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

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. Materi...

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Autores principales:	Pavel Ryska, Miroslav Lojik, Naci Kocer, Kamil Zelenak, Tomas Cesak, Petra Cimflova, Aprajita Milind Bhorkar, Eva Vitkova, Antonin Krajina
Formato:	article
Lenguaje:	EN
Publicado:	Palacký University Olomouc, Faculty of Medicine and Dentistry 2021
Materias:	dissecting aneurysm acute ischemic stroke endovascular therapy flow diverter stent craniopharyngioma Medicine R
Acceso en línea:	https://doaj.org/article/a3c96442bdd24008b46e2a1d3195d45e
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spelling	oai:doaj.org-article:a3c96442bdd24008b46e2a1d3195d45e2021-11-29T08:47:12ZMechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult1213-81181804-752110.5507/bp.2021.018https://doaj.org/article/a3c96442bdd24008b46e2a1d3195d45e2021-09-01T00:00:00Zhttps://biomed.papers.upol.cz/artkey/bio-202103-0016_mechanical-thrombectomy-performed-in-thrombosed-fusiform-aneurysm-after-surgery-for-craniopharyngioma-in-adult.phphttps://doaj.org/toc/1213-8118https://doaj.org/toc/1804-7521Introduction. 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.Pavel RyskaMiroslav LojikNaci KocerKamil ZelenakTomas CesakPetra CimflovaAprajita Milind BhorkarEva VitkovaAntonin KrajinaPalacký University Olomouc, Faculty of Medicine and Dentistryarticledissecting aneurysmacute ischemic strokeendovascular therapyflow diverter stentcraniopharyngiomaMedicineRENBiomedical Papers, Vol 165, Iss 3, Pp 336-341 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	dissecting aneurysm acute ischemic stroke endovascular therapy flow diverter stent craniopharyngioma Medicine R
spellingShingle	dissecting aneurysm acute ischemic stroke endovascular therapy flow diverter stent craniopharyngioma Medicine R Pavel Ryska Miroslav Lojik Naci Kocer Kamil Zelenak Tomas Cesak Petra Cimflova Aprajita Milind Bhorkar Eva Vitkova Antonin Krajina Mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult
description	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.
format	article
author	Pavel Ryska Miroslav Lojik Naci Kocer Kamil Zelenak Tomas Cesak Petra Cimflova Aprajita Milind Bhorkar Eva Vitkova Antonin Krajina
author_facet	Pavel Ryska Miroslav Lojik Naci Kocer Kamil Zelenak Tomas Cesak Petra Cimflova Aprajita Milind Bhorkar Eva Vitkova Antonin Krajina
author_sort	Pavel Ryska
title	Mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult
title_short	Mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult
title_full	Mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult
title_fullStr	Mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult
title_full_unstemmed	Mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult
title_sort	mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult
publisher	Palacký University Olomouc, Faculty of Medicine and Dentistry
publishDate	2021
url	https://doaj.org/article/a3c96442bdd24008b46e2a1d3195d45e
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Mechanical thrombectomy performed in thrombosed fusiform aneurysm after surgery for craniopharyngioma in adult

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