Related Experiment Video
Updated: Apr 13, 2026
18:50
Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
14.1K
Beware of the aneurysm in stealth mode!
Amar Swarnkar1, Raghu Ramaswamy2, David J Padalino3
1Department of Radiology.
The Neuroradiology Journal
|April 30, 2015
Summary
Endovascular treatment for acute stroke is effective when timely and with proper patient selection. Careful consideration of potential complications, like aneurysms during basilar artery thrombosis treatment, is crucial for successful outcomes.
Area of Science:
- Neurology
- Interventional Neuroradiology
- Vascular Neurology
Background:
- Endovascular treatment is a key option for acute stroke management in primary stroke centers.
- Successful outcomes depend on timely intervention and appropriate patient selection.
- Potential complications can negatively impact treatment results if not carefully managed.
Observation:
- A case of acute stroke due to basilar artery thrombosis with a co-existing aneurysm in the affected vessel is presented.
- This unique clinical scenario poses specific challenges for endovascular intervention.
- The presence of an aneurysm alongside thrombosis requires meticulous procedural planning.
Findings:
- The study highlights the critical need for interventionalists to be aware of potential pitfalls during endovascular procedures.
- Appropriate management strategies are essential to mitigate risks associated with treating complex cerebrovascular conditions.
- Timely and precise intervention in acute stroke cases with concurrent aneurysms can lead to favorable outcomes.
Implications:
- Recommendations are provided to minimize complications during endovascular treatment for acute stroke in patients with complex vascular anatomy.
- This case underscores the importance of advanced imaging and careful technique in interventional neuroradiology.
- Improved patient selection and procedural protocols can enhance the safety and efficacy of endovascular stroke therapies.
Related Concept Videos
01:30Aneurysm I: Introduction
628
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
628
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
549
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
549
01:26Aneurysm III: Interprofessional Care
460
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
460
01:22Aneurysm IV: Nursing Management
600
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
600
01:25Abdominal Aorta
3.3K
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
The celiac trunk, a singular artery, divides into the left gastric artery, which...
3.3K
01:14The Aorta
4.2K
The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
4.2K