Document Detail


Endovascular therapy of traumatic injuries of the intracranial cerebral arteries.
MedLine Citation:
PMID:  10569123     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Traumatic intracranial arterial injuries represent uncommon complications of both closed-head injury and penetrating head trauma. These injuries include arterial dissections, pseudoaneurysms, and fistulas, both direct and indirect. Although these lesions may be identified while still asymptomatic, they usually present in a delayed fashion with intracranial hemorrhage, focal cerebral ischemia, or, occasionally, severe epistaxis. Endovascular therapy has assumed a major role in the management of this diverse group of lesions. Embolization of pseudoaneurysms with balloons or detachable coils, the use of embolic particles for small arterial injuries, and large vessel occlusion with detachable balloons represent current treatment strategies that have evolved over the past three decades. Angioplasty and stent deployment may have a future role to play in the management of arterial dissection. Principles of neurologic critical care that minimize secondary brain injury are essential adjuncts in the management of these patients before, during, and after endovascular treatment.
Authors:
J C Hemphill; D R Gress; V V Halbach
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Critical care clinics     Volume:  15     ISSN:  0749-0704     ISO Abbreviation:  Crit Care Clin     Publication Date:  1999 Oct 
Date Detail:
Created Date:  1999-12-28     Completed Date:  1999-12-28     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8507720     Medline TA:  Crit Care Clin     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  811-29     Citation Subset:  IM    
Affiliation:
Department of Neurology, University of California, San Francisco, USA.
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MeSH Terms
Descriptor/Qualifier:
Arteriovenous Fistula / diagnosis,  etiology,  therapy*
Carotid Artery Injuries / diagnosis,  etiology,  therapy
Cerebral Arteries / injuries*
Craniocerebral Trauma / complications*
Critical Care / methods
Embolization, Therapeutic / methods*
Humans
Intracranial Aneurysm / diagnosis,  etiology,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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