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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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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...
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Aneurysm I: Introduction01:30

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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...
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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...
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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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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...
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Aneurysmal recurrence after successful flow-diversion embolization.

Feras Akbik1,2, Hassan Saad2, Jonathan A Grossberg2

  • 1Department of Neurology, Division of Neurocritical care, Emory University School of Medicine, Atlanta, GA, USA.

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences
|May 31, 2022
PubMed
Summary
This summary is machine-generated.

A recurrent intracranial aneurysm after Pipeline embolization therapy is exceptionally rare. This case highlights the importance of continued surveillance imaging after flow-diverion treatment.

Keywords:
Aneurysmendovascularflow-diversionrecanalizationrecurrence

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Area of Science:

  • Neurology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Flow-diversion therapy using the Pipeline embolization device (PED) is a common treatment for intracranial aneurysms.
  • Complete angiographic resolution is typically considered a successful outcome, raising questions about the necessity of interval surveillance imaging.

Observation:

  • This report details a rare case of recurrent intracranial aneurysm despite initial complete angiographic resolution after PED treatment.
  • The recurrence occurred despite the absence of poor wall apposition, endoleak, or device migration, and at a time when complete reendothelialization was expected.

Findings:

  • The exact mechanism of recurrence in this case remains unclear.
  • The patient required a second intervention with an additional PED to treat the recurrent aneurysm.

Implications:

  • This case underscores that aneurysmal recurrence after flow-diversion is possible, even with apparent initial success.
  • It supports the continued use of interval non-invasive imaging surveillance to confirm long-term efficacy of flow-diversion therapy.