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Intracranial Injection of Fibrinolytic Agent in a Patient with Iatrogenic Artery Thrombosis following Clipping of the Middle Cerebral Artery Aneurysmстатья
- Авторы: Pilipenko Yuri, Konovalov Anton, Poluektov Yuri, Eliava Shalva
- Журнал: Neurosurgery - Cases and Reviews
- Том: 5
- Номер: 2
- Год издания: 2022
- Издательство: ClinMed International Library
- Местоположение издательства: USA
- Первая страница: 1
- Последняя страница: 5
- DOI: 10.23937/2643-4474/1710107
- Аннотация: The most common complication of intracranial aneurysms clipping is brain ischemia, which is observed in 5.6% of patients with unruptured cerebral aneurysm [1,2]. Brain infarction is primarily observed within the first 24 h after clipping and associated with vasospasm, thrombosing of the feeding artery, and/or migration of an atheromatous plaque after manipulations with an aneurysm [3]. Factors increasing the risk of postoperative complications are complex aneurysms, atherosclerosis, and calcification of the aneurysm neck [1,2].A rare cause of brain infarction in the early postoperative period may be improper clip position with compression of parentartery [2,3]. Micro-Doppler or other intraoperative methods of blood circulation control can help reduce the risk of such complications [4]. Reoperation with a microsurgical resolution of stenosis can improve the outcome in patients with iatrogenic complications associated with improper clip positioning [5].The presented clinical case demonstrates a successful early diagnosis of artery occlusion after aneurysm clipping and resolution of thrombosis during urgent reoperation by intracranial intra-arterial injection of a fibrinolytic agent.
- Добавил в систему: Коновалов Антон Николаевич
Прикрепленные файлы
| № | Имя | Описание | Имя файла | Размер | Добавлен |
|---|---|---|---|---|---|
| 1. | Полный текст | Полный текст статьи | neurosurgery-cases-and-reviews-ncr-5-107.pdf | 2,6 МБ | 3 декабря 2022 [ANKonovalov] |