Enhancing brain lesions after endovascular treatment of aneurysms.

Détails

ID Serval
serval:BIB_242D04406736
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Enhancing brain lesions after endovascular treatment of aneurysms.
Périodique
AJNR. American journal of neuroradiology
Auteur(s)
Cruz J.P., Marotta T., O'Kelly C., Holtmannspötter M., Saliou G., Willinsky R., Krings T., Agid R.
ISSN
1936-959X (Electronic)
ISSN-L
0195-6108
Statut éditorial
Publié
Date de publication
10/2014
Peer-reviewed
Oui
Volume
35
Numéro
10
Pages
1954-1958
Langue
anglais
Notes
Cruz, J P
Marotta, T
O'Kelly, C
Holtmannspotter, M
Saliou, G
Willinsky, R
Krings, T
Agid, R
eng
2014/05/31 06:00
AJNR Am J Neuroradiol. 2014 Oct;35(10):1954-8. doi: 10.3174/ajnr.A3976. Epub 2014 May 29.
Publication types: Journal Article
Publication Status: ppublish

Résumé
Complications of endovascular therapy of aneurysms mainly include aneurysm rupture and thromboembolic events. The widespread use of MR imaging for follow-up of these patients revealed various nonvascular complications such as aseptic meningitis, hydrocephalus, and perianeurysmal brain edema. We present 7 patients from 5 different institutions that developed MR imaging-enhancing brain lesions after endovascular therapy of aneurysms, detected after a median time of 63 days. The number of lesions ranged from 4-46 (median of 10.5), sized 2-20 mm, and were mostly in the same vascular territory used for access. Three patients presented with symptoms attributable to these lesions. After a median follow-up of 21.5 months, the number of lesions increased in 2, was stable in 1, decreased in 3, and disappeared in 1. The imaging and clinical characteristics suggested a foreign body reaction. We could find no correlation to a specific device, but a possible source may be the generic hydrophilic coating.

Mots-clé
Adult, Brain/pathology, Brain Diseases/etiology, Embolization, Therapeutic/adverse effects, Endovascular Procedures/adverse effects, Female, Humans, Hydrocephalus/etiology, Intracranial Aneurysm/surgery, Intracranial Aneurysm/therapy, Male, Middle Aged
Pubmed
Création de la notice
20/01/2017 16:30
Dernière modification de la notice
03/03/2018 14:57
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