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Ischemic stroke and retinal artery occlusion after carotid aneurysm embolization
Benjamin Blautain1, Igor Leleu2, Elyse Jabbour1
1Hôpital Fondation Adolphe de Rothschild, 25, rue Manin, 75019 Paris, France.
Radiology Case Reports
|January 25, 2021
Summary
Stent-assisted coil embolization for carotid aneurysms can cause stroke and vision loss. Close patient monitoring is crucial for detecting these severe complications after endovascular treatment.
Area of Science:
- Neurology
- Vascular Surgery
- Ophthalmology
Background:
- Carotid aneurysms pose a risk of ischemic stroke.
- Endovascular treatment, such as stent-assisted coil embolization, is an option for unruptured aneurysms.
Observation:
- A 72-year-old male with a right carotid aneurysm developed ischemic stroke.
- Following stroke management, stent-assisted coil embolization was performed for the aneurysm.
Findings:
- The endovascular procedure resulted in simultaneous early complications.
- These included new ischemic strokes in the occipital lobe and branch retinal artery occlusions in the eye.
Implications:
- Stent-assisted coil embolization for carotid aneurysms carries risks of cerebrovascular and ocular complications.
- Multidisciplinary care and vigilant patient surveillance are essential to identify and manage adverse events from this endovascular approach.
Keywords:
Branch retinal artery occlusionCarotid aneurysmCholesterol embolism syndromeInterventional neuroradiologyStrokeUltra-wide field retinal angiographyMore Related Videos
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