Embolization as a method of treating aneurysms intracranial – a case study

Authors

  • Wojciech Kołodziej Faculty of Administration and Management in Rzeszow, Humanitas University in Sosnowiec, Poland; St. Queen Jadwiga Clinical District Hospital, No 2, Rzeszow, Poland
  • Gabriela Kołodziej-Lackorzyńska Institute of Health Science, Medical College of Rzeszow University, Rzeszow, Poland; St. Queen Jadwiga Clinical District Hospital, No 2, Rzeszow, Poland https://orcid.org/0000-0002-8567-0008
  • Dawid Bodusz Faculty of Administration and Management in Rzeszow, Humanitas University in Sosnowiec, Poland
  • Krzysztof Kołodziej Institute of Health Science, Medical College of Rzeszow University, Rzeszow, Poland; St. Queen Jadwiga Clinical District Hospital, No 2, Rzeszow, Poland https://orcid.org/0000-0002-9195-2191

DOI:

https://doi.org/10.15584/ejcem.2021.3.10

Keywords:

embolization, intracranial aneurysms, neurosurgical procedures in the treatment of aneurysms

Abstract

Introduction. Cerebrovascular accidents are the third leading cause of death in developed countries. It is a very debilitating disease of the brain structures in which aneurysms are located. For a long time, the only method of treating intracranial aneurysms was surgery. However, mainly due to the difficult placement of the aneurysms, surgical treatment was very difficult. Therefore, in 1953, the method of percutaneous arterial catheterization was developed, which became the basis for the improvement of the field of interventional radiology.

Aim. The aim of the research is to describe the method of embolization of intracranial aneurysms and to illustrate it in selected clinical cases.

Description of the case. Surgical management of a 60-year-old woman with intracranial aneurysm of the anterior communicating artery after performing computed tomography with contrast.

Conclusion. The method of embolization of intracranial aneurysms is a reliable and accurate surgical method that significantly improves the health condition, quality of life of patients and reduces the mortality rate of cerebrovascular events.

Downloads

Download data is not yet available.

References

Yon KI, Shang HS, Seung KB. Complications of endovascular treatment for intracranial aneurysms: Management and prevention. Interv Neuroradiol. 2018;24(3):237-245.

Campodeaño L, Oliveira MSN., Pinho FT. A review of computational hemodynamics in middle cerebral aneurysms and rheological models for blood flow. Appl Mech Rev. 2015;67(3):030801.

Amenta PS, Dalyai RT, Kung D, et al. Stent-assisted coiling of wide-necked aneurysms in the setting of acute subarachnoid hemorrhage: experience in 65 patients. Neurosurgery. 2012;70(6):1415-1429.

Texakalidis P, Sweid A, Mouchtouris N, et al. Aneurysm Formation, Growth, and Rupture: The Biology and Physics of Cerebral Aneurysms. World Neurosurg. 2019;130:277-284.

Avery RK, Albadawi H, Akbari M, et al. An injectable shear-thinning biomaterial for endovascular embolization. Sci Transl Med. 2016;16;8(365):365ra156.

Calero A, Illig KA. Overview of aortic aneurysm management in the endovascular era. Semin Vasc Surg. 2016;29(1-2):3-17.

Mocco J, Brown RD, Torner JC, et al. International Study of Unruptured Intracranial Aneurysms Investigators. Aneurysm Morphology and Prediction of Rupture: An International Study of Unruptured Intracranial Aneurysms Analysis. Neurosurgery. 2018;1;82(4):491-496.

Vivancos J, Gilo F, Frutos R, et al. Clinical management guidelines for subarachnoid haemorrhage. Diagnosis and treatment. Neurologia. 2014;29(6):353-370.

Gabriel J, Rinkel E. Management of patients with aneurysmal subarachnoid haemorrhage. Curr Opin Neurol. 2016;29(1):37-41.

Gralak-Łachowska D, Lewandowski P. Dostępy naczyniowe w kardiologii inwazyjnej. Postępy Nauk Medycznych 2015;28(11B):74-78.

Rinkel GJ, Djibuti M, Algra A, van Gijn J. Prevalence and risk of rupture of intracranial aneurysms: a systematic review. Stroke. 1998;29:251-256.

Nieuwkamp DJ, Setz LE, Algra , et al. Changes in case fatality of aneurysmal subarachnoid haemorrhage over time, according to age, sex, and region: a meta-analysis. Lancet Neurol. 2009;8:635-642.

Greving JP, Wermer MJ, Brown RD, et al. Development of the PHASES score for prediction of risk of rupture of intracranial aneurysms: a pooled analysis of six prospective cohort studies. Lancet Neurol. 2014;13:59-66.

Vlak MH, Algra A, Brandenburg, et al.Prevalence of unruptured intracranial aneurysms, with emphasis on sex, age, comorbidity, country, and time period: a systematic review and meta-analysis. Lancet Neurol. 2011;10:626-636.

Ząbek M. Krwawienie podpajęczynówkowe. W: Zarys neurochirurgii. Red. Ząbek M. Warszawa: PZWL; 1999.

Juvela S. Growth and rupture of unruptured intracranial aneurysms. J Neurosurgery 2019;131:843-851.

Petridis AK , Kamp MA, Cornelius JF, et al. Aneurysmal Subarachnoid Hemorrhage. Dtsch Arztebl Int. 2017;31;114(13):226-236.

Ajiboye N, Chalouhi N, Starke MR i wsp. Unruptured Cerebral Aneurysms: Evaluation and Management. Scientific World Journal. 2015;2015:954954.

Wan J, Gu W, Zhang X, et al. Endovascular coil embolization of aneurysm neck for the treatment of ruptured intracranial aneurysm with bleb formation. Med Sci Monit. 2014;20:1121-1128.

Downloads

Published

2021-09-30

How to Cite

Kołodziej, W., Kołodziej-Lackorzyńska, G., Bodusz, D., & Kołodziej, K. (2021). Embolization as a method of treating aneurysms intracranial – a case study. European Journal of Clinical and Experimental Medicine, 19(3), 262–266. https://doi.org/10.15584/ejcem.2021.3.10

Issue

Vol. 19 No. 3 (2021)

Section

CASUISTIC PAPERS

License

Copyright (c) 2021 European Journal of Clinical and Experimental Medicine

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Our open access policy is in accordance with the Budapest Open Access Initiative (BOAI) definition: this means that articles have free availability on the public Internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from having access to the Internet itself.

All articles are published with free open access under the CC-BY Creative Commons attribution license (the current version is CC-BY, version 4.0). If you submit your paper for publication by the Eur J Clin Exp Med, you agree to have the CC-BY license applied to your work. Under this Open Access license, you, as the author, agree that anyone may download and read the paper for free. In addition, the article may be reused and quoted provided that the original published version is cited. This facilitates freedom in re-use and also ensures that Eur J Clin Exp Med content can be mined without barriers for the research needs.