a large paraophthalmic aneurysm. As angiography showed immediate flow reduction we abstained from additional coiling which was initially planned. Eleven days later CT demonstrated nearly complete thrombosis ...
Helderman F - - 2010
OBJECTIVE: Local anatomy and the patient's risk profile independently affect the expansion rate of an abdominal aortic aneurysm. We describe a hybrid method that combines finite element modelling and statistical methods to predict patient-specific aneurysm expansion. METHODS: The 3-D geometry of the aneurysm was imaged with computed tomography. We used ...
Firouzian Azadeh - - 2011
Intracranial aneurysm volume and shape are important factors for predicting rupture risk, for pre-surgical planning and for follow-up studies. To obtain these parameters, manual segmentation can be employed; however, this is a tedious procedure, which is prone to inter- and intra-observer variability. Therefore there is a need for an automated ...
Goertz O - - 2010
We present a 52-year-old male patient suffering from Marfan syndrome who developed an aneurysm of the distal radial artery. The histology showed the typical marfanoid structure of a thrombosed aneurysm. As far as we know, this is the first description of a hand aneurysm in a patient with Marfan syndrome.
Hyun Seung-Jae - - 2010
We investigated surgical results based on craniotomy sidedness in patients with superiorly projecting anterior communicating artery (ACoA) aneurysms to evaluate decision-making on the surgical approach based on the anatomical planes of both A2 vessels. Among 99 patients treated surgically, 19 (19.2%) ACoA aneurysms projected superiorly. We analyzed the associations between ...
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