scholarly journals Rapid Revascularization After Therapeutic Parent Artery Occlusion for a Large Intracavernous Carotid Artery Aneurysm

2007 ◽  
Vol 47 (12) ◽  
pp. 559-563 ◽  
Author(s):  
Kenji KAGAWA ◽  
Hiroaki SHIMIZU ◽  
Yasushi MATSUMOTO ◽  
Mika WATANABE ◽  
Teiji TOMINAGA
Keyword(s):  
Carotid Artery ◽  
Artery Aneurysm ◽  
Artery Occlusion ◽  
Parent Artery ◽  
Carotid Artery Aneurysm ◽  
Parent Artery Occlusion ◽  
Intracavernous Carotid Artery

scholarly journals Opening of unusual vascular collaterals leads to early recanalization of a giant intracavernous carotid artery aneurysm following common carotid artery occlusion: A Case report and literature review

2020 ◽  
Vol 11 ◽  
pp. 62
Author(s):  
Ana M. Castaño-Leon ◽  
Jose F. Alen ◽  
Alfonso Lagares
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Artery Aneurysm ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
External Carotid Artery ◽  
External Carotid ◽  
Parent Artery ◽  
Parent Artery Occlusion ◽  
Intracavernous Carotid Artery

Background: Parent artery occlusion (PAO) with or without bypass surgery is a feasible treatment for large intracavernous carotid artery (ICCA) aneurysms. The ideal occlusion site (internal or common carotid artery [CCA]) and ischemic complications after PAO have received special attention since the description of the technique. Unfrequently, some patients can also develop unusual external carotid artery-internal carotid artery collateral pathways distal to the ligation site that can explain the failure to aneurysm size reduction. Case Description: We describe a rare case of delayed refilling of a large ICCA aneurysm partially thrombosed which early recanalized after surgical ligation of the cervical CCA through an unusual collateral pathway. Conclusion: Based on our experience, we recommend periodic long-term follow-up neuroimaging, especially in those cases where potential collateral branches have not been clearly identified in the preoperative studies.

scholarly journals True Mycotic Aneurysms: A Report of Three Patients with Internal Carotid Artery Aneurysm and Mucormycosis, and Literature Review

2021 ◽  
Author(s):  
Mahtab Rostamihosseinkhani ◽  
Etrat Hooshmandi ◽  
Masoud Janipour ◽  
Nima Fadakar ◽  
Vahid Reza Ostovan ◽  
...  
Keyword(s):  
Internal Carotid ◽  
Artery Aneurysm ◽  
Artery Occlusion ◽  
Parent Artery ◽  
Aneurysm Formation ◽  
Carotid Artery Aneurysm ◽  
Endovascular Interventions ◽  
Internal Carotid Artery Aneurysm ◽  
Parent Artery Occlusion ◽  
Diagnostic Angiography

Abstract Background Aneurysm formation of internal carotid arteries (ICA) in patients with mucormycosis is a scarce phenomenon. However, the prevalence of rhino-cerebral mucormycosis has been reported to increase after the coronavirus disease 2019 (COVID-19) pandemic. Methods Three patients with stroke and subarachnoid hemorrhage due to ICA aneurysm after the involvement of adjacent paranasal sinuses with mucormycosis were presented. All patients were recruited from Namazi and Khalili hospitals affiliated with Shiraz University of Medical Sciences in Iran from April 2021 to May 2021. Results They had a history of diabetes and corticosteroid use. Also, one of them was treated with imatinib. Two out of three patients were infected with SARS-CoV-2 infection before developing mucormycosis. Two patients had diagnostic angiography before endovascular intervention. One patient did not undergo any therapeutic intervention due to total artery occlusion, whereas the other patient experienced a successful parent artery occlusion by coiling, and only this patient survived. Although all patients received antifungal treatment and surgical debridement, two of them died. Conclusions In the patients with rhino-cerebral mucormycosis evolving of aneurysm should be promptly and meticulously investigated by magnetic resonance angiography (MRA) and computed tomography angiography (CTA). As this type of aneurysms was very fast-growing, as soon as the involvement of sphenoid sinus was detected, the possibility of ICA aneurysm formation should always be kept in mind. If the patient developed an aneurysm, prompt intensive antifungal therapy and therapeutic endovascular interventions such as stenting, coiling, or sacrificing should be considered as soon as possible to optimize outcomes.

scholarly journals Giant Serpentine Internal Carotid Artery Aneurysm: Endovascular Parent Artery Occlusion

2007 ◽  
Vol 13 (1) ◽  
pp. 85-94 ◽  
Author(s):  
V. Prochazka ◽  
J. Chmelova ◽  
V. Cizek ◽  
D. Skoloudik ◽  
T. Hrbac
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cranial Nerve ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Artery Occlusion ◽  
Left Internal Carotid Artery ◽  
Parent Artery ◽  
Parent Artery Occlusion ◽  
Serpentine Aneurysm

We report on a case of a 14-year-old boy with a giant serpentine aneurysm of the left internal carotid artery cavernous segment with symptoms of acute mass-effect cranial nerve dysfunction. After a balloon occlusion test of the collateral circulation, the patient underwent parent artery occlusion with platinum Guglielmi detachable coils and fibered coils. An optimal angiographic result and successful clinical outcome were achieved with resolution of IIIrd, IVth and VIth cranial nerve ischemic symptoms. CT angiography and 3D-XRA rotational angiography reconstructions gave sufficient inclusion information on the giant serpentine aneurysm angioarchitechture.

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