{"title":"血流分流器治疗多发性动脉瘤的疗效:1例临床报告。","authors":"Erekle Ekvtimishvili, Rahul Yedpallikar Rajesh, Rowyna Reji Koshy, Binu Thomas Maliyil, Arsha Anil Kumar","doi":"10.15190/d.2023.20","DOIUrl":null,"url":null,"abstract":"<p><p>Brain aneurysms, also known as cerebral aneurysms, are the growths of the parent artery. Based on their shape, aneurysms can be categorized as saccular or non-saccular. Several factors have been linked to multiple brain aneurysms but the most prevalent is arterial hypertension. In the treatment of cerebral aneurysms, endovascular techniques like coil embolization have essentially taken the place of surgical clipping. Brain aneurysm treatment has undergone a revolutionary change owing to flow diverters. They are now used for complex aneurysms that are unresponsive to standard therapies, in addition to unruptured lesions that were previously treated with standard surgical or coil-based endovascular procedures. Flow diversion has shown to be a more successful treatment for aneurysms than other approaches due to its reduced complication and high recovery rate. We discuss the case of a patient who arrived with headache and was subsequently diagnosed with numerous aneurysms of the left internal carotid artery. Flow diverter stenting was employed to thrombose our patient's existing aneurysms, followed by dual antiplatelet therapy (Ticagrelor and Thrombo ASS) as a post-procedural need. Despite the fact that our patient had both large and minor aneurysms impacting challenging locations, there were no complications after treatment.</p>","PeriodicalId":72829,"journal":{"name":"Discoveries (Craiova, Romania)","volume":"11 4","pages":"e181"},"PeriodicalIF":0.0000,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669053/pdf/","citationCount":"0","resultStr":"{\"title\":\"Efficacy of Flow Diverters in Managing Multiple Aneurysms: A Clinical Case Report.\",\"authors\":\"Erekle Ekvtimishvili, Rahul Yedpallikar Rajesh, Rowyna Reji Koshy, Binu Thomas Maliyil, Arsha Anil Kumar\",\"doi\":\"10.15190/d.2023.20\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Brain aneurysms, also known as cerebral aneurysms, are the growths of the parent artery. Based on their shape, aneurysms can be categorized as saccular or non-saccular. Several factors have been linked to multiple brain aneurysms but the most prevalent is arterial hypertension. In the treatment of cerebral aneurysms, endovascular techniques like coil embolization have essentially taken the place of surgical clipping. Brain aneurysm treatment has undergone a revolutionary change owing to flow diverters. They are now used for complex aneurysms that are unresponsive to standard therapies, in addition to unruptured lesions that were previously treated with standard surgical or coil-based endovascular procedures. Flow diversion has shown to be a more successful treatment for aneurysms than other approaches due to its reduced complication and high recovery rate. We discuss the case of a patient who arrived with headache and was subsequently diagnosed with numerous aneurysms of the left internal carotid artery. Flow diverter stenting was employed to thrombose our patient's existing aneurysms, followed by dual antiplatelet therapy (Ticagrelor and Thrombo ASS) as a post-procedural need. Despite the fact that our patient had both large and minor aneurysms impacting challenging locations, there were no complications after treatment.</p>\",\"PeriodicalId\":72829,\"journal\":{\"name\":\"Discoveries (Craiova, Romania)\",\"volume\":\"11 4\",\"pages\":\"e181\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-12-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669053/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Discoveries (Craiova, Romania)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.15190/d.2023.20\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/10/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Discoveries (Craiova, Romania)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15190/d.2023.20","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/10/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Efficacy of Flow Diverters in Managing Multiple Aneurysms: A Clinical Case Report.
Brain aneurysms, also known as cerebral aneurysms, are the growths of the parent artery. Based on their shape, aneurysms can be categorized as saccular or non-saccular. Several factors have been linked to multiple brain aneurysms but the most prevalent is arterial hypertension. In the treatment of cerebral aneurysms, endovascular techniques like coil embolization have essentially taken the place of surgical clipping. Brain aneurysm treatment has undergone a revolutionary change owing to flow diverters. They are now used for complex aneurysms that are unresponsive to standard therapies, in addition to unruptured lesions that were previously treated with standard surgical or coil-based endovascular procedures. Flow diversion has shown to be a more successful treatment for aneurysms than other approaches due to its reduced complication and high recovery rate. We discuss the case of a patient who arrived with headache and was subsequently diagnosed with numerous aneurysms of the left internal carotid artery. Flow diverter stenting was employed to thrombose our patient's existing aneurysms, followed by dual antiplatelet therapy (Ticagrelor and Thrombo ASS) as a post-procedural need. Despite the fact that our patient had both large and minor aneurysms impacting challenging locations, there were no complications after treatment.