Rupture of Intracranial Aneurysms during Cerebral Angiography

Neurosurgery ◽  
1979 ◽  
Vol 5 (3) ◽  
pp. 314-324 ◽  
Author(s):  
George H. Koenig ◽  
William H. Marshall ◽  
Joseph G. Poole ◽  
Richard A. Kramer
Keyword(s):  
Cerebral Angiography ◽  
Intracranial Aneurysms

Cerebral angiography during operation for intracranial aneurysms and arteriovenous malformations

1971 ◽  
Vol 34 (5) ◽  
pp. 706-708 ◽  
Author(s):  
Martin L. Lazar ◽  
Clark C. Watts ◽  
Bassett Kilgore ◽  
Kemp Clark
Keyword(s):  
Cerebral Angiography ◽  
Arteriovenous Malformations ◽  
Intracranial Aneurysms ◽  
Operative Procedure ◽  
Superficial Temporal Artery ◽  
Technical Problem ◽  
Temporal Artery ◽  
Content Type ◽  
Actual Operation ◽  
Fine Print

✓ Angiography during the operative procedure is desirable, but is often difficult because of the problem of maintaining a needle or cannula in an artery for long periods of time. Cannulation of the superficial temporal artery avoids this technical problem. The artery is easily found, cannulation is simple, and obliteration of the artery is of no consequence. Cerebral angiography then provides a means for prompt evaluation of the surgical procedure at any time during the actual operation.

Rupture of Intracranial Aneurysms during Cerebral Angiography

Neurosurgery ◽  
1979 ◽  
Vol 5 (3) ◽  
pp. 314-324 ◽  
Author(s):  
George H. Koenig ◽  
William H. Marshall ◽  
Joseph G. Poole ◽  
Richard A. Kramer
Keyword(s):  
Statistical Analysis ◽  
Subarachnoid Hemorrhage ◽  
Critically Ill ◽  
Cerebral Angiography ◽  
Critically Ill Patients ◽  
Intracranial Aneurysms ◽  
Internal Carotid ◽  
Recent Trend ◽  
Review Of The Literature ◽  
Angiographic Technique

Abstract Ten new cases of intracranial aneurysms that ruptured during cerebral angiography, obtained from four local hospitals and the practices of eight angiographers, are detailed. A review of the literature reveals 28 other well-documented cases. An analysis of this clinical material shows that internal carotid injections are not necessarily more dangerous than common carotid injections. Although critically ill patients are at higher risk and must be treated with caution, there is not enough evidence to warrant a delay in angiography to avoid rupture. The recent trend toward early angiography in cases of subarachnoid hemorrhage is reflected in the statistical analysis. A plea for meticulous angiographic technique is advanced.

Bacterial intracranial aneurysms

1980 ◽  
Vol 53 (5) ◽  
pp. 633-641 ◽  
Author(s):  
John G. Frazee ◽  
Leslie D. Cahan ◽  
James Winter
Keyword(s):  
Cerebral Angiography ◽  
Intracranial Aneurysms ◽  
Elective Surgery ◽  
Bacterial Endocarditis ◽  
Severe Headache ◽  
High Dose ◽  
Review Of The Literature ◽  
Content Type ◽  
Neurological Signs ◽  
Fine Print

✓ The treatment of 13 patients with bacterial intracranial aneurysms is reported. The incidence of bacterial intracranial aneurysms was 4% of all patients admitted with intracranial aneurysms and 3% of all patients admitted with bacterial endocarditis. Each patient had neurological signs or symptoms suggestive of intracranial disease prior to the diagnosis of an aneurysm. Alpha Streptococcus was the most common infecting organism. All patients were treated with specific, high-dose antibiotics, and five patients underwent surgery as well. There were no surgical deaths. Six of eight nonsurgically treated patients died. A review of the literature confirms a high mortality for patients treated with only antibiotics, and a low mortality for elective surgery. The authors conclude that 1) patients with bacterial endocarditis, who develop sudden severe headache, focal neurological signs or symptoms, or seizures, should undergo serial cerebral angiography every 7 to 10 days throughout their hospitalization; 2) if an aneurysm is identified it should be excised whenever possible; and 3) patients with proximal or multiple aneurysms should be considered for surgery.

Super giant globoid intracranial aneurysm in an infant

1980 ◽  
Vol 53 (3) ◽  
pp. 411-416 ◽  
Author(s):  
Enrique C. G. Ventureyra ◽  
Sin H. Choo ◽  
Brien G. Benoit
Keyword(s):  
Intracranial Aneurysm ◽  
Cerebral Angiography ◽  
Intracranial Aneurysms ◽  
Posterior Cerebral Artery ◽  
Uneventful Recovery ◽  
Baby Girl ◽  
Content Type ◽  
Two Stages ◽  
Arterial Aneurysms ◽  
Fine Print

✓ The incidence of intracranial aneurysms in infancy is less than 1%. Intracranial arterial aneurysms are very rare in patients under 1 year of age. This 6-month-old baby girl presented with progressive macrocephaly and anemia. Computerized tomography and cerebral angiography demonstrated a giant globoid aneurysm, 8 × 9 cm in size, arising from an anomalous posterior cerebral artery. The aneurysm was successfully clipped and excised in two stages. The child made an uneventful recovery. The congenital nature of the aneurysm is discussed, and the literature concerning intracranial aneurysms in patients under 1 year of age is reviewed.

Y-configured Stent with a Double Microcatheter Technique for Ruptured Complex Basilar Tip Aneurysm

2009 ◽  
Vol 22 (4) ◽  
pp. 476-481 ◽  
Author(s):  
Jh Ko ◽  
Yj Kim ◽  
Cs Cho
Keyword(s):  
Effective Treatment ◽  
Cerebral Angiography ◽  
Intracranial Aneurysms ◽  
Clinical Course ◽  
Sudden Onset ◽  
Severe Headache ◽  
Hemodynamic Stress ◽  
Basilar Tip Aneurysm ◽  
Neurological State

A 79-year-old woman had a sudden onset severe headache and became somnolent. On the first day in the hospital, diagnostic cerebral angiography revealed a small broad-necked basilar tip aneurysm with a bleb near the neck. Due to the unfavorable configuration of aneurysm, we decided to use a Y-configured stent with a double microcatheter technique. Although procedural rupture on the bleb near the neck occurred, perioperative neurological state was not changed and her clinical course was uneventful. Because of the stent, complete packing of the aneurysm was possible, hemodynamic stress at the inflow area was reduced and consequently the chance of rebleeding may decrease. Stenting with a double microcatheter technique can be an effective treatment for highly complex intracranial aneurysms.

Familial intracranial aneurysms

1980 ◽  
Vol 52 (4) ◽  
pp. 501-503 ◽  
Author(s):  
John L. Fox ◽  
Jehoon P. Ko
Keyword(s):  
Cerebral Angiography ◽  
Intracranial Aneurysms ◽  
Mendelian Inheritance ◽  
Content Type ◽  
Subarachnoid Hemorrhages ◽  
Fine Print

✓ The authors present a family of 13 siblings: six are proven to have had intracranial aneurysms, five have had elective cerebral angiography with normal findings, and two have refused angiography. Of the six aneurysm cases, two had disabling and one had fatal subarachnoid hemorrhages; three underwent successful clipping of their aneurysms which were discovered by elective angiography. It is concluded that the two remaining patients who have refused angiography have a 50% statistical chance of harboring a potentially lethal aneurysm, for in this family the occurrences of six proven cases among 11 siblings studied is consistent with a dominant Mendelian inheritance.

scholarly journals Incidence and Risk Factors for Rebleeding during Cerebral Angiography for Ruptured Intracranial Aneurysms

2015 ◽  
Vol 56 (2) ◽  
pp. 403 ◽  
Author(s):  
Yong Cheol Lim ◽  
Chang-Hyun Kim ◽  
Yong Bae Kim ◽  
Jin-Yang Joo ◽  
Yong Sam Shin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cerebral Angiography ◽  
Intracranial Aneurysms ◽  
Ruptured Intracranial Aneurysms
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