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.

Basic information

Original name

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

Authors

RYSKA, Pavel (203 Czech Republic, guarantor), Miroslav LOJIK (203 Czech Republic), Naci KOCER (203 Czech Republic), Kamil ZELENAK (203 Czech Republic), Tomas CESAK (203 Czech Republic), Petra CIMFLOVÁ (203 Czech Republic, belonging to the institution), Aprajita Milind BHORKAR, Eva VITKOVA (203 Czech Republic) and Antonin KRAJINA (203 Czech Republic)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30224 Radiology, nuclear medicine and medical imaging

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 1.648

RIV identification code

RIV/00216224:14110/21:00124194

Organization unit

Faculty of Medicine

DOI

UT WoS

000715922000016

Keywords in English

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

Tags

Tags

International impact, Reviewed
Změněno: 16/2/2022 14:04, Mgr. Tereza Miškechová

Abstract

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.