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Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
Published on: September 8, 2023
Endovascular treatment of mycotic pseudoaneurysms
M Vávrova1, Tomas Jonszta, D Czerný
1Department of Interventional Neuroradiology and Angiology, University Hospital Ostrava, Ostrava, Czech Republic.
Abstract:
The surgical correction of ruptured intracranial infectious pseudoaneurysms is associated with high morbidity and mortality. An endovascular therapeutic approach has been introduced recently. This treatment is, compared to surgical intervention, less invasive, faster, more effective and safer, thus making it a gentler option, particularly for pediatric patients. Lower morbidity and mortality have been achieved thanks to the combination of prolonged administration of antibiotics, coil embolization, and parent artery occlusion. Two pediatric cases of bleeding mycotic pseudoaneurysm treated successfully with fibered coil embolization and long-term antibiotics are dealt with in this manuscript.
Insights
Endovascular therapy, combining antibiotics and coil embolization, offers a safer, less invasive alternative for treating pediatric intracranial infectious pseudoaneurysms, reducing patient morbidity and mortality.
Area of Science:
- Neurology
- Vascular Surgery
- Pediatric Medicine
Background:
- Surgical correction of ruptured intracranial infectious pseudoaneurysms carries significant risks.
- Endovascular approaches present a less invasive therapeutic option.
Observation:
- This manuscript details two pediatric cases of bleeding mycotic pseudoaneurysms.
- Successful treatment involved fibered coil embolization and extended antibiotic therapy.
Findings:
- The combined endovascular approach, including prolonged antibiotics and parent artery occlusion, achieved lower morbidity and mortality.
- This method is particularly beneficial and gentler for pediatric patients.
Implications:
- Endovascular therapy represents a safer and more effective strategy for managing these complex pediatric cases.
- This approach may become a new standard of care, improving outcomes in pediatric neurosurgery.
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