PMID: 9540327Apr 16, 1998Paper

Arterial occlusive lesions following wrapping and coating of unruptured aneurysms

Neurologia Medico-chirurgica
S KawamuraN Yasui

Abstract

Seven patients (mean age 57 years) developed arterial occlusive lesions following both wrapping and coating during surgery for unruptured aneurysms. Five patients had no risk factors for arteriosclerosis, and two had hypertension or diabetes mellitus. The aneurysms were located in the middle cerebral artery in four cases, and the internal carotid artery in three. Both 100%-cellulose cotton (Bemsheet) and cyanoacrylate glue (Biobond) were used as reinforcement materials. Postoperative angiography revealed complete clipping, and no parent artery stenoses, although one patient had a non-symptomatic diffuse narrowing in the entire carotid fork 7 days following surgery. Three patients had progressive stroke 4-5 weeks following surgery, and two had no symptoms. Both reinforcement materials were used as little as necessary in the last two patients, but they had either transient ischemic attacks or progressive stroke 2 months following surgery. Arterial steno-occlusion was confirmed angiographically in all patients. These vascular lesions were probably induced by both direct toxicity of the cyanoacrylate glue and fibrosis or granuloma formation caused by the cotton fibers. The observed angiographical reversibility suggests that the cya...Continue Reading

Citations

Aug 11, 2005·Neurosurgical Review·Joji Inamasu, Bernard H Guiot
Aug 28, 2015·British Journal of Neurosurgery·Paolo PerriniNicola Benedetto
Jul 5, 2006·Survey of Ophthalmology·Parisa TaravatiStephen B Lewis
May 23, 2018·Biomaterials Science·Jay M Korde, Balasubramanian Kandasubramanian
Mar 29, 2007·ANZ Journal of Surgery·Peter A LeggatUreporn Kedjarune
Apr 13, 2005·Neuropathology : Official Journal of the Japanese Society of Neuropathology·Hiroshi YasudaKazuo Nagashima
Sep 24, 2013·Neurosurgery·M Yashar S KalaniRobert F Spetzler

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.