PMID: 11904048Mar 21, 2002Paper

Management of intraprocedural arterial thrombus in cerebral aneurysm embolization with abciximab: technical case report

Neurosurgery
Michael J AlexanderFernando Viñuela

Abstract

Thromboembolic complications after cerebral aneurysm treatment with Guglielmi detachable coils (Boston Scientific/Target, Fremont, CA) are not infrequent; in a University of California, Los Angeles institutional review of 720 treated aneurysms, thromboembolic complications occurred in 2.5% of cases. The development of intraluminal thrombus during the embolization procedure, however, may be diagnosed promptly and treated effectively with appropriate therapy. This report describes the use of intravenously administered abciximab for the treatment of intraprocedural arterial thrombus encountered during the coil embolization of a recently ruptured anterior communicating artery aneurysm. A 45-year-old man presented with severe headache 12 days before transfer to our institution. He had no neurological deficits at admission. Previous computed tomography of the brain demonstrated subarachnoid hemorrhage, and magnetic resonance angiography from the other institution demonstrated a 4-mm anterior communicating artery aneurysm. The patient underwent Guglielmi detachable coil embolization of the aneurysm under systemic heparinization. During the embolization, however, a thrombus developed in the proximal left A2 segment. The patient was giv...Continue Reading

Citations

Oct 6, 2006·Current Opinion in Anaesthesiology·Marc Van de Velde
Apr 12, 2008·AJNR. American Journal of Neuroradiology·V KatsaridisD Peios
Sep 30, 2004·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·H StandhardtG Bavinzski
Feb 8, 2011·Expert Opinion on Pharmacotherapy·Radoslav Raychev, Bruce Ovbiagele
Mar 17, 2007·Current Cardiology Reports·Chirag D GandhiAman B Patel
Apr 5, 2008·Angiology·Yong-Song Guan, Ming-Quan Wang
May 20, 2020·Clinical Neuroradiology·Samuel PearceHamed Asadi
Mar 3, 2009·Neurosurgical Focus·Chirag D GandhiCharles J Prestigiacomo
Oct 21, 2006·Neurosurgery·Christopher J KoebbeRobert H Rosenwasser
May 9, 2007·Current Treatment Options in Cardiovascular Medicine·Chirag D GandhiAman B Patel
Sep 12, 2008·AJNR. American Journal of Neuroradiology·R G JonesD A Yates
Nov 26, 2010·Neurosurgery·Mohamed AggourJean-Pierre Graftieaux
Nov 18, 2021·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Xin-Yu LiBu-Lang Gao

❮ 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.

Cajal Bodies & Gems

Cajal bodies or coiled bodies are dense foci of coilin protein. Gemini of Cajal bodies, or gems, are microscopically similar to Cajal bodies. It is believed that Cajal bodies play important roles in RNA processing while gems assist the Cajal bodies. Find the latest research on Cajal bodies and gems here.

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.