Ekvtimishvili Erekle, Rajesh Rahul Yedpallikar, Koshy Rowyna Reji, Maliyil Binu Thomas, Kumar Arsha Anil
Endovascular Neurosurgery Department, High Technology Medical Center, University Clinic, Tbilisi, Georgia.
Tbilisi State Medical University, Tbilisi, Georgia.
Discoveries (Craiova). 2023 Dec 31;11(4):e181. doi: 10.15190/d.2023.20. eCollection 2023 Oct-Dec.
Brain aneurysms, also known as cerebral aneurysms, are the growths of the parent artery. Based on their shape, aneurysms can be categorized as saccular or non-saccular. Several factors have been linked to multiple brain aneurysms but the most prevalent is arterial hypertension. In the treatment of cerebral aneurysms, endovascular techniques like coil embolization have essentially taken the place of surgical clipping. Brain aneurysm treatment has undergone a revolutionary change owing to flow diverters. They are now used for complex aneurysms that are unresponsive to standard therapies, in addition to unruptured lesions that were previously treated with standard surgical or coil-based endovascular procedures. Flow diversion has shown to be a more successful treatment for aneurysms than other approaches due to its reduced complication and high recovery rate. We discuss the case of a patient who arrived with headache and was subsequently diagnosed with numerous aneurysms of the left internal carotid artery. Flow diverter stenting was employed to thrombose our patient's existing aneurysms, followed by dual antiplatelet therapy (Ticagrelor and Thrombo ASS) as a post-procedural need. Despite the fact that our patient had both large and minor aneurysms impacting challenging locations, there were no complications after treatment.
脑动脉瘤,也称为颅内动脉瘤,是脑动脉主干上的异常膨出。根据其形状,动脉瘤可分为囊状或非囊状。多种因素与多发性脑动脉瘤有关,但最常见的是动脉高血压。在脑动脉瘤的治疗中,血管内技术如弹簧圈栓塞已基本取代了手术夹闭。由于血流导向装置,脑动脉瘤的治疗发生了革命性的变化。除了以前采用标准手术或基于弹簧圈的血管内手术治疗的未破裂病变外,它们现在还用于对标准治疗无反应的复杂动脉瘤。由于并发症减少和恢复率高,血流导向已被证明是一种比其他方法更成功的动脉瘤治疗方法。我们讨论了一名因头痛前来就诊的患者的病例,该患者随后被诊断为左侧颈内动脉多发动脉瘤。采用血流导向支架植入术使患者现有的动脉瘤形成血栓,术后根据需要进行双联抗血小板治疗(替格瑞洛和血栓通)。尽管我们的患者既有大动脉瘤也有小动脉瘤,且位于具有挑战性的位置,但治疗后未出现并发症。