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- Title
Flow Preserving Endovascular Treatment of Traumatic Pseudoaneurysms of the Distal Anterior Cerebral Artery—Case Reports and Review of Literature.
- Authors
Krůpa, Petr; Krajina, Antonín; Lojík, Miroslav; Adamkov, Jaroslav; Česák, Tomas
- Abstract
Traumatic intracranial pseudoaneurysms (tIPAs) are a very rare pathology caused by blunt or penetrating head trauma. Diagnostic and therapeutic challenges of tIPAs are due to their unpredictable onset during the initial injury, or in a delayed manner, their unclear traumatic mechanism. Moreover, the presence of subarachnoid, subdural, or intraventricular hematoma may often cause them to be overlooked, which can potentially be followed by lethal rebleeding. Treatment of these lesions is controversial and on a case-by-case basis with regard to endovascular therapy or open surgery. We report two cases of three tIPAs of the distal anterior cerebral artery (dACA) with immediate and delayed onset after the trauma. Endovascular therapy resulted in complete obliteration of lesions with flow preservation in the parent artery using the flow diverter-assisted coiling strategy. The aim of this manuscript is to discuss the mechanism, angioanatomical characteristics, and current treatment options for these exceptional lesions.
- Subjects
ANTERIOR cerebral artery; ENDOVASCULAR surgery; FALSE aneurysms; LITERATURE reviews; BLUNT trauma; PENETRATING wounds; INTRAVENTRICULAR hemorrhage
- Publication
Brain Sciences (2076-3425), 2022, Vol 12, Issue 5, p634
- ISSN
2076-3425
- Publication type
Article
- DOI
10.3390/brainsci12050634