Mechanical thrombectomy performed in thrombosed fusiform
aneurysm after surgery for craniopharyngioma in adult

J 2021

Mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult

RYSKA, Pavel, Miroslav LOJIK, Naci KOCER, Kamil ZELENAK, Tomas CESAK et. al.

Základní údaje

Originální název

Mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult

Autoři

RYSKA, Pavel (203 Česká republika, garant), Miroslav LOJIK (203 Česká republika), Naci KOCER (203 Česká republika), Kamil ZELENAK (203 Česká republika), Tomas CESAK (203 Česká republika), Petra CIMFLOVÁ (203 Česká republika, domácí), Aprajita Milind BHORKAR, Eva VITKOVA (203 Česká republika) a Antonin KRAJINA (203 Česká republika)

Vydání

Biomedical Papers, Olomouc: Palacky University, Olomouc, Palacky University, 2021, 1213-8118

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30224 Radiology, nuclear medicine and medical imaging

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 1.648

Kód RIV

RIV/00216224:14110/21:00124194

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.5507/bp.2021.018

UT WoS

000715922000016

Klíčová slova anglicky

dissecting aneurysm; acute ischemic stroke; endovascular therapy; flow diverter stent; craniopharyngioma

Štítky

14110119, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 16. 2. 2022 14:04, Mgr. Tereza Miškechová

Anotace

V originále

Introduction. Fusiform dilatation of the internal carotid artery (ICA) is reported as a possible complication of craniopharyngioma resection in childhood. Here, the authors describe such a complication in an adult patient who presented with acute symptomatic thrombosis 7 months after surgery. Materials and Methods. A 45-year-old woman presented with left hemispheric stroke due to a thrombotic supraclinoid occlusion of the terminal ICA (so called "T" occlusion). Successful revascularisation was achieved with mechanical thrombectomy. Beside recanalization of the M1 middle cerebral artery segment and ICA, an irregular filling of the fusiform aneurysm of the communicating segment of the left ICA was observed. The patient recovered after mechanical thrombectomy with no clinical sequelae. Due to the persistent filling of the aneurysm sac, a flow diverter stent was deployed across the diseased vessel segment two weeks later. The patient underwent resection of the craniopharyngioma from ipsilateral pterional craniotomy 7 months ago. Five years later the patient works full time as a nurse with no regrowth of the craniopharyngioma and no aneurysm reperfusion. Results. This case, together with four other previously reported cases, documents that fusiform aneurysm as a complication of the craniopharygioma resection is not restricted to the childhood population but may also rarely occur in adults. As the patient suffered from acute symptomatic thrombosis which required treatment under the protocol for acute large vessel occlusions, we decided to treat the aneurysm with the flow diverter stent.

Citovat

RYSKA, Pavel, Miroslav LOJIK, Naci KOCER, Kamil ZELENAK, Tomas CESAK, Petra CIMFLOVÁ, Aprajita Milind BHORKAR, Eva VITKOVA a Antonin KRAJINA. Mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult. Biomedical Papers, Olomouc: Palacky University. Olomouc: Palacky University, 2021, roč. 165, č. 3, s. 336-341. ISSN 1213-8118. Dostupné z: https://dx.doi.org/10.5507/bp.2021.018.

@article{1834772,
   author = {Ryska, Pavel and Lojik, Miroslav and Kocer, Naci and Zelenak, Kamil and Cesak, Tomas and Cimflová, Petra and Bhorkar, Aprajita Milind and Vitkova, Eva and Krajina, Antonin},
   article_location = {Olomouc},
   article_number = {3},
   doi = {http://dx.doi.org/10.5507/bp.2021.018},
   keywords = {dissecting aneurysm; acute ischemic stroke; endovascular therapy; flow diverter stent; craniopharyngioma},
   language = {eng},
   issn = {1213-8118},
   journal = {Biomedical Papers, Olomouc: Palacky University},
   title = {Mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult},
   url = {https://biomed.papers.upol.cz/artkey/bio-202103-0016_mechanical-thrombectomy-performed-in-thrombosed-fusiform-aneurysm-after-surgery-for-craniopharyngioma-in-adult.php},
   volume = {165},
   year = {2021}
}

TY  - JOUR
ID  - 1834772
AU  - Ryska, Pavel - Lojik, Miroslav - Kocer, Naci - Zelenak, Kamil - Cesak, Tomas - Cimflová, Petra - Bhorkar, Aprajita Milind - Vitkova, Eva - Krajina, Antonin
PY  - 2021
TI  - Mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult
JF  - Biomedical Papers, Olomouc: Palacky University
VL  - 165
IS  - 3
SP  - 336-341
EP  - 336-341
PB  - Palacky University
SN  - 12138118
KW  - dissecting aneurysm
KW  - acute ischemic stroke
KW  - endovascular therapy
KW  - flow diverter stent
KW  - craniopharyngioma
UR  - https://biomed.papers.upol.cz/artkey/bio-202103-0016_mechanical-thrombectomy-performed-in-thrombosed-fusiform-aneurysm-after-surgery-for-craniopharyngioma-in-adult.php
N2  - Introduction. Fusiform dilatation of the internal carotid artery (ICA) is reported as a possible complication of craniopharyngioma resection in childhood. Here, the authors describe such a complication in an adult patient who presented with acute symptomatic thrombosis 7 months after surgery. Materials and Methods. A 45-year-old woman presented with left hemispheric stroke due to a thrombotic supraclinoid occlusion of the terminal ICA (so called "T" occlusion). Successful revascularisation was achieved with mechanical thrombectomy. Beside recanalization of the M1 middle cerebral artery segment and ICA, an irregular filling of the fusiform aneurysm of the communicating segment of the left ICA was observed. The patient recovered after mechanical thrombectomy with no clinical sequelae. Due to the persistent filling of the aneurysm sac, a flow diverter stent was deployed across the diseased vessel segment two weeks later. The patient underwent resection of the craniopharyngioma from ipsilateral pterional craniotomy 7 months ago. Five years later the patient works full time as a nurse with no regrowth of the craniopharyngioma and no aneurysm reperfusion. Results. This case, together with four other previously reported cases, documents that fusiform aneurysm as a complication of the craniopharygioma resection is not restricted to the childhood population but may also rarely occur in adults. As the patient suffered from acute symptomatic thrombosis which required treatment under the protocol for acute large vessel occlusions, we decided to treat the aneurysm with the flow diverter stent.
ER  -

RYSKA, Pavel, Miroslav LOJIK, Naci KOCER, Kamil ZELENAK, Tomas CESAK, Petra CIMFLOVÁ, Aprajita Milind BHORKAR, Eva VITKOVA a Antonin KRAJINA. Mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult. \textit{Biomedical Papers, Olomouc: Palacky University}. Olomouc: Palacky University, 2021, roč.~165, č.~3, s.~336-341. ISSN~1213-8118. Dostupné z: https://dx.doi.org/10.5507/bp.2021.018.

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