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
References
Mar 1, 1997·Journal of Neurosurgery·F ViñuelaM Mawad
Jul 1, 1997·Journal of the American College of Cardiology·A M LincoffE J Topol
Jul 22, 1998·Lancet·UNKNOWN EPISTENT Investigators
Jun 15, 1999·Journal of Neurology·J P PruvoD Leys
Mar 29, 2000·Hospital Medicine·A H Gershlick
May 4, 2000·Journal of Neurosurgery·P A RasmussenT J Masaryk
Jun 2, 2000·Neurosurgery·A I QureshiL N Hopkins
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
May 5, 2017·Neurosurgery·David DornbosShahid M Nimjee
Jan 28, 2004·Neurosurgery·Hans HenkesDietmar Kuehne
Mar 17, 2007·Current Cardiology Reports·Chirag D GandhiAman B Patel
Apr 5, 2008·Angiology·Yong-Song Guan, Ming-Quan Wang
Nov 28, 2013·Neuroradiology·Jacques SedatBernard Padovani
May 17, 2018·Interventional Neurology·Li-Mei LinAlexander L Coon
Mar 21, 2009·Stroke; a Journal of Cerebral Circulation·Thorsten RiesJens Fiehler
May 20, 2020·Clinical Neuroradiology·Samuel PearceHamed Asadi
Mar 3, 2009·Neurosurgical Focus·Chirag D GandhiCharles J Prestigiacomo
Mar 4, 2008·Journal of Neurosurgery·Jae Hyo ParkDae Hee Han
Apr 29, 2004·Neurosurgery·David FiorellaCameron G McDougall
Oct 21, 2006·Neurosurgery·Christopher J KoebbeRobert H Rosenwasser
May 9, 2007·Current Treatment Options in Cardiovascular Medicine·Chirag D GandhiAman B Patel
Aug 20, 2016·Journal of Neurointerventional Surgery·Akash P KansagraColin P Derdeyn
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