| Perianeurysm edema with second-generation bioactive coils. | |
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MedLine Citation:
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PMID: 17976696 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Perianeurysm edema is an uncommon complication of intracranial aneurysms, occurring mostly in giant aneurysms that suddenly thrombose. CASE DESCRIPTION: We present the first report of an unruptured, nongiant, saccular aneurysm that developed marked perianeurysm edema after embolization with Matrix2 coils. In this case, follow-up catheter angiography showed a new coil tail protruding beyond the dome of the aneurysm in the region of the most intense edema. CONCLUSIONS: We postulate that perianeurysm edema may occur after breakdown of the aneurysm wall accompanied by an inflammatory response to exposed bioactive coils. Clinicians should be aware of this potential complication and consider performing earlier surveillance angiography when this occurs to ensure that there has not been a shift in the coil mass and recurrence of the aneurysm. |
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Authors:
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Franklin A Marden; Christopher M Putman |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2007-10-31 |
Journal Detail:
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Title: Surgical neurology Volume: 69 ISSN: 0090-3019 ISO Abbreviation: Surg Neurol Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-05-19 Completed Date: 2008-07-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0367070 Medline TA: Surg Neurol Country: United States |
Other Details:
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Languages: eng Pagination: 627-32; discussion 632 Citation Subset: IM |
Affiliation:
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Division of Interventional Neuroradiology, Department of Radiology, Inova Fairfax Hospital, Falls Church, VA 22042, USA. franklin.marden@inova.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Biocompatible Materials / adverse effects* Brain Edema / etiology*, radiography, therapy Embolization, Therapeutic / adverse effects*, instrumentation* Female Humans Intracranial Aneurysm / therapy* Lactic Acid / adverse effects* Polyglycolic Acid / adverse effects* |
| Chemical | |
Reg. No./Substance:
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0/Biocompatible Materials; 0/polylactic acid-polyglycolic acid copolymer; 26009-03-0/Polyglycolic Acid; 50-21-5/Lactic Acid |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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