TY - JOUR
T1 - Endovascular treatment of patient with multiple extracranial large vessel stenosis and coexistent unruptured wide-neck intracranial aneurysm using a WEB device and Szabo-technique
AU - Cherednychenko, Yurii
AU - Engelhorn, Tabias
AU - Miroshnychenko, Andrii
AU - Zorin, Mikola
AU - Dzyak, Liudmila
AU - Tsurkalenko, Olena
AU - Cherednychenko, Natalia
N1 - Publisher Copyright:
© 2020
PY - 2020/12
Y1 - 2020/12
N2 - The coexistence of severe extracranial large vessel stenosis and unruptured intracranial aneurysms is not rare. There are different treatment approaches for these conditions, such as initial treatment of the aneurysm before revascularization of the stenosis; single-stage endovascular treatment of both lesions; stenosis eliminating followed by treatment of the aneurysm, or without treating the aneurysm. But, taking into account the risk of aneurysm rupture on the one hand and the risk of ischemic stroke on the other, it is sometimes difficult to choose the right management strategy. Despite this fact, there are still no guidelines or consensus on the management of these coexistent lesions. The article describes a clinical case of endovascular treatment of multiple extracranial stenosis and coexistent unruptured wide-neck aneurysm of the middle cerebral artery. The endovascular treatment of the carotid stenosis and aneurysm using a woven endobridge device was performed in one session; endovascular treatment of vertebral artery stenosis with Szabo technique was performed in another session.
AB - The coexistence of severe extracranial large vessel stenosis and unruptured intracranial aneurysms is not rare. There are different treatment approaches for these conditions, such as initial treatment of the aneurysm before revascularization of the stenosis; single-stage endovascular treatment of both lesions; stenosis eliminating followed by treatment of the aneurysm, or without treating the aneurysm. But, taking into account the risk of aneurysm rupture on the one hand and the risk of ischemic stroke on the other, it is sometimes difficult to choose the right management strategy. Despite this fact, there are still no guidelines or consensus on the management of these coexistent lesions. The article describes a clinical case of endovascular treatment of multiple extracranial stenosis and coexistent unruptured wide-neck aneurysm of the middle cerebral artery. The endovascular treatment of the carotid stenosis and aneurysm using a woven endobridge device was performed in one session; endovascular treatment of vertebral artery stenosis with Szabo technique was performed in another session.
KW - Cerebral aneurysm
KW - Endovascular treatment
KW - Stenosis of extracranial vessel
KW - Szabo-technique
KW - WEB device
UR - http://www.scopus.com/inward/record.url?scp=85092064223&partnerID=8YFLogxK
U2 - 10.1016/j.radcr.2020.09.020
DO - 10.1016/j.radcr.2020.09.020
M3 - Article
AN - SCOPUS:85092064223
SN - 1930-0433
VL - 15
SP - 2522
EP - 2529
JO - Radiology Case Reports
JF - Radiology Case Reports
IS - 12
ER -