Intracranial Aneurysm: Abnormal outpouching in the wall of intracranial blood vessels. Most common are the saccular (berry) aneurysms located at branch points in CIRCLE OF WILLIS at the base of the brain. Vessel rupture results in SUBARACHNOID HEMORRHAGE or INTRACRANIAL HEMORRHAGES. Giant aneurysms (>2.5 cm in diameter) may compress adjacent structures, including the OCULOMOTOR NERVE. (From Adams et al., Principles of Neurology, 6th ed, p841)Aneurysm: Pathological outpouching or sac-like dilatation in the wall of any blood vessel (ARTERIES or VEINS) or the heart (HEART ANEURYSM). It indicates a thin and weakened area in the wall which may later rupture. Aneurysms are classified by location, etiology, or other characteristics.Aneurysm, Infected: Aneurysm due to growth of microorganisms in the arterial wall, or infection arising within preexisting arteriosclerotic aneurysms.Aortic Aneurysm: An abnormal balloon- or sac-like dilatation in the wall of AORTA.Heart Aneurysm: A localized bulging or dilatation in the muscle wall of a heart (MYOCARDIUM), usually in the LEFT VENTRICLE. Blood-filled aneurysms are dangerous because they may burst. Fibrous aneurysms interfere with the heart function through the loss of contractility. True aneurysm is bound by the vessel wall or cardiac wall. False aneurysms are HEMATOMA caused by myocardial rupture.Aortic Aneurysm, Thoracic: An abnormal balloon- or sac-like dilatation in the wall of the THORACIC AORTA. This proximal descending portion of aorta gives rise to the visceral and the parietal branches above the aortic hiatus at the diaphragm.Aneurysm, Dissecting: Aneurysm caused by a tear in the TUNICA INTIMA of a blood vessel leading to interstitial HEMORRHAGE, and splitting (dissecting) of the vessel wall, often involving the AORTA. Dissection between the intima and media causes luminal occlusion. Dissection at the media, or between the media and the outer adventitia causes aneurismal dilation.Iliac Aneurysm: Abnormal balloon- or sac-like dilatation in the wall of any one of the iliac arteries including the common, the internal, or the external ILIAC ARTERY.Embolization, Therapeutic: A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.Coronary Aneurysm: Abnormal balloon- or sac-like dilatation in the wall of CORONARY VESSELS. Most coronary aneurysms are due to CORONARY ATHEROSCLEROSIS, and the rest are due to inflammatory diseases, such as KAWASAKI DISEASE.Blood Vessel Prosthesis Implantation: Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.Cerebral Angiography: Radiography of the vascular system of the brain after injection of a contrast medium.Aortic Rupture: The tearing or bursting of the wall along any portion of the AORTA, such as thoracic or abdominal. It may result from the rupture of an aneurysm or it may be due to TRAUMA.Aneurysm, False: Not an aneurysm but a well-defined collection of blood and CONNECTIVE TISSUE outside the wall of a blood vessel or the heart. It is the containment of a ruptured blood vessel or heart, such as sealing a rupture of the left ventricle. False aneurysm is formed by organized THROMBUS and HEMATOMA in surrounding tissue.Blood Vessel Prosthesis: Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.Aorta, Abdominal: The aorta from the DIAPHRAGM to the bifurcation into the right and left common iliac arteries.Subarachnoid Hemorrhage: Bleeding into the intracranial or spinal SUBARACHNOID SPACE, most resulting from INTRACRANIAL ANEURYSM rupture. It can occur after traumatic injuries (SUBARACHNOID HEMORRHAGE, TRAUMATIC). Clinical features include HEADACHE; NAUSEA; VOMITING, nuchal rigidity, variable neurological deficits and reduced mental status.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Endovascular Procedures: Minimally invasive procedures, diagnostic or therapeutic, performed within the BLOOD VESSELS. They may be perfomed via ANGIOSCOPY; INTERVENTIONAL MAGNETIC RESONANCE IMAGING; INTERVENTIONAL RADIOGRAPHY; or INTERVENTIONAL ULTRASONOGRAPHY.Angiography, Digital Subtraction: A method of delineating blood vessels by subtracting a tissue background image from an image of tissue plus intravascular contrast material that attenuates the X-ray photons. The background image is determined from a digitized image taken a few moments before injection of the contrast material. The resulting angiogram is a high-contrast image of the vessel. This subtraction technique allows extraction of a high-intensity signal from the superimposed background information. The image is thus the result of the differential absorption of X-rays by different tissues.Aortography: Radiographic visualization of the aorta and its branches by injection of contrast media, using percutaneous puncture or catheterization procedures.Vascular Surgical Procedures: Operative procedures for the treatment of vascular disorders.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Surgical Instruments: Hand-held tools or implements used by health professionals for the performance of surgical tasks.Stents: Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.Angiography: Radiography of blood vessels after injection of a contrast medium.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Prosthesis Design: The plan and delineation of prostheses in general or a specific prosthesis.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Anterior Cerebral Artery: Artery formed by the bifurcation of the internal carotid artery (CAROTID ARTERY, INTERNAL). Branches of the anterior cerebral artery supply the CAUDATE NUCLEUS; INTERNAL CAPSULE; PUTAMEN; SEPTAL NUCLEI; GYRUS CINGULI; and surfaces of the FRONTAL LOBE and PARIETAL LOBE.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Carotid Artery, Internal: Branch of the common carotid artery which supplies the anterior part of the brain, the eye and its appendages, the forehead and nose.Iliac Artery: Either of two large arteries originating from the abdominal aorta; they supply blood to the pelvis, abdominal wall and legs.Neurosurgical Procedures: Surgery performed on the nervous system or its parts.Endoleak: Postoperative hemorrhage from an endovascular AORTIC ANEURYSM repaired with endoluminal placement of stent grafts (BLOOD VESSEL PROSTHESIS IMPLANTATION). It is associated with pressurization, expansion, and eventual rupture of the aneurysm.Aortitis: Inflammation of the wall of the AORTA.Platinum: Platinum. A heavy, soft, whitish metal, resembling tin, atomic number 78, atomic weight 195.09, symbol Pt. (From Dorland, 28th ed) It is used in manufacturing equipment for laboratory and industrial use. It occurs as a black powder (platinum black) and as a spongy substance (spongy platinum) and may have been known in Pliny's time as "alutiae".Carotid Artery Diseases: Pathological conditions involving the CAROTID ARTERIES, including the common, internal, and external carotid arteries. ATHEROSCLEROSIS and TRAUMA are relatively frequent causes of carotid artery pathology.Polyethylene Terephthalates: Polyester polymers formed from terephthalic acid or its esters and ethylene glycol. They can be formed into tapes, films or pulled into fibers that are pressed into meshes or woven into fabrics.Splenic Artery: The largest branch of the celiac trunk with distribution to the spleen, pancreas, stomach and greater omentum.Angioplasty: Reconstruction or repair of a blood vessel, which includes the widening of a pathological narrowing of an artery or vein by the removal of atheromatous plaque material and/or the endothelial lining as well, or by dilatation (BALLOON ANGIOPLASTY) to compress an ATHEROMA. Except for ENDARTERECTOMY, usually these procedures are performed via catheterization as minimally invasive ENDOVASCULAR PROCEDURES.Reoperation: A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.Balloon Occlusion: Use of a balloon CATHETER to block the flow of blood through an artery or vein.Renal Artery: A branch of the abdominal aorta which supplies the kidneys, adrenal glands and ureters.Sinus of Valsalva: The dilatation of the aortic wall behind each of the cusps of the aortic valve.Imaging, Three-Dimensional: The process of generating three-dimensional images by electronic, photographic, or other methods. For example, three-dimensional images can be generated by assembling multiple tomographic images with the aid of a computer, while photographic 3-D images (HOLOGRAPHY) can be made by exposing film to the interference pattern created when two laser light sources shine on an object.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Vertebral Artery: The first branch of the SUBCLAVIAN ARTERY with distribution to muscles of the NECK; VERTEBRAE; SPINAL CORD; CEREBELLUM; and interior of the CEREBRUM.Pancreatic Elastase: A protease of broad specificity, obtained from dried pancreas. Molecular weight is approximately 25,000. The enzyme breaks down elastin, the specific protein of elastic fibers, and digests other proteins such as fibrin, hemoglobin, and albumin. EC 3.4.21.36.Cerebral Arteries: The arterial blood vessels supplying the CEREBRUM.Dilatation, Pathologic: The condition of an anatomical structure's being dilated beyond normal dimensions.Retreatment: The therapy of the same disease in a patient, with the same agent or procedure repeated after initial treatment, or with an additional or alternate measure or follow-up. It does not include therapy which requires more than one administration of a therapeutic agent or regimen. Retreatment is often used with reference to a different modality when the original one was inadequate, harmful, or unsuccessful.Posterior Cerebral Artery: Artery formed by the bifurcation of the BASILAR ARTERY. Branches of the posterior cerebral artery supply portions of the OCCIPITAL LOBE; PARIETAL LOBE; inferior temporal gyrus, brainstem, and CHOROID PLEXUS.Celiac Artery: The arterial trunk that arises from the abdominal aorta and after a short course divides into the left gastric, common hepatic and splenic arteries.Anastomosis, Surgical: Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.Basilar Artery: The artery formed by the union of the right and left vertebral arteries; it runs from the lower to the upper border of the pons, where it bifurcates into the two posterior cerebral arteries.Mesenteric Artery, Superior: A large vessel supplying the whole length of the small intestine except the superior part of the duodenum. It also supplies the cecum and the ascending part of the colon and about half the transverse part of the colon. It arises from the anterior surface of the aorta below the celiac artery at the level of the first lumbar vertebra.Marfan Syndrome: An autosomal dominant disorder of CONNECTIVE TISSUE with abnormal features in the heart, the eye, and the skeleton. Cardiovascular manifestations include MITRAL VALVE PROLAPSE, dilation of the AORTA, and aortic dissection. Other features include lens displacement (ectopia lentis), disproportioned long limbs and enlarged DURA MATER (dural ectasia). Marfan syndrome is associated with mutations in the gene encoding fibrillin, a major element of extracellular microfibrils of connective tissue.Prosthesis Failure: Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking.Foreign-Body Migration: Migration of a foreign body from its original location to some other location in the body.Circle of Willis: A polygonal anastomosis at the base of the brain formed by the internal carotid (CAROTID ARTERY, INTERNAL), proximal parts of the anterior, middle, and posterior cerebral arteries (ANTERIOR CEREBRAL ARTERY; MIDDLE CEREBRAL ARTERY; POSTERIOR CEREBRAL ARTERY), the anterior communicating artery and the posterior communicating arteries.Craniotomy: Any operation on the cranium or incision into the cranium. (Dorland, 28th ed)Microsurgery: The performance of surgical procedures with the aid of a microscope.Equipment Design: Methods of creating machines and devices.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Subclavian Artery: Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.Cerebral Revascularization: Microsurgical revascularization to improve intracranial circulation. It usually involves joining the extracranial circulation to the intracranial circulation but may include extracranial revascularization (e.g., subclavian-vertebral artery bypass, subclavian-external carotid artery bypass). It is performed by joining two arteries (direct anastomosis or use of graft) or by free autologous transplantation of highly vascularized tissue to the surface of the brain.Aorta, Thoracic: The portion of the descending aorta proceeding from the arch of the aorta and extending to the DIAPHRAGM, eventually connecting to the ABDOMINAL AORTA.Mucocutaneous Lymph Node Syndrome: An acute, febrile, mucocutaneous condition accompanied by swelling of cervical lymph nodes in infants and young children. The principal symptoms are fever, congestion of the ocular conjunctivae, reddening of the lips and oral cavity, protuberance of tongue papillae, and edema or erythema of the extremities.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Popliteal Artery: The continuation of the femoral artery coursing through the popliteal fossa; it divides into the anterior and posterior tibial arteries.Vascular Fistula: An abnormal passage between two or more BLOOD VESSELS, between ARTERIES; VEINS; or between an artery and a vein.Radiography, Interventional: Diagnostic and therapeutic procedures that are invasive or surgical in nature, and require the expertise of a specially trained radiologist. In general, they are more invasive than diagnostic imaging but less invasive than major surgery. They often involve catheterization, fluoroscopy, or computed tomography. Some examples include percutaneous transhepatic cholangiography, percutaneous transthoracic biopsy, balloon angioplasty, and arterial embolization.Models, Cardiovascular: Theoretical representations that simulate the behavior or activity of the cardiovascular system, processes, or phenomena; includes the use of mathematical equations, computers and other electronic equipment.Vertebral Artery Dissection: Splitting of the vessel wall in the VERTEBRAL ARTERY. Interstitial hemorrhage into the media of the vessel wall can lead to occlusion of the vertebral artery, aneurysm formation, or THROMBOEMBOLISM. Vertebral artery dissection is often associated with TRAUMA and injuries to the head-neck region but can occur spontaneously.Carotid Artery, Internal, Dissection: The splitting of the vessel wall in one or both (left and right) internal carotid arteries (CAROTID ARTERY, INTERNAL). Interstitial hemorrhage into the media of the vessel wall can lead to occlusion of the internal carotid artery and aneurysm formation.Mechanical Thrombolysis: Procedures to cause the disintegration of THROMBI by physical interventions.Recurrence: The return of a sign, symptom, or disease after a remission.Incidental Findings: Unanticipated information discovered in the course of testing or medical care. Used in discussions of information that may have social or psychological consequences, such as when it is learned that a child's biological father is someone other than the putative father, or that a person tested for one disease or disorder has, or is at risk for, something else.Arteriovenous Fistula: An abnormal direct communication between an artery and a vein without passing through the CAPILLARIES. An A-V fistula usually leads to the formation of a dilated sac-like connection, arteriovenous aneurysm. The locations and size of the shunts determine the degree of effects on the cardiovascular functions such as BLOOD PRESSURE and HEART RATE.Mesenteric Artery, Inferior: The artery supplying nearly all the left half of the transverse colon, the whole of the descending colon, the sigmoid colon, and the greater part of the rectum. It is smaller than the superior mesenteric artery (MESENTERIC ARTERY, SUPERIOR) and arises from the aorta above its bifurcation into the common iliac arteries.Thrombosis: Formation and development of a thrombus or blood clot in the blood vessel.Aortic Diseases: Pathological processes involving any part of the AORTA.Femoral Artery: The main artery of the thigh, a continuation of the external iliac artery.Glasgow Outcome Scale: A scale that assesses the outcome of serious craniocerebral injuries, based on the level of regained social functioning.Fatal Outcome: Death resulting from the presence of a disease in an individual, as shown by a single case report or a limited number of patients. This should be differentiated from DEATH, the physiological cessation of life and from MORTALITY, an epidemiological or statistical concept.Coated Materials, Biocompatible: Biocompatible materials usually used in dental and bone implants that enhance biologic fixation, thereby increasing the bond strength between the coated material and bone, and minimize possible biological effects that may result from the implant itself.Polytetrafluoroethylene: Homopolymer of tetrafluoroethylene. Nonflammable, tough, inert plastic tubing or sheeting; used to line vessels, insulate, protect or lubricate apparatus; also as filter, coating for surgical implants or as prosthetic material. Synonyms: Fluoroflex; Fluoroplast; Ftoroplast; Halon; Polyfene; PTFE; Tetron.Intracranial Thrombosis: Formation or presence of a blood clot (THROMBUS) in a blood vessel within the SKULL. Intracranial thrombosis can lead to thrombotic occlusions and BRAIN INFARCTION. The majority of the thrombotic occlusions are associated with ATHEROSCLEROSIS.Tomography, Spiral Computed: Computed tomography where there is continuous X-ray exposure to the patient while being transported in a spiral or helical pattern through the beam of irradiation. This provides improved three-dimensional contrast and spatial resolution compared to conventional computed tomography, where data is obtained and computed from individual sequential exposures.Intracranial Arteriovenous Malformations: Congenital vascular anomalies in the brain characterized by direct communication between an artery and a vein without passing through the CAPILLARIES. The locations and size of the shunts determine the symptoms including HEADACHES; SEIZURES; STROKE; INTRACRANIAL HEMORRHAGES; mass effect; and vascular steal effect.Vascular Patency: The degree to which BLOOD VESSELS are not blocked or obstructed.Ligation: Application of a ligature to tie a vessel or strangulate a part.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.ElastinCerebral Hemorrhage: Bleeding into one or both CEREBRAL HEMISPHERES including the BASAL GANGLIA and the CEREBRAL CORTEX. It is often associated with HYPERTENSION and CRANIOCEREBRAL TRAUMA.Equipment Failure Analysis: The evaluation of incidents involving the loss of function of a device. These evaluations are used for a variety of purposes such as to determine the failure rates, the causes of failures, costs of failures, and the reliability and maintainability of devices.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Patient Selection: Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.Intraoperative Complications: Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.Paraplegia: Severe or complete loss of motor function in the lower extremities and lower portions of the trunk. This condition is most often associated with SPINAL CORD DISEASES, although BRAIN DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; NEUROMUSCULAR DISEASES; and MUSCULAR DISEASES may also cause bilateral leg weakness.Buttocks: Either of two fleshy protuberances at the lower posterior section of the trunk or HIP in humans and primate on which a person or animal sits, consisting of gluteal MUSCLES and fat.Catheterization: Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.Carotid Artery, Common: The two principal arteries supplying the structures of the head and neck. They ascend in the neck, one on each side, and at the level of the upper border of the thyroid cartilage, each divides into two branches, the external (CAROTID ARTERY, EXTERNAL) and internal (CAROTID ARTERY, INTERNAL) carotid arteries.Loeys-Dietz Syndrome: An autosomal dominant aneurysm with multisystem abnormalities caused by increased TGF-BETA signaling due to mutations in type I or II of TGF-BETA RECEPTOR. Additional craniofacial features include CLEFT PALATE; CRANIOSYNOSTOSIS; HYPERTELORISM; or bifid uvula. Phenotypes closely resemble MARFAN SYNDROME; Marfanoid craniosynostosis syndrome (Shprintzen-Goldberg syndrome); and EHLERS-DANLOS SYNDROME.Magnetic Resonance Imaging: Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.Spinal Cord Ischemia: Reduced blood flow to the spinal cord which is supplied by the anterior spinal artery and the paired posterior spinal arteries. This condition may be associated with ARTERIOSCLEROSIS, trauma, emboli, diseases of the aorta, and other disorders. Prolonged ischemia may lead to INFARCTION of spinal cord tissue.Aorta: The main trunk of the systemic arteries.Arterial Occlusive Diseases: Pathological processes which result in the partial or complete obstruction of ARTERIES. They are characterized by greatly reduced or absence of blood flow through these vessels. They are also known as arterial insufficiency.Vascular Grafting: Surgical insertion of BLOOD VESSEL PROSTHESES, or transplanted BLOOD VESSELS, or other biological material to repair injured or diseased blood vessels.Viscera: Any of the large interior organs in any one of the three great cavities of the body, especially in the abdomen.Ophthalmic Artery: Artery originating from the internal carotid artery and distributing to the eye, orbit and adjacent facial structures.Behcet Syndrome: Rare chronic inflammatory disease involving the small blood vessels. It is of unknown etiology and characterized by mucocutaneous ulceration in the mouth and genital region and uveitis with hypopyon. The neuro-ocular form may cause blindness and death. SYNOVITIS; THROMBOPHLEBITIS; gastrointestinal ulcerations; RETINAL VASCULITIS; and OPTIC ATROPHY may occur as well.Elastic Tissue: Connective tissue comprised chiefly of elastic fibers. Elastic fibers have two components: ELASTIN and MICROFIBRILS.Brachiocephalic Trunk: The first and largest artery branching from the aortic arch. It distributes blood to the right side of the head and neck and to the right arm.Disease Models, Animal: Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.Esophageal Fistula: Abnormal passage communicating with the ESOPHAGUS. The most common type is TRACHEOESOPHAGEAL FISTULA between the esophagus and the TRACHEA.Survival Rate: The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.Cranial Nerve Diseases: Disorders of one or more of the twelve cranial nerves. With the exception of the optic and olfactory nerves, this includes disorders of the brain stem nuclei from which the cranial nerves originate or terminate.Prostheses and Implants: Artificial substitutes for body parts, and materials inserted into tissue for functional, cosmetic, or therapeutic purposes. Prostheses can be functional, as in the case of artificial arms and legs, or cosmetic, as in the case of an artificial eye. Implants, all surgically inserted or grafted into the body, tend to be used therapeutically. IMPLANTS, EXPERIMENTAL is available for those used experimentally.Predictive Value of Tests: In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.Axillary Artery: The continuation of the subclavian artery; it distributes over the upper limb, axilla, chest and shoulder.Oculomotor Nerve Diseases: Diseases of the oculomotor nerve or nucleus that result in weakness or paralysis of the superior rectus, inferior rectus, medial rectus, inferior oblique, or levator palpebrae muscles, or impaired parasympathetic innervation to the pupil. With a complete oculomotor palsy, the eyelid will be paralyzed, the eye will be in an abducted and inferior position, and the pupil will be markedly dilated. Commonly associated conditions include neoplasms, CRANIOCEREBRAL TRAUMA, ischemia (especially in association with DIABETES MELLITUS), and aneurysmal compression. (From Adams et al., Principles of Neurology, 6th ed, p270)Suture Techniques: Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).Fistula: Abnormal communication most commonly seen between two internal organs, or between an internal organ and the surface of the body.Hematoma: A collection of blood outside the BLOOD VESSELS. Hematoma can be localized in an organ, space, or tissue.Aortic Coarctation: A birth defect characterized by the narrowing of the AORTA that can be of varying degree and at any point from the transverse arch to the iliac bifurcation. Aortic coarctation causes arterial HYPERTENSION before the point of narrowing and arterial HYPOTENSION beyond the narrowed portion.Matrix Metalloproteinase 9: An endopeptidase that is structurally similar to MATRIX METALLOPROTEINASE 2. It degrades GELATIN types I and V; COLLAGEN TYPE IV; and COLLAGEN TYPE V.Hospital Mortality: A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.Transducers, Pressure: Transducers that are activated by pressure changes, e.g., blood pressure.Arteries: The vessels carrying blood away from the heart.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Ultrasonography, Doppler, Duplex: Ultrasonography applying the Doppler effect combined with real-time imaging. The real-time image is created by rapid movement of the ultrasound beam. A powerful advantage of this technique is the ability to estimate the velocity of flow from the Doppler shift frequency.Replantation: Restoration of an organ or other structure to its original site.Hepatic Artery: A branch of the celiac artery that distributes to the stomach, pancreas, duodenum, liver, gallbladder, and greater omentum.Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Equipment Safety: Freedom of equipment from actual or potential hazards.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Temporal Arteries: Arteries arising from the external carotid or the maxillary artery and distributing to the temporal region.Vasospasm, Intracranial: Constriction of arteries in the SKULL due to sudden, sharp, and often persistent smooth muscle contraction in blood vessels. Intracranial vasospasm results in reduced vessel lumen caliber, restricted blood flow to the brain, and BRAIN ISCHEMIA that may lead to hypoxic-ischemic brain injury (HYPOXIA-ISCHEMIA, BRAIN).Image Processing, Computer-Assisted: A technique of inputting two-dimensional images into a computer and then enhancing or analyzing the imagery into a form that is more useful to the human observer.Disease Progression: The worsening of a disease over time. This concept is most often used for chronic and incurable diseases where the stage of the disease is an important determinant of therapy and prognosis.Sensitivity and Specificity: Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)Constriction: The act of constricting.Echocardiography, Transesophageal: Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues using a transducer placed in the esophagus.Saphenous Vein: The vein which drains the foot and leg.Radiographic Image Interpretation, Computer-Assisted: Computer systems or networks designed to provide radiographic interpretive information.Surgical Procedures, Minimally Invasive: Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.Enbucrilate: A tissue adhesive that is applied as a monomer to moist tissue and polymerizes to form a bond. It is slowly biodegradable and used in all kinds of surgery, including dental.Models, Anatomic: Three-dimensional representation to show anatomic structures. Models may be used in place of intact animals or organisms for teaching, practice, and study.Arteritis: INFLAMMATION of any ARTERIES.Intestinal Fistula: An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).Cyanoacrylates: A group of compounds having the general formula CH2=C(CN)-COOR; it polymerizes on contact with moisture; used as tissue adhesive; higher homologs have hemostatic and antibacterial properties.Middle Cerebral Artery: The largest of the cerebral arteries. It trifurcates into temporal, frontal, and parietal branches supplying blood to most of the parenchyma of these lobes in the CEREBRAL CORTEX. These are the areas involved in motor, sensory, and speech activities.Matrix Metalloproteinase 2: A secreted endopeptidase homologous with INTERSTITIAL COLLAGENASE, but which possesses an additional fibronectin-like domain.Vertebrobasilar Insufficiency: Localized or diffuse reduction in blood flow through the vertebrobasilar arterial system, which supplies the BRAIN STEM; CEREBELLUM; OCCIPITAL LOBE; medial TEMPORAL LOBE; and THALAMUS. Characteristic clinical features include SYNCOPE; lightheadedness; visual disturbances; and VERTIGO. BRAIN STEM INFARCTIONS or other BRAIN INFARCTION may be associated.Ischemia: A hypoperfusion of the BLOOD through an organ or tissue caused by a PATHOLOGIC CONSTRICTION or obstruction of its BLOOD VESSELS, or an absence of BLOOD CIRCULATION.Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Cerebrovascular Circulation: The circulation of blood through the BLOOD VESSELS of the BRAIN.Neurologic Examination: Assessment of sensory and motor responses and reflexes that is used to determine impairment of the nervous system.Preoperative Care: Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)Pulsatile Flow: Rhythmic, intermittent propagation of a fluid through a BLOOD VESSEL or piping system, in contrast to constant, smooth propagation, which produces laminar flow.Databases as Topic: Organized collections of computer records, standardized in format and content, that are stored in any of a variety of computer-readable modes. They are the basic sets of data from which computer-readable files are created. (from ALA Glossary of Library and Information Science, 1983)Intracranial Embolism and Thrombosis: Embolism or thrombosis involving blood vessels which supply intracranial structures. Emboli may originate from extracranial or intracranial sources. Thrombosis may occur in arterial or venous structures.Tissue Adhesives: Substances used to cause adherence of tissue to tissue or tissue to non-tissue surfaces, as for prostheses.Paraparesis: Mild to moderate loss of bilateral lower extremity motor function, which may be a manifestation of SPINAL CORD DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; MUSCULAR DISEASES; INTRACRANIAL HYPERTENSION; parasagittal brain lesions; and other conditions.Emergencies: Situations or conditions requiring immediate intervention to avoid serious adverse results.Stress, Mechanical: A purely physical condition which exists within any material because of strain or deformation by external forces or by non-uniform thermal expansion; expressed quantitatively in units of force per unit area.Kaplan-Meier Estimate: A nonparametric method of compiling LIFE TABLES or survival tables. It combines calculated probabilities of survival and estimates to allow for observations occurring beyond a measurement threshold, which are assumed to occur randomly. Time intervals are defined as ending each time an event occurs and are therefore unequal. (From Last, A Dictionary of Epidemiology, 1995)Cardiovascular Surgical Procedures: Surgery performed on the heart or blood vessels.Alloys: A mixture of metallic elements or compounds with other metallic or metalloid elements in varying proportions.Arterio-Arterial Fistula: Abnormal communication between two ARTERIES that may result from injury or occur as a congenital abnormality.Retroperitoneal Space: An area occupying the most posterior aspect of the ABDOMINAL CAVITY. It is bounded laterally by the borders of the quadratus lumborum muscles and extends from the DIAPHRAGM to the brim of the true PELVIS, where it continues as the pelvic extraperitoneal space.Carotid Arteries: Either of the two principal arteries on both sides of the neck that supply blood to the head and neck; each divides into two branches, the internal carotid artery and the external carotid artery.Laparotomy: Incision into the side of the abdomen between the ribs and pelvis.Takayasu Arteritis: A chronic inflammatory process that affects the AORTA and its primary branches, such as the brachiocephalic artery (BRACHIOCEPHALIC TRUNK) and CAROTID ARTERIES. It results in progressive arterial stenosis, occlusion, and aneurysm formation. The pulse in the arm is hard to detect. Patients with aortitis syndrome often exhibit retinopathy.Doxycycline: A synthetic tetracycline derivative with similar antimicrobial activity.Cerebellum: The part of brain that lies behind the BRAIN STEM in the posterior base of skull (CRANIAL FOSSA, POSTERIOR). It is also known as the "little brain" with convolutions similar to those of CEREBRAL CORTEX, inner white matter, and deep cerebellar nuclei. Its function is to coordinate voluntary movements, maintain balance, and learn motor skills.Tuberculosis, Cardiovascular: Pathological conditions of the CARDIOVASCULAR SYSTEM caused by infection of MYCOBACTERIUM TUBERCULOSIS. Tuberculosis involvement may include the HEART; the BLOOD VESSELS; or the PERICARDIUM.Thromboembolism: Obstruction of a blood vessel (embolism) by a blood clot (THROMBUS) in the blood stream.Graft Occlusion, Vascular: Obstruction of flow in biological or prosthetic vascular grafts.Hematoma, Subdural, Acute: Accumulation of blood in the SUBDURAL SPACE with acute onset of neurological symptoms. Symptoms may include loss of consciousness, severe HEADACHE, and deteriorating mental status.Hemoptysis: Expectoration or spitting of blood originating from any part of the RESPIRATORY TRACT, usually from hemorrhage in the lung parenchyma (PULMONARY ALVEOLI) and the BRONCHIAL ARTERIES.Survival Analysis: A class of statistical procedures for estimating the survival function (function of time, starting with a population 100% well at a given time and providing the percentage of the population still well at later times). The survival analysis is then used for making inferences about the effects of treatments, prognostic factors, exposures, and other covariates on the function.Popliteal Vein: The vein formed by the union of the anterior and posterior tibial veins; it courses through the popliteal space and becomes the femoral vein.Equipment and Supplies: Expendable and nonexpendable equipment, supplies, apparatus, and instruments that are used in diagnostic, surgical, therapeutic, scientific, and experimental procedures.Catheterization, Peripheral: Insertion of a catheter into a peripheral artery, vein, or airway for diagnostic or therapeutic purposes.Emergency Treatment: First aid or other immediate intervention for accidents or medical conditions requiring immediate care and treatment before definitive medical and surgical management can be procured.Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Retroperitoneal Fibrosis: A slowly progressive condition of unknown etiology, characterized by deposition of fibrous tissue in the retroperitoneal space compressing the ureters, great vessels, bile duct, and other structures. When associated with abdominal aortic aneurysm, it may be called chronic periaortitis or inflammatory perianeurysmal fibrosis.Coronary Angiography: Radiography of the vascular system of the heart muscle after injection of a contrast medium.Fibromuscular Dysplasia: An idiopathic, segmental, nonatheromatous disease of the musculature of arterial walls, leading to STENOSIS of small and medium-sized arteries. There is true proliferation of SMOOTH MUSCLE CELLS and fibrous tissue. Fibromuscular dysplasia lesions are smooth stenosis and occur most often in the renal and carotid arteries. They may also occur in other peripheral arteries of the extremity.Intraoperative Care: Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.Shear Strength: The internal resistance of a material to moving some parts of it parallel to a fixed plane, in contrast to stretching (TENSILE STRENGTH) or compression (COMPRESSIVE STRENGTH). Ionic crystals are brittle because, when subjected to shear, ions of the same charge are brought next to each other, which causes repulsion.Cardiac Surgical Procedures: Surgery performed on the heart.Basal Ganglia Cerebrovascular Disease: A pathological condition caused by impaired blood flow in the basal regions of cerebral hemispheres (BASAL GANGLIA), such as INFARCTION; HEMORRHAGE; or ISCHEMIA in vessels of this brain region including the lateral lenticulostriate arteries. Primary clinical manifestations include involuntary movements (DYSKINESIAS) and muscle weakness (HEMIPARESIS).Observer Variation: The failure by the observer to measure or identify a phenomenon accurately, which results in an error. Sources for this may be due to the observer's missing an abnormality, or to faulty technique resulting in incorrect test measurement, or to misinterpretation of the data. Two varieties are inter-observer variation (the amount observers vary from one another when reporting on the same material) and intra-observer variation (the amount one observer varies between observations when reporting more than once on the same material).Rupture: Forcible or traumatic tear or break of an organ or other soft part of the body.Embolism: Blocking of a blood vessel by an embolus which can be a blood clot or other undissolved material in the blood stream.Neurosurgery: A surgical specialty concerned with the treatment of diseases and disorders of the brain, spinal cord, and peripheral and sympathetic nervous system.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
3D angiography. Clinical interest. First applications in interventional neuroradiology. (1/1425)
3D angiography is a true technical revolution that allows improvement in the quality and safety of diagnostic and endovascular treatment procedures. 3D angiography images are obtained by reconstruction of a rotational angiography acquisition done on a C-arm (GE Medical Systems) spinning at 40 degrees per second. The carotid or vertebral selective injection of a total of 15 ml of non-ionic contrast media at 3 ml/sec over 5 seconds allows the selection of the "arterial phase". Four hundred sixty 3D angiographic studies were performed from December 1996 to September 1998 on 260 patients and have been analyzed in MIP (Maximum Intensity Projection) and SSD (Shaded Surface Display) views. The exploration of intracranial aneurysms is simplified and only requires, for each vascular axis, a biplane PA and Lateral run followed by a single rotational angiography run. The 3D angiography image is available on the workstation's screen (Advantage Workstation 3.1, GE Medical Systems) in less than 10 minutes after the acquisition of the rotational run. It therefore allows one to analyze, during the intervention, the aneurysm's angioarchitecture, in particular the neck, and select the best therapeutic technique. When endovascular treatment is the best indication, 3D angiography allows one to define the optimal angle of view and accurately select the microcoils dimensions. 3D angiography replaces the multiple oblique views that used to be required to analyze the complex aneurysms and therefore allows a reduction of the total contrast medium quantity, the patient X-ray dose and the length of the intervention time which is a safety factor. Also, in particular for complex cases, it brings additional elements complementing the results of standard 2D DSA and rotational angiograms. In the cervical vascular pathology, 3D angiography allows for a better assessment of the stenosis level and of dissection lesions. Our current research activities focus on the matching without stereotactic frame between 3D X-ray angiography and volumetric MR acquisition, which should allow us to improve the treatment of intracerebral arterio-venous malformations (AVMs). (+info)Rupture mechanism of a thrombosed slow-growing giant aneurysm of the vertebral artery--case report. (2/1425)
A 76-year-old male developed left hemiparesis in July 1991. The diagnosis was thrombosed giant vertebral artery aneurysm. He showed progressive symptoms and signs of brainstem compression, but refused surgery and was followed up without treatment. He died of rupture of the aneurysm and underwent autopsy in March 1995. Histological examination of the aneurysm revealed fresh clot in the aneurysmal lumen, old thrombus surrounding the aneurysmal lumen, and more recent hemorrhage between the old thrombus and the inner aneurysmal wall. The most important histological feature was the many clefts containing fresh blood clots in the old thrombus near the wall of the distal neck. These clefts were not lined with endothelial cells, and seemed to connect the lumen of the parent artery with the most peripheral fresh hemorrhage. However, the diameter of each of these clefts is apparently not large enough to transmit the blood pressure of the parent artery. Simple dissection of the aneurysmal wall by blood flow in the lumen through many clefts in the old thrombus of the distal neck may be involved in the growth and rupture of thrombosed giant aneurysms of the vertebral artery. (+info)Facial diplegia complicating a bilateral internal carotid artery dissection. (3/1425)
BACKGROUND AND PURPOSE: We report a case of facial diplegia complicating a bilateral internal carotid artery dissection. CASE DESCRIPTION: A 49-year-old patient presented with unilateral headache and oculosympathetic paresis. Cerebral angiography revealed a bilateral internal carotid artery dissection. A few days later, the patient developed a facial diplegia that regressed after arterial recanalization. An arterial anatomic variation may explain this ischemic complication of carotid dissection. CONCLUSIONS: Double carotid dissection should be included among the causes of bilateral seventh nerve palsy. (+info)Surgical transluminal iliac angioplasty with selective stenting: long-term results assessed by means of duplex scanning. (4/1425)
PURPOSE: The safety of iliac angioplasty and selective stenting performed in the operating room by vascular surgeons was evaluated, and the short- and long-term results were assessed by means of serial duplex scanning. METHODS: Between 1989 and 1996, 281 iliac stenotic or occlusive lesions in 235 consecutive patients with chronic limb ischemia were treated by means of percutaneous transluminal angioplasty (PTA) alone (n = 214) or PTA with stent (n = 67, 23.8%). There were 260 primary lesions and 21 restenosis after a first PTA, which were analyzed separately. Stents were implanted in selected cases, either primarily in totally occluded arteries or after suboptimum results of PTA (ie, residual stenosis or a dissection). Data were collected prospectively and analyzed retrospectively. Results were reported in an intention-to-treat basis. Clinical results and patency were evaluated by means of symptom assessment, ankle brachial pressure index, and duplex scanning at discharge and 1, 3, 6, and every 12 months after angioplasty. To identify factors that may affect outcome, 12 clinical and radiological variables, including the four categories of lesions defined by the Standards of Practice Committee of the Society of Cardiovascular and Interventional Radiology, were analyzed separately. The statistical significances of life-table analysis of patency were determined by means of the log-rank test. RESULTS: There were no postoperative deaths or amputations. Local, general, and vascular complications occurred in 2.1%, 1.3% and 4.7% of cases, respectively (total, 8.1%). The mean follow-up period was 29.6 months. The cumulative patency rates +/- SE of the 260 PTAs (including 55 PTAs plus stents) were 92.9% +/- 1.5% at 1 month, 86. 5% +/- 1.7% at 1 year, 81.2% +/- 2.3% at 2 years, 78.8% +/- 2.9% at 3 years, and 75.4% +/- 3.5% at 5 and 6 years. The two-year patency rate of 21 redo PTAs (including 11 PTAs plus stents) was 79.1% +/- 18.2%. Of 12 predictable variables studied in the first PTA group, only the category of the lesion was predictive of long-term patency. The two-year patency rate was 84% +/- 3% for 199 category 1 lesions and 69.7% +/- 6.5% for 61 category 2, 3, and 4 lesions together (P =. 02). There was no difference of patency in the stented and nonstented group. CONCLUSION: Iliac PTA alone or with the use of a stent (in cases of occlusion and/or suboptimal results of PTA) offers an excellent long-term patency rate. Categorization of lesions remains useful in predicting long-term outcome. PTA can be performed safely by vascular surgeons in the operating room and should be considered to be the primary treatment for localized iliac occlusive disease. (+info)Plaque area increase and vascular remodeling contribute to lumen area change after percutaneous transluminal angioplasty of the femoropopliteal artery: an intravascular ultrasound study. (5/1425)
OBJECTIVE: The aim of the study was to assess the change in lumen area (LA), plaque area (PLA), and vessel area (VA) after percutaneous transluminal angioplasty (PTA) of the femoropopliteal artery. METHODS: This was a prospective study. Twenty patients were studied with intravascular ultrasound (IVUS) immediately after PTA and at follow-up examination. Multiple corresponding IVUS cross-sections were analyzed at the segments that were dilated by PTA (ie, treated sites; n = 168), including the most stenotic site (n = 20) and the nondilated segments (ie, reference sites; n = 77). RESULTS: At follow-up examination, both the PLA increase (13%) and the VA decrease (9%) resulted in a significant LA decrease (43%) at the most stenotic sites (P =.001). At the treated sites, the LA decrease (15%) was smaller and was caused by the PLA increase (15%). At the reference sites, the PLA increase (15%) and the VA increase (6%) resulted in a slight LA decrease (3%). An analysis of the IVUS cross-sections that were grouped according to LA change (difference >/=10%) revealed a similar PLA increase in all the groups: the type of vascular remodeling (VA decrease, no change, or increase) determined the LA change. At the treated sites, the LA change and the VA change correlated closely (r = 0.77, P <.001). At the treated sites, significantly more PLA increase was seen in the IVUS cross-sections that showed hard lesion or media rupture (P <.05). No relationship was found between the presence of dissection and the quantitative changes. CONCLUSION: At the most stenotic sites, lumen narrowing was caused by plaque increase and vessel shrinkage. Both the treated sites and the reference sites showed a significant PLA increase: the type of vascular remodeling determined the LA change at follow-up examination. The extent of the PLA increase was significantly larger in the IVUS cross-sections that showed hard lesion or media rupture. (+info)Intimal tear without hematoma: an important variant of aortic dissection that can elude current imaging techniques. (6/1425)
BACKGROUND: The modern imaging techniques of transesophageal echocardiography, CT, and MRI are reported to have up to 100% sensitivity in detecting the classic class of aortic dissection; however, anecdotal reports of patient deaths from a missed diagnosis of subtle classes of variants are increasingly being noted. METHODS AND RESULTS: In a series of 181 consecutive patients who had ascending or aortic arch repairs, 9 patients (5%) had subtle aortic dissection not diagnosed preoperatively. All preoperative studies in patients with missed aortic dissection were reviewed in detail. All 9 patients (2 with Marfan syndrome, 1 with Takayasu's disease) with undiagnosed aortic dissection had undergone >/=3 imaging techniques, with the finding of ascending aortic dilatation (4.7 to 9 cm) in all 9 and significant aortic valve regurgitation in 7. In 6 patients, an eccentric ascending aortic bulge was present but not diagnostic of aortic dissection on aortography. At operation, aortic dissection tears were limited in extent and involved the intima without extensive undermining of the intima or an intimal "flap." Eight had composite valve grafts inserted, and all survived. Of the larger series of 181 patients, 98% (179 of 181) were 30-day survivors. CONCLUSIONS: In patients with suspected aortic dissection not proven by modern noninvasive imaging techniques, further study should be performed, including multiple views of the ascending aorta by aortography. If patients have an ascending aneurysm, particularly if eccentric on aortography and associated with aortic valve regurgitation, an urgent surgical repair should be considered, with excellent results expected. (+info)Pathogenetic sequence for aneurysm revealed in mice underexpressing fibrillin-1. (7/1425)
Dissecting aortic aneurysm is the hallmark of Marfan syndrome (MFS) and the result of mutations in fibrillin-1, the major constituent of elastin-associated extracellular microfibrils. It is yet to be established whether dysfunction of fibrillin-1 perturbs the ability of the elastic vessel wall to sustain hemodynamic stress by disrupting microfibrillar assembly, by impairing the homeostasis of established elastic fibers, or by a combination of both mechanisms. The pathogenic sequence responsible for the mechanical collapse of the elastic lamellae in the aortic wall is also unknown. Targeted mutation of the mouse fibrillin-1 gene has recently suggested that deficiency of fibrillin-1 reduces tissue homeostasis rather than elastic fiber formation. Here we describe another gene-targeting mutation, mgR, which shows that underexpression of fibrillin-1 similarly leads to MFS-like manifestations. Histopathological analysis of mgR/mgR specimens implicates medial calcification, the inflammatory-fibroproliferative response, and inflammation-mediated elastolysis in the natural history of dissecting aneurysm. More generally, the phenotypic severity associated with various combinations of normal and mutant fibrillin-1 alleles suggests a threshold phenomenon for the functional collapse of the vessel wall that is based on the level and the integrity of microfibrils. (+info)Observations on the treatment of dissection of the aorta. (8/1425)
The results are presented of treatment in twenty-three patients with dissection of the thoracic aorta, in four of whom it was acute (less than 14 days' duration), and in nineteen chronic (more than 14 days' duration). Sixteen patients had Type I and II dissection (involving the ascending aorta) and five Type III (descending aorta at or distal to the origin of the left subclavian artery); in two, dissection complicated coarctation of the aorta in the usual site. Thirteen patients had aortic regurgitation. Three of the patients with acute dissection were treated medically; two, both with Type I dissection, died, and the third, with Type III, survived. The remaining acute patient was treated surgically and also died. Of the patients with chronic dissection, eight were treated medically and eleven surgically. None of the medical group died in hospital; three died between 3 months and 1 year, and five have survived from periods of 12-72 months. Eleven patients with chronic dissection were treated surgically; four died in hospital at or shortly after operation; and the remaining seven lived for periods of 12-84 months. The presentation, indications for surgical treatment and results are discussed. It is concluded that surgical treatment of chronic dissection may carry a higher initial mortality than medical, but that there may be slightly better overall long term results in the former. As this series was not selected randomly, because patients with complications were selected for surgery, and there are only a few patients in each group, the results do not permit firm conclusion regarding the relative merits of medical and surgical treatment. It is suggested that all patients should initially be treated medically but that surgical treatment should be considered if the dissection continues, if aortic regurgitation is severe, if an aneurysm develops or enlarges, if cardiac tamponade develops or there is evidence of progressive involvement of the branches of the aorta. Attention is drawn to the important syndrome of chronic dissecting aneurysm of the ascending aorta with severe aortic regurgitation which requires definitive surgical treatment and aortic valve replacement. The importance of adequate visualization of the origin and extent of the dissection as a preliminary to surgical treatment is stressed. (+info)The clinical recognition of dissecting aortic aneurysm. Am. J. Med.. 1976;60(5):625-33. doi:10.1016/0002-9343(76)90496-4. PMID ...
Other causes can include dissecting aneurysms and arterial spasms. The ophthalmic artery branches off into the central retinal ...
His official cause of death was a dissecting aneurysm. Ohtaki was honored with a Lifetime Achievement Award at the 56th Japan ...
Dissecting aneurysms of the vertebral artery constitute 4% of all cerebral aneurysms, and are hence a relatively rare but ... Santos-Franco JA, Zenteno M, Lee A (April 2008). "Dissecting aneurysms of the vertebrobasilar system. A comprehensive review on ... People with an aneurysm of the aortic root and people with a history of migraine may be predisposed to vertebral artery ... Stenting, as well as the insertion of coils by means of angiography, may be performed if there is an aneurysm and/or extension ...
Santos-Franco JA, Zenteno M, Lee A (April 2008). "Dissecting aneurysms of the vertebrobasilar system. A comprehensive review on ... aneurysm size greater than 10 mm; and posterior circulation aneurysm 25 mm or more. Screening for aneurysms is not performed on ... aneurysms in the posterior circulation, and an aneurysm >10 mm in size. If a cerebral aneurysm is identified on angiography, ... When the aneurysm has been located, platinum coils are deployed that cause a blood clot to form in the aneurysm, obliterating ...
Leonard, JC (1979). "Thomas Bevill Peacock and the early history of dissecting aneurysm". Br Med J. 2 (6184): 260-2. doi: ...
About 29% of late deaths following surgery are due to rupture of either a dissecting aneurysm or another aneurysm. In addition ... Leonard JC (July 1979). "Thomas Bevill Peacock and the early history of dissecting aneurysm". Br Med J. 2 (6184): 260-2. doi: ... "dissecting aneurysm". London cardiologist Thomas Bevill Peacock contributed to the understanding of the condition by publishing ... "Surgical management of dissecting aneurysms of the aorta". J Thorac Cardiovasc Surg. 49: 130-49. PMID 14261867. Daily PO, ...
Molson died of complications during an operation for a dissected aortic aneurism. This medical issue first surfaced while Mark ...
... ruptured or dissecting aneurysms; large, especially hemorrhagic, stroke; some untreated congenital heart defects; failed heart ...
Eiichi Ohtaki died on December 30, 2013 from a dissecting aneurysm at the age of 65. For the 2015 tribute album Kazemachi ...
Harman died from a dissecting aortic aneurysm, while driving his car to St Thomas's in 1994, aged 87. His sister, Elizabeth ( ...
He died of a dissecting aneurysm on 13 October 1982 in South Melbourne, and was buried in Warracknabeal. Curtis, Campbell (2007 ...
Collapsing shortly thereafter, he was in intensive care before dying on September 10, 1997, of a dissecting aortic aneurysm. ...
A true aneurysm involves all three layers of the blood vessel. A dissecting aneurysm is when blood from the vessel lumen tracks ... Although aneurysms and left ventricular aneurysms may involve any wall segment, aneurysms in the posterolateral wall are ... A pseudoaneurysm, also known as a false aneurysm, is a collection of blood that forms between the two outer layers of an artery ... Due to being close to the vessel, it can also be pulsatile, and can be mistaken for a pseudoaneurysm or aneurysm. Femoral ...
It is occasionally used to treat a hypertensive crisis and dissecting aortic aneurysm, to treat pulmonary edema, and to reduce ...
... a dissecting aortic aneurism, or porphyria. Prolonged treatment may cause a syndrome similar to lupus which can become fatal if ...
... at his former hospital in Southampton on 18 February 2003 after initially successful treatment for a dissecting aneurysm of the ...
Hickox was taken ill and died in Swansea from a dissecting thoracic aneurysm. He had been scheduled to conduct a new production ...
... dissecting aneurysm, peripheral embolism etc. An unequal pulse between upper and lower extremities is seen in coarctation to ...
... or Death Blow may refer to: death blow Coup de grace Dissecting aortic aneurysm Deathblow (comics) is a fictional ...
110 mm Hg Severe pulmonary hypertension Severe chronic fatigue syndrome Suspected or known dissecting aortic aneurysm Recent ...
... dissecting thoracic aneurysm) Richey Edwards, guitarist (Manic Street Preachers) (legally dead, disappeared in 1995 aged 27) 24 ...
... and dissecting aneurysm of the aorta, or rarely aortic or arterial dilation at a young age. Dissection refers to the actual ...
The main instruments used were: "Two small scalpels, one short grooved director, a tenaculum, two aneurysm needles which may be ... used as retractors, one pair of artery forceps, haemostatic forceps, two pairs of dissecting forceps, a pair of scissors, a ...
... aneurysm, dissecting MeSH C14.907.055.050.150 --- carotid artery, internal, dissection MeSH C14.907.055.050.575 --- vertebral ... aortic aneurysm MeSH C14.907.055.239.075 --- aortic aneurysm, abdominal MeSH C14.907.055.239.125 --- aortic aneurysm, thoracic ... heart aneurysm MeSH C14.907.055.625 --- iliac aneurysm MeSH C14.907.055.635 --- intracranial aneurysm MeSH C14.907.075.280 --- ... aortic aneurysm MeSH C14.907.109.139.075 --- aortic aneurysm, abdominal MeSH C14.907.109.139.125 --- aortic aneurysm, thoracic ...
... damage to the Achilles tendon and a more effective method for applying ligature of the arteries in case of an aneurysm.[54] He ... infection was made in 1847 by the Hungarian doctor Ignaz Semmelweis who noticed that medical students fresh from the dissecting ...
Hypertension with dissecting abdominal aortic aneurysm. Br Med J 1974; 4 :23 ... Hypertension with dissecting abdominal aortic aneurysm.. Br Med J 1974; 4 doi: https://doi.org/10.1136/bmj.4.5935.23 (Published ...
Surgical Significance of Aortic Dissecting Aneurysms Br Med J 1948; 2 :599 ... Surgical Significance of Aortic Dissecting Aneurysms. Br Med J 1948; 2 doi: https://doi.org/10.1136/bmj.2.4577.599 (Published ...
24 had dissecting aneurysms. The patients with dissecting aneurysms were characteristically relatively young males. Twenty-one ... Dissecting aneurysms of the intracranial vertebral artery.. Yamaura A1, Watanabe Y, Saeki N. ... After this period, the aneurysm was whitish gray in color and had become firm. Of 36 other cases of vertebral dissecting ... Among 86 patients with aneurysms arising from the vertebral artery or its branches, ...
DISSECTING ANEURYSM OF AORTA ASSOCIATED WITH TURNERS SYNDROME.. ANABTAWI IN, ELLISON RG, YEH TJ, HALL DP. ...
Intracranial dissecting aneurysm (DA) is much less frequent than berry aneurysm. Such dissection involves mostly the vertebral ... The general procedure is to excise a generous portion of the dissecting septum distally for a chronic dissecting aneurysm of ... Endovascular treatment for cerebral aneurysms has become widespread; however, the dissecting aneurysm is still difficult to ... You are here: Research Topics , diseases , cardiovascular diseases , vascular diseases , aneurysm , dissecting aneurysm ...
18 Studies found for: Recruiting, Not yet recruiting, Available Studies , Aneurysm, Dissecting ... A Registry Study on Genetics and Biomarkers of Thoracic Aortic Aneurysm/Dissection. *Aortic Aneurysm, Thoracic ... Three diameters (mm) of dissecting arterial segment and contralateral segment. *Wall measurement (mm2) of dissecting arterial ... Freedom from aneurysm rupture. 35. All. 18 Years and older (Adult, Senior). NCT00583817. G000101. IRB 3917. May 2001. December ...
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... Clinical History. This dissecting aneurism was found in a 76 year old ... Such self-cure of a dissecting aneurism is rare. The factors which pre-dispose to dissecting aneurism are systemic hypertension ... These patients have an increased incidence of aortic rupture and dissecting aneurism. Dissecting aneurism usually presents with ... The dissecting aneurism communicates with the aortic arch by a split seen at the top of the specimen, and in life, blood re- ...
Endovascular Treatment of Symptomatic Intradural Vertebral Dissecting Aneurysms. J.P.P. Peluso, W.J. van Rooij, M. Sluzewski, G ... Endovascular Treatment of Symptomatic Intradural Vertebral Dissecting Aneurysms. J.P.P. Peluso, W.J. van Rooij, M. Sluzewski, G ... Right vertebral angiogram after internal coil trapping of the aneurysm and dissecting aneurysm demonstrates retrograde filling ... Right vertebral dissecting aneurysm involving the origin of the PICA in a 51-year-old man referred 4 weeks after SAH (patient # ...
CT and MRI revealed a large fusiform aneurysm of the intradural segment of the left vertebral... ... Vertebral Artery Aneurysm: Partially Thrombosed Dissecting Aneurysm, Symptomatic through Brainstem Compression, Treatment with ... Irizoiu M., Aschoff A., Schul C., Taschner C. (2018) Vertebral Artery Aneurysm: Partially Thrombosed Dissecting Aneurysm, ... Treating a dissecting aneurysm with flow diversion is often technically easier than stent-assisted coil occlusion. A potential ...
Dissecting aneurysm Vertebral artery Pseudoaneurysm SAH Flow diverter Telescoping This is a preview of subscription content, ... Endovascular management of vertebrobasilar dissecting aneurysms. AJNR Am J Neuroradiol. 2003;24(7):1421-8.PubMedGoogle Scholar ... Ruptured vertebrobasilar dissecting aneurysms are associated with a poor natural history with high rates of re-rupture, stroke ... Long-term outcome of Tubridge flow diverter(s) in treating large vertebral artery dissecting aneurysms-a pilot study. Clin ...
Chronic dissecting aortic aneurysm and Turners syndrome. Apropos of a case] Arch Mal Coeur Vaiss. 1992 Jul;85(7):1043-6. ... Aneurysm, Dissecting / diagnostic imaging * Aneurysm, Dissecting / etiology* * Aneurysm, Dissecting / surgery * Aortic Aneurysm ...
DISSECTING ANEURYSM OF THE AORTA:: A REVIEW OF 17 AUTOPSIED CASES OF ACUTE DISSECTING ANEURYSM OF THE AORTA ENCOUNTERED AT THE ... DISSECTING ANEURYSM OF THE AORTA WITH PERIPHERAL EMBOLIZATION: A CASE REPORT1 Annals of Internal Medicine; 34 (2): 507-510 ... DISSECTING ANEURYSM OF THE AORTA: TWO CASES WITH UNUSUAL ONSETS1 Annals of Internal Medicine; 35 (3): 728-742 ... Angiocardiographic Study of Dissecting Aneurysm of the Aorta. Annals of Internal Medicine; 54 (5): 1036-1037 ...
Cerebral angiography showed dissecting aneurysm as pearl and string sign in the right vertebral artery (VA). Conservative ... Aneurysm, Dissecting / diagnosis, therapy*. Brain Stem Infarctions / diagnosis, surgery*. Diagnostic Imaging. Embolization, ... Cerebral angiography showed dissecting aneurysm as pearl and string sign in the right vertebral artery (VA). Conservative ... Previous Document: Dissecting aneurysm of the anterior cerebral artery requiring surgical treatment--case report.. Next ...
A dissecting aneurysm of the left gastro-epiploic artery in a 79-year-old woman ruptured spontaneously into the peritoneal ...
Shi L, Xu K, Sun X, Yu J. Therapeutic Progress in Treating Vertebral Dissecting Aneurysms Involving the Posterior Inferior ... Therapeutic Progress in Treating Vertebral Dissecting Aneurysms Involving the Posterior Inferior Cerebellar Artery Lei Shi1*, ... Keywords: Vertebral artery dissecting aneurysms, posterior inferior cerebellar artery, therapeutic progress. This is an open ... Among the variations of vertebral artery dissecting aneurysms (VDAs), VDAs involving the posterior inferior cerebellar artery ( ...
DISSECTING ANEURYSM OF THE AORTA:: A REVIEW OF 17 AUTOPSIED CASES OF ACUTE DISSECTING ANEURYSM OF THE AORTA ENCOUNTERED AT THE ... DISSECTING ANEURYSM OF THE AORTA: A PRESENTATION OF FIFTEEN CASES AND A REVIEW OF THE RECENT LITERATURE(DISSECTING ANEURYSM OF ... DISSECTING ANEURYSM OF THE AORTA: TWO CASES WITH UNUSUAL ONSETS(DISSECTING ANEURYSM OF THE AORTA: TWO CASES WITH UNUSUAL ONSETS ... DISSECTING ANEURYSM OF THE AORTA WITH PERIPHERAL EMBOLIZATION: A CASE REPORT(DISSECTING ANEURYSM OF THE AORTA WITH PERIPHERAL ...
... dissecting aneurysm. The affected site, including the aneurysm and parent artery, was successfully occluded with detachable ... dissecting aneurysm. The affected site, including the aneurysm and parent artery, was successfully occluded with detachable ... Next Document: Internal trapping of a ruptured vertebral artery dissecting aneurysm followed by recanalization of t.... ... Our case suggests that additional intervention is unnecessary during the chronic stage once the aneurysm has been occluded and ...
Two cases of dissecting aneurysm showed giant-cell aortitis. Mucopolysaccharide `cysts were seen more frequently, but by no ... Sections of the ascending aorta of 27 cases of dissecting aneurysm were compared histologically with the ascending aortae of 27 ... The only abnormality that distinguished the dissecting aortae from the normotensive and hypertensive controls with any ...
Dissecting aortic aneurysm (DAA) is an extended tear in the wall of the aorta along the plane of the vascular media. Our ... and Biophysical Alterations in Vascular Matrix Associated With Dissecting Aortic Aneurysm.. [Zhenping Chen, Ya Xu, Paul ...
Welcome to the Pathology Education Informational Resource (PEIR) Digital Library, a multidisciplinary public access image database for use in medical education. ...
CT diagnosis of hemopericardium in acute dissecting aneurysm of the thoracic aorta ... Dissecting aneurysm of the aorta: A review of 17 autopsied cases of acute dissecting aneurysm of the aorta encountered at the ... Dissecting aneurysm of the aorta; a review of 17 autopsied cases of acute dissecting aneurysm of the aorta encountered at the ... Dissecting aneurysm of the aorta: Review of 17 autopsied cases of acute dissecting aneurysm of the aorta encountered at the ...
Dissecting iliac artery aneurysm can be managed and treated by making certain lifestyle changes, closely monitoring the patient ... and conducting a surgery to repair the aneurysm. ... How is Dissecting Common Iliac Artery Aneurysm Treated?. ... What Are The Causes Of Dissecting Common Iliac Artery Aneurysm?. Dissecting aneurysm of common iliac artery is an uncommon ... What Are The Symptoms Of Dissecting Common Iliac Artery Aneurysm?. The symptoms of dissecting common iliac artery aneurysm may ...
A Case of Repeatedly Recurrent Basilar Trunk Dissecting Aneurysm Successfully Treated by the "Coil Sandwich Technique" ... Flow-diverting stents allow efficient treatment of unruptured, intradural dissecting aneurysms of the vertebral artery: An ... CONCLUSIONS: Endovascular treatment of vertebrobasilar dissecting aneurysms is associated with high rates of complete occlusion ... Deconstructive and Reconstructive Techniques in Treatment of Vertebrobasilar Dissecting Aneurysms: A Systematic Review and Meta ...
AortaDissectionRuptureEndovascular treatmentOcclusionEmbolizationAngiographyVertebrobasilarPICAAbstractAtherosclerosisVertebral dissectiBasilar artery aneurysmSaccularDistalBrain aneurysmProximalHypertensionPosterior inferior cerebelManagement of vertebral arteryAbdominal aortic aneurysmsFusiform and dissectinAngiographicArterialArteriesHematomaCerebral aneurysmsExtracranialCauses a cerebral aneurysmSeveral types of aneurysmsAcuteComplicationTreated for intracranial aneurysmsAssociated with aneurysm formationTreatment of intracranial aneurysmsSegmentSubarachnoid haemorrhageSpontaneousType of aneurysmPatients with intracranialHemorrhageSize of the aneurysmStentMarfanSymptomsFlow divertersAortic arch aneurysmDiagnosis
- Dissecting aneurysm of the aorta presents a clinical paradox: the anatomical changes which are thus produced are easily among the most striking lesions of the circulatory system, and yet the diagnosis has been made during life only with the utmost rarity. (annals.org)
- Angiocardiographic Study of Dissecting Aneurysm of the Aorta. (annals.org)
- This is an example of "double-barrelled aorta", i.e. self-cure of a dissecting aneurism leading to a double aortic lumen. (monash.edu)
- The factors which pre-dispose to dissecting aneurism are systemic hypertension and patchy myxoid degeneration of the media of the aorta. (monash.edu)
- Dissecting aneurysm of the aorta is a fairly common finding at the autopsy table. (annals.org)
- Dissecting aortic aneurysm (DAA) is an extended tear in the wall of the aorta along the plane of the vascular media. (sigmaaldrich.com)
- Sections of the ascending aorta of 27 cases of dissecting aneurysm were compared histologically with the ascending aortae of 27 age- and sex-matched normotensive controls and 27 age- and sex-matched hypertensive controls. (bmj.com)
- An aneurysm can occur in any artery, but mostly develops in the aorta. (epainassist.com)
- Treatment of dissecting aneurysms of the descending thoracic aorta. (elsevier.com)
- In aortic dissection will a rupture of the tunica intima cause blood to enter the tunica media, ripping it apart (dissecting the aorta). (greek.doctor)
- Two types of aortic dissection exist, Stanford type A and Stanford type B. In Stanford type A has the aorta dissected from the beginning of the aorta, while in type B has dissection only affected the descending aorta. (greek.doctor)
- Dissecting aneurysms usually happen in the aorta, the large vessel that carries blood from the heart to other parts of the body. (ultrasoundconnection.com)
- Acute thromboembolism associated with dissecting aneurysm of the aorta. (elsevier.com)
- Fingerprint Dive into the research topics of 'Acute thromboembolism associated with dissecting aneurysm of the aorta. (elsevier.com)
- When the lining of the aorta tears, blood can push through the tear, separating (dissecting) the middle layer of the wall from the still intact outer layer. (merckmanuals.com)
- The most common site for an arterial aneurysm is the abdominal aorta. (thefreedictionary.com)
- An aortic dissection may also cause abnormal widening or ballooning of the aorta ( aneurysm ). (medlineplus.gov)
- As people age, the combined effects of high blood pressure and atherosclerotic weakening of arteries produce most aneurysms in the aorta. (tabers.com)
- ABBR: AAA A localized dilatation (saccular, fusiform, or dissecting) of the wall of the abdominal aorta. (tabers.com)
- Management of extensive, chronic, dissecting aortic aneurysms after prior repair of the ascending aorta presents a technical challenge for surgeons. (biomedcentral.com)
- Four years later, he presented with shortness of breath and enlargement of the residual dissected thoracic aorta. (biomedcentral.com)
- Bicuspid aortic valve (BAV) is associated with a significant risk of development of aneurysm and dissection of the ascending thoracic aorta. (frontiersin.org)
- Methods and Results -In 101 patients with type B acute dissection who had no complications, univariate and multivariate factor analyses were performed to determine the predictors for chronic-phase enlargement (≥60 mm) of the dissected aorta. (ahajournals.org)
- However, some patients show good long-term results because the dissected aorta shows a natural course of recovery (ie, thromboembolization of the false lumen and a reduction in diameter). (ahajournals.org)
- A prominent pulse may be indicative of an uncoiled aorta , arch aneurysm, or a tortuous blood vessel. (primidi.com)
- The most likely cause of a suprasternal pulse in an adult is an aortic arch aneurysm, while the most likely cause in a child is coarctation of the aorta. (primidi.com)
- A previous dissection was assumed to be the underlying cause of this aneurysm. (springer.com)
- Our case suggests that additional intervention is unnecessary during the chronic stage once the aneurysm has been occluded and no further signs of the development of VA dissection are found. (biomedsearch.com)
- Dissection of iliac artery aneurysm can eventually cause the blood vessel to rupture leading to profuse hemorrhage. (epainassist.com)
- Due to the dissection of iliac artery aneurysm, some amount of blood leaks into the ripped layers of the vessel wall and surrounding tissues. (epainassist.com)
- Spontaneous dissection and aneurysm formation followed by aneurysm rupture may occur. (springer.com)
- We report a case of spontaneous intra-petrous carotid dissection with aneurysm formation who had only pulsatile tinnitus. (ispub.com)
- Figure 2: CT angiogram of the right ICA, sagittal view, showing the aneurysm (asterix) in the posterior aspect of the dissection, causing stenosis. (ispub.com)
- 3 Several cases of pulsatile tinnitus due to petrous ICA dissection, have been reported, but without any associated aneurysm. (ispub.com)
- In an aortic dissection, the inner layer (lining) of the aortic wall tears, and blood surges through the tear, separating (dissecting) the middle layer from the outer layer of the wall. (merckmanuals.com)
- Testing revealed a possible aortic aneurysm dissection and he was flown to a regional hospital for surgery. (cdc.gov)
- In acute dissection of an abdominal aortic aneurysm, oxygenation, blood pressure, and cardiac rhythm are closely monitored, and a pulmonary artery line may be inserted to monitor hemodynamics. (tabers.com)
- A symptomatic 64-year-old patient was admitted for elective surgical repair of an aortic annular dilatation, causing severe aortic regurgitation, and a Crawford type II extended thoracoabdominal aneurysm, 4 years after he underwent primary repair of an acute aortic dissection. (biomedcentral.com)
- Chest pains originating from cardiovascular disease commonly include myocardial ischemia or infarction, pericarditis, aortic aneurysm or dissection, mitral valve prolapse, and pulmonary embolus. (chiro.org)
- In-hospital mortality of 14.2%, being 50% in acute type A aortic dissection, 8.3% in chronic type A aortic dissection, 33.3% in chronic type B aortic dissection and 0% in complex aneurysms. (scielo.br)
- Impact of BAV-AA on morbidity and mortality is related to the risk of acute aortic events, including dissection and aneurysm rupture. (frontiersin.org)
- Ruptured vertebrobasilar dissecting aneurysms are associated with a poor natural history with high rates of re-rupture, stroke, and death when left untreated. (springer.com)
- These patients have an increased incidence of aortic rupture and dissecting aneurism. (monash.edu)
- A 34-year-old female presented with subarachnoid hemorrhage caused by the rupture of a right vertebral artery (VA) dissecting aneurysm. (biomedsearch.com)
- There are chances of rupture of the aneurysm which can trigger excessive bleeding from the affected area leading to mortality. (epainassist.com)
- Sudden supraclavicular pain is often associated with myocardial infarction but seldom due to a rupture of V1-segment vertebral artery aneurysm. (bmj.com)
- Rarely, it could be due to an extracranial V1-segment vertebral artery aneurysm rupture. (bmj.com)
- In this case did an aneurysm cause the rupture of the intima, hence the name of the preparation. (greek.doctor)
- Outcomes included symptomatic and asymptomatic procedure-related cerebral infarction, recurrent aneurysm rupture, angiographic aneurysm recurrence, and estimated modified Rankin Scale (mRS). (bmj.com)
- Rupture of an intracranial dissecting aneurysm is a rare but dangerous event. (thejns.org)
- Aneurysms tend to increase in size, presenting a problem of increasing pressure against adjacent tissues and organs and a danger of rupture. (thefreedictionary.com)
- such aneurysms frequently rupture, causing subarachnoid hemorrhage. (thefreedictionary.com)
- These very small aneurysms are less likely to rupture. (medlineplus.gov)
- Smaller aneurysms may have a lower risk of rupture. (rochester.edu)
- As aneurysms dilate, they become more and more vulnerable to rupture. (tabers.com)
- Untreated abdominal aortic aneurysms gradually enlarge and in some instances rupture. (tabers.com)
- The likelihood of rupture increases for aneurysms that are larger than 5.5 cm. (tabers.com)
- Cerebral aneurysms are pathologic focal dilatations of the cerebrovasculature that are prone to rupture. (medscape.com)
- Association of endovascular therapy of very small ruptured aneurysms with higher rates of procedure-related rupture. (medscape.com)
- Reconstructive endovascular treatment of a ruptured vertebral artery dissecting aneurysm using the pipeline embolization device. (springer.com)
- Incidence and risk factors of recurrence after endovascular treatment of intracranial vertebrobasilar dissecting aneurysms. (springer.com)
- We performed a systematic review and meta-analysis to study clinical and angiographic outcomes of patients undergoing endovascular treatment of vertebrobasilar dissecting aneurysms. (ajnr.org)
- We performed a comprehensive literature search for studies on the endovascular treatment of vertebrobasilar dissecting aneurysms. (ajnr.org)
- Endovascular treatment of vertebrobasilar dissecting aneurysms is associated with high rates of complete occlusion and good long-term neurologic outcomes. (ajnr.org)
- Sixty-five consecutive patients with 69 fusiform and dissecting aneurysms underwent endovascular treatment with the use of the PED. (nih.gov)
- Endovascular treatment failed, with aneurysm refilling on follow-up angiography. (eurekamag.com)
- Endovascular treatment of a ruptured vertebral dissecting aneurysm associated with double-origin posterior inferior cerebellar artery. (semanticscholar.org)
- Methods We retrospectively reviewed cases of ruptured distal vertebral artery or PICA dissecting aneurysms that underwent endovascular treatment. (bmj.com)
- Results In all cases, endovascular treatment was successful, with complete occlusion of the aneurysm with proximal parent artery preservation at the final postprocedural angiogram. (bmj.com)
- Giant vertebrobasilar aneurysms (GVBAs) have an unfavorable natural history if left untreated and often pose a sizeable challenge to endovascular treatment. (frontiersin.org)
- Yang X, Wu Z, Mu S, Li Y, Lv M. Endovascular treatment of giant and large intracranial aneurysms using the neuroform stent-assisted coil placement. (medscape.com)
- Sturiale CL, Brinjikji W, Murad MH, Lanzino G. Endovascular Treatment of Intracranial Aneurysms in Elderly Patients: A Systematic Review and Meta-Analysis. (medscape.com)
- Treating a dissecting aneurysm with flow diversion is often technically easier than stent-assisted coil occlusion. (springer.com)
- A potential issue after stenting and coil occlusion is a recurrent perfusion of the aneurysm due to the coil compaction, leading to secondary aneurysm growth and coil migration into an intrasaccular thrombus. (springer.com)
- Parent vessel occlusion for vertebrobasilar fusiform and dissecting aneurysms. (springer.com)
- Long-term clinical and imaging follow-up of complex intracranial aneurysms treated by endovascular parent vessel occlusion. (springer.com)
- B , Follow-up angiogram 6 months after stent placement demonstrates complete occlusion of the aneurysm with a patent right PICA. (ajnr.org)
- D , E , Bilateral vertebral angiograms ( D ) and corresponding radiograph ( E ) with complete coil occlusion of the aneurysm and parent vertebral segment. (ajnr.org)
- Various endovascular techniques have been applied to the treatment of vertebrobasilar dissecting aneurysms, including parent artery preservation with coiling, stent placement or flow diverter placement, and trapping and proximal occlusion. (ajnr.org)
- Endovascular occlusion of hemorrhagic dissecting aneurysms of the vertebral artery (VA) is not possible when the posterior inferior cerebellar artery (PICA) originates from the dissecting aneurysm or when the contralateral VA provides inadequate collateral blood flow to the distal basilar circulation. (eurekamag.com)
- Vertebral artery-PICA bypass with radial artery interposition graft and subsequent trapping of the dissected VA segment is an alternative to occipital artery-PICA and PICA-PICA bypass for the treatment of hemorrhagic dissecting VA aneurysms that are not suitable for endovascular occlusion. (eurekamag.com)
- Endovascular techniques like parent vessel occlusion, trapping, coiling, stent assisted coiling or stent mono-therapy is currently used to treat these aneurysms. (ovid.com)
- Here we report a case of ruptured dissecting aneurysm of the posterior inferior cerebellar artery(PICA) treated with proximal PICA coil occlusion using an endovascular technique. (kci.go.kr)
- The authors' experience with 14 cases of these lesions on the vertebrobasilar circulation suggests that these aneurysms have typical angiographic silhouettes and that, at least in the vertebral artery, they are treatable by proximal arterial occlusion. (thejns.org)
- Unlike the well-established proximal occlusion and trapping approaches to vertebral artery dissections, choices of interventions for anterior circulation and basilar dissecting aneurysms are limited, and most reports have been limited to wrapping techniques for arterial wall reinforcement. (iitkgp.ac.in)
- Fischer S, Vajda Z, Aguilar Perez M, Schmid E, Hopf N, Bäzner H, Henkes H. Pipeline embolization device (PED) for neurovascular reconstruction: initial experience in the treatment of 101 intracranial aneurysms and dissections. (springer.com)
- Embolization device for the treatment of vertebral artery aneurysms: the fate of covered branch vessels. (springer.com)
- To evaluate the safety and efficacy of the Pipeline embolization device (PED) in the treatment of fusiform and dissecting aneurysms. (nih.gov)
- Follow-up angiogram obtained 24 months after placement of 2 Pipeline embolization devices, demonstrating complete obliteration of the aneurysm and a patent parent artery (arrow) . (thejns.org)
- Follow-up angiogram obtained 18 months after placement of a Pipeline embolization device, demonstrating complete obliteration of the aneurysm with a patent parent artery. (thejns.org)
- Left vertebral arteriogram obtained immediately after placement of 2 Pipeline embolization devices, demonstrating satisfactory positioning of the devices with immediate reduction of inflow into the aneurysm sac and stagnation of contrast medium (arrow) . (thejns.org)
- At 1 year follow-up (2 patients) was noted a progression to complete aneurysm obliteration in 1 patient and stable partial embolization in 1 patient. (ovid.com)
- Patients with vertebral artery aneurysms were selected for coil embolization of the diseased arterial segment based on the adequacy of flow to the basilar artery from the contralateral vertebral artery. (bmj.com)
- Methods 7 consecutive ruptured peripheral PICA aneurysms, in 7 patients, were treated with superselective Onyx embolization at our institutions. (bmj.com)
- Conclusions Angiographic, diagnostic imaging, and clinical results of our small series indicate that Onyx embolization of dissecting distal PICA aneurysms with parent artery preservation is an effective option with acceptable morbidity and mortality rate, in those cases in which surgical clipping or endovascular coiling of the aneurysmal sac is not suitable. (bmj.com)
- Regarding treatment approach, internal trapping was used in 5 aneurysms, stent-assisted coil embolization in 10, sole stenting in 4, and flow diverters in 8. (frontiersin.org)
- Intracranial hemorrhage associated with stent-assisted coil embolization of cerebral aneurysms: a cautionary report. (medscape.com)
- Small splenic artery aneurysm under 4 cm could be treated with percutaneous embolization, however larger aneurysms may require surgery or combination of both treaments. (sages.org)
- Because of the size of the aneurysm, an embolization of splenic artery was done 24 hours before surgery to ensure vascular control. (sages.org)
- The laparoscopic approach of giant splenic artery aneurysm is safe, using preoperative percutaneous embolization of the aneurysm. (sages.org)
- Cerebral angiography showed dissecting aneurysm as pearl and string sign in the right vertebral artery (VA). Conservative treatment was administered with antiplatelet agent. (biomedsearch.com)
- A comparative study was done restrospectively in 26 patients with dissecting aneurysm which was diagnosed radiologically with both CT and angiography in Department of Radioligy, Seoul National University Hospital from May 1984 to August 1987. (koreamed.org)
- Angiography showed an additional fistula between the aneurysm and the adjacent vein. (bmj.com)
- CT angiogram showed a left-sided (3×2.8 cm) dissecting V1-segment vertebral artery ruptured aneurysm ( figure 1A,B ). Angiography showed an additional fistula between the aneurysm and the adjacent vein ( figure 2A-C ). A CT angiography of head and neck and a digital subtraction angiography (DSA) of neck vessels did not show any obvious signs of fibromuscular dysplasia. (bmj.com)
- A,B) CT angiography showing location and radiological anatomy of ruptured dissecting V1 vertebral artery aneurysm. (bmj.com)
- Double origin of the posterior inferior cerebellar artery: association with intracranial aneurysm on catheter angiography. (semanticscholar.org)
- For unruptured aneurysms, follow-up angiography would be necessary to detect growth of the aneurysm. (yonsei.ac.kr)
- Cerebral angiography revealed a dissecting aneurysm of the basilar artery. (jkna.org)
- Cerebral angiography demonstrated a dissecting aneurysm of the left proximal PICA. (kci.go.kr)
- Diagnosis was based on the presence of subarachnoid hemorrhage on initial CT imaging and of a dissecting aneurysm on catheter angiography. (bmj.com)
- van Rooij WJ, Sprengers ME, de Gast AN, Peluso JP, Sluzewski M. 3D rotational angiography: the new gold standard in the detection of additional intracranial aneurysms. (medscape.com)
- Sönmez Ö, Brinjikji W, Murad MH, Lanzino G. Deconstructive and reconstructive techniques in treatment of vertebrobasilar dissecting aneurysms: a systematic review and meta-analysis. (springer.com)
- Subarachnoid hemorrhage from untreated ruptured vertebrobasilar dissecting aneurysms. (springer.com)
- Most of the published reports refer to dissecting aneurysms in the vertebrobasilar territory. (iitkgp.ac.in)
- ISMRM 2017) The diagnostic utility of high-resolution 3D T1-weighted SPACE imaging in patients with intracranial vertebrobasilar dissecting aneurysms. (ismrm.org)
- The purpose of this study is to investigate the application value of a 3D high-resolution fat-saturated (FS) T1 SPACE sequence for the diagnosis of intracranial vertebrobasilar dissecting aneurysm (VBDA). (ismrm.org)
- Giant vertebrobasilar aneurysms (GVBAs), intracranial aneurysms with a maximum diameter of at least 25 mm originating from the vertebral and basilar artery, are rare and always challenging because of their complex neuroanatomy and pathophysiologic features ( 1 , 2 ). (frontiersin.org)
- CT and MRI revealed a large fusiform aneurysm of the intradural segment of the left vertebral artery (VA), with the right VA only supplying the posterior inferior cerebellar artery (PICA). (springer.com)
- Finally, the follow-up DSA after five months demonstrated the complete reconstruction of the previously dissected artery with patency of the PICA. (springer.com)
- Acutely ruptured left vertebral dissecting aneurysm proximal to the PICA origin in a 47-year-old man (patient #3). (ajnr.org)
- A , Left vertebral angiogram shows dissecting aneurysm on a narrowed segment proximal to the PICA origin ( arrow ). (ajnr.org)
- B , Right vertebral angiogram after internal coil trapping of the aneurysm and dissecting aneurysm demonstrates retrograde filling of the left distal vertebral artery and PICA ( arrow ). (ajnr.org)
- Right vertebral dissecting aneurysm involving the origin of the PICA in a 51-year-old man referred 4 weeks after SAH (patient #5). (ajnr.org)
- Giant, partially thrombosed right vertebral dissecting aneurysm distal to the PICA origin occurring with acute compression of the brain stem in a 10-year-old boy (patient #8). (ajnr.org)
- B , C , Right ( B ) and left ( C ) vertebral angiogram shows giant aneurysm of the right vertebral artery distal to the PICA origin. (ajnr.org)
- A , Angiogram of the dominant left vertebral artery demonstrates a dissecting aneurysm distal to the PICA origin ( long arrow ) with focal narrowing. (ajnr.org)
- Among the variations of vertebral artery dissecting aneurysms (VDAs), VDAs involving the posterior inferior cerebellar artery (PICA), especially ruptured and high-risk unruptured aneurysms, are the most difficult to treat. (medsci.org)
- The core problem when treating VDAs involving the PICA is to retain the PICA while occluding the aneurysm. (medsci.org)
- The authors introduce a VA-PICA bypass with radial artery interposition graft and aneurysm trapping as an alternative approach and describe 2 cases in which this bypass was used to treat hemorrhagic dissecting VA aneurysms. (eurekamag.com)
- A 56-year-old woman harbored a hemorrhagic dissecting VA aneurysm incorporating the origin of the PICA. (eurekamag.com)
- A 65-year-old man had a hemorrhagic dissecting VA aneurysm and a hypoplastic contralateral VA. Both patients were treated with the VA-PICA bypass and aneurysm trapping, with adequate filling of the PICA territory in the first patient and both the PICA territory and the basilar circulation in the second patient. (eurekamag.com)
- Double-origin of the posterior inferior cerebellar artery (PICA) is an infrequent congenital variation, which showing predilection for the formation of intracranial aneurysm. (semanticscholar.org)
- We describe an endovascular approach toward the treatment of a ruptured vertebral dissecting aneurysm associated with double-origin PICA. (semanticscholar.org)
- Both dissecting aneurysms were located distal to PICA origin. (iitkgp.ac.in)
- Dissecting aneurysms presenting with bleed should be surgically managed by trapping and excising the involved segment sparing the PICA origin or by interventional radiological techniques. (iitkgp.ac.in)
- Patients with PICA aneurysms were generally treated only if they were poor surgical candidates. (bmj.com)
- Results During the study period, 12 patients with dissecting aneurysms involving the distal vertebral artery (n=10) or PICA (n=2) were treated with endovascular sacrifice. (bmj.com)
- Background Dissecting aneurysms located along the distal segments of the posterior inferior cerebellar artery (PICA) are extremely rare, accounting for only 0.5-0.7% of all intracranial aneurysms. (bmj.com)
- According to the anatomical classification of Lister et al , these aneurysms were located in the lateral medullary segment (n=1), tonsillomedullary segment (n=1), and the telovelotonsillary segment (n=5) of the PICA. (bmj.com)
- abstract = "We aimed to show the anatomical relationship between a dissecting aneurysm of the posterior cerebral artery (PCA) and tentorial free edge to understand the pathophysiologic mechanism. (edu.au)
- Atherosclerosis is a condition wherein the inner wall of the artery narrows down due to accumulation of cholesterol, which shapes into a plaque and causes dissecting iliac artery aneurysm. (epainassist.com)
- Although atherosclerosis is responsible for most arterial aneurysms, any injury to the middle or muscular layer of the arterial wall (tunica media) can predispose the vessel to stretching of the inner and outer layers of the artery and the formation of a sac. (thefreedictionary.com)
- Fusiform aneurysms are often associated with atherosclerosis. (rochester.edu)
- Of 36 other cases of vertebral dissecting aneurysm reported in the literature, 20 were operated on. (nih.gov)
- Acutely ruptured left vertebral dissecting aneurysm of a dominant vertebral artery in a 36-year-old woman presenting in HH IV (patient #9). (ajnr.org)
- Resolution of giant basilar artery aneurysm compression and reversal of sensorineural hearing loss with use of a flow diverter: case report. (springer.com)
- The evolution and treatment of the dissecting basilar artery aneurysm by endovascular coil-assisted flow diversion is the main topic of this report. (springer.com)
- Kiyofuji S, Graffeo CS, Perry A, Murad MH, Flemming KD, Lanzino G, Rangel-Castilla L, Brinjikji W. Meta-analysis of treatment outcomes of posterior circulation non-saccular aneurysms by flow diverters. (springer.com)
- All three tunica layers are involved in true aneurysms (fusiform and saccular). (thefreedictionary.com)
- Berry (saccular) aneurysm. (rochester.edu)
- The most common type of cerebral aneurysm is called a saccular, or berry, aneurysm, happening in 90% of cerebral aneurysms. (rochester.edu)
- PCKD is the most common medical disease associated with saccular aneurysms. (rochester.edu)
- Of the 27 GVBAs, 23 aneurysms were dissecting aneurysm with intramural hematoma and 4 aneurysms were saccular. (frontiersin.org)
- Saccular, berry, or congenital aneurysms constitute 90% of all cerebral aneurysms and are located at the major branch points of large arteries. (medscape.com)
- Pretreatment frontal (A) and lateral (B) left vertebral arteriograms showing a dissecting aneurysm at the distal intradural portion of the left VA (arrows) . (thejns.org)
- 3-6 Here we present a case of a successfully treated ruptured dissecting V1 vertebral artery aneurysm making a fistula with the adjacent vein using endovascular coils and placement of a distal plug to close the fistula and proximally occlude the parent artery. (bmj.com)
- Conclusions In patients with good collateral circulation, endovascular sacrifice may be the preferred treatment for acutely ruptured dissecting aneurysms involving the distal vertebral artery. (bmj.com)
- Brain aneurysm repair is surgery to correct an aneurysm . (medlineplus.gov)
- It is also called an intracranial aneurysm or brain aneurysm. (rochester.edu)
- The main cause of a brain aneurysm is a weakening in the wall of an artery. (rochester.edu)
- A cerebral aneurysm (also called an intracranial aneurysm or brain aneurysm) is a bulging, weakened area in the wall of an artery in the brain, resulting in an abnormal ballooning of the artery that is at risk for rupturing. (rochester.edu)
- The ultimate cause of a brain aneurysm is an abnormal breaking down and weakening in the wall of an artery, and the effects of pressure from the pulsations of blood being pumped forward through the arteries in the brain. (rochester.edu)
- Computerised Tomographic Angiogram (CTA) showed the right ICA to be aneurysmal in the vertical intra-petrous part, just proximal to the horizontal portion, along with an intraluminal septum in keeping with a small dissecting aneurysm that measured 10mm x 6mm (Fig.2). (ispub.com)
- Dolichoectatic, fusiform, or arteriosclerotic aneurysms are elongated outpouchings of proximal arteries that account for 7% of all cerebral aneurysms. (medscape.com)
- Traumatic injury also may result in dissecting aneurysms in proximal vessels. (medscape.com)
- Hypertension with dissecting abdominal aortic aneurysm. (bmj.com)
- Bradbrook R A , Marshall A J , Spreadbury P L . Hypertension with dissecting abdominal aortic aneurysm. (bmj.com)
- In this patient, there may have been underlying systemic hypertension, which lead to both the dissecting aneurism and to the cerebral haemorrhage. (monash.edu)
- True aneurysms of the pulmonary artery are most frequently associated with congenital heart lesions that have led to sustained high pulmonary artery flow rates and pulmonary hypertension. (utmb.edu)
- The authors suggest a baseline chest radiograph and electrocardiogram in all women with known or suspected congenital heart disease to evaluate for pulmonary hypertension and pulmonary artery aneurysms. (utmb.edu)
- One should be particularly alert to the possibility of an aneurysm in persons with a history of cardiovascular disease, hypertension, or peripheral vascular disease. (thefreedictionary.com)
- Endovascular parent vessel sacrifice in ruptured dissecting vertebral and posterior inferior cerebellar artery aneurysms: clinical outcomes and review of the literature. (springer.com)
- Use of a flow-diverting device has shown promising short-term results in the management of vertebral artery (VA) dissecting aneurysms, but there is still uncertainty regarding its long-term efficacy and safety. (thejns.org)
- Endovascular and surgical management of vertebral artery dissecting aneurysms presenting with subarachnoid haemorrhage: medium-term experience. (semanticscholar.org)
- The Zenith® p-Branch® Pivotal Study is a clinical trial approved by FDA to study the safety and effectiveness of the Zenith® p-Branch® endovascular graft in combination with the Atrium iCAST™ covered stents in the treatment of abdominal aortic aneurysms. (stanford.edu)
- Objective- Recruitment of immunologic competent cells to the vessel wall is a crucial step in formation of abdominal aortic aneurysms (AAA). (ovid.com)
- Flow diverters offer a promising treatment option in fusiform and dissecting aneurysms. (nih.gov)
- The introduction of flow diverters with different densities might help to identify the optimal amount of coverage needed given different anatomic presentations of fusiform and dissecting aneurysms. (nih.gov)
- Reconstruction using a flow-diverting device is an attractive alternative in definitive treatment of dissecting VA aneurysms, demonstrating favorable long-term clinical and angiographic outcomes and the ability to maintain parent artery and side-branch patency. (thejns.org)
- Serial angiographic appearance of segmental arterial mediolysis manifesting as vertebral, internal mammary and intra-abdominal visceral artery aneurysms in a patient presenting with subarachnoid hemorrhage and review of the literature. (springer.com)
- Anterior circulation dissecting aneurysms are rare and their pathogenesis, clinical features, angiographic findings and management are a matter of debate. (iitkgp.ac.in)
- An aneurysm is basically bulging and weakness of the arterial wall. (epainassist.com)
- Matsuda R, Hironaka Y, Takeshima Y, Park YS, Nakase H. Subarachnoid hemorrhage in a case of segmental arterial mediolysis with coexisting intracranial and intraabdominal aneurysms. (springer.com)
- The chief signs of an arterial aneurysm are the formation of a pulsating tumor, and often a bruit (aneurysmal bruit) heard over the swelling. (thefreedictionary.com)
- A true aneurysm results from formation of a sac by the arterial wall with at least one unbroken layer. (thefreedictionary.com)
- dissecting aneurysm one resulting from hemorrhage that causes lengthwise splitting of the arterial wall, producing a tear in the inner wall (intima) and establishing communication with the lumen of the vessel. (thefreedictionary.com)
- Internal trapping was our first choice if the GVBAs did not involve the dominant vertebral artery or the important arterial branches (such as posterior inferior cerebellar artery, anterior inferior cerebellar artery, or other large perforating arteries), and the collateral blood supply were confirmed to be away from the section of the blood vessel harboring the aneurysm. (frontiersin.org)
- Other causes can include dissecting aneurysms and arterial spasms. (wikipedia.org)
- The dissecting aneurism communicates with the aortic arch by a split seen at the top of the specimen, and in life, blood re-entered the vascular system proper by a further intimal split in one of the common iliac arteries. (monash.edu)
- What are Iliac Arteries and What is Iliac Artery Aneurysm? (epainassist.com)
- This is the case of a patient with simultaneously ruptured dissecting aneurysms of abdominal and intracranial arteries. (springer.com)
- Fuse T, Takagi T, Yamada K, Fukushima T. Systemic multiple aneurysms of the intracranial arteries and visceral arteries: case report. (springer.com)
- Kubo S, Nakagawa H, Imaoka S. Systemic multiple aneurysms of the extracranial internal carotid artery, intracranial vertebral artery, and visceral arteries: case report. (springer.com)
- 1-2 Various associations with the disease have been described, ie, the occurrence of pulmonary arteriovenous shunts, 3 aneurysms of the splenic 4 and hepatic arteries, 2 and hemangiomas of the liver. (jamanetwork.com)
- Dissecting aneurysms of the intracranial arteries are exceedingly rare vascular lesions that can produce acute cerebral or brain stem infarction in young healthy adults. (iitkgp.ac.in)
- This allows the surgeon to view the arteries and the aneurysm on a monitor in the operating room. (medlineplus.gov)
- But arteries anywhere in the brain can get an aneurysm. (rochester.edu)
- Arteries anywhere in the brain can develop aneurysms. (rochester.edu)
- Congenital malformations of arteries in the circle of Willis are relatively common causes of aneurysms in the brain. (tabers.com)
- Aneurysms in the chest or peripheral arteries are sometimes caused by blunt trauma or by bacterial or mycotic infection. (tabers.com)
- Fibromuscular dysplasia is a condition that causes narrowing (stenosis) and enlargement (aneurysm) of the medium-sized arteries in your body. (mayoclinic.org)
- Most cerebral aneurysms don't cause symptoms. (rochester.edu)
- Researchers don't fully know what causes cerebral aneurysms. (rochester.edu)
- Most cerebral aneurysms have no symptoms and are small in size. (rochester.edu)
- Most cerebral aneurysms present without any symptoms and are small in size (less than 10 millimeters, or less than four-tenths of an inch, in diameter). (rochester.edu)
- Currently, the cause of cerebral aneurysms is not clearly understood. (rochester.edu)
- Cerebral aneurysms rarely cause intraparenchymal hemorrhage, but are the most common cause of pure subarachnoid hemorrhage, even in children. (mdpi.com)
- What are cerebral aneurysms? (medscape.com)
- Infectious or mycotic aneurysms are situated peripherally and comprise 0.5% of all cerebral aneurysms. (medscape.com)
- Long-term Excess Mortality in Pediatric Patients With Cerebral Aneurysms. (medscape.com)
- Extracranial vertebral artery aneurysms in the V1 segment are extremely rare 1 and the formation of a fistula of a ruptured aneurysm is even rarer. (bmj.com)
- What causes a cerebral aneurysm? (rochester.edu)
- There are several types of aneurysms. (rochester.edu)
- Rebleeding tends to occur during the acute stage because spontaneous healing of the dissecting vascular wall typically occurs within one month after onset. (biomedsearch.com)
- None of the treated aneurysms experienced bleeding or thrombo-embolic complication during the follow-up time. (ovid.com)
- MATERIALS AND METHODS: Among a total of 1,990 patients treated for intracranial aneurysms from February 1992 to June 2005, 28 patients (1.4%) were treated either by surgery (8 patients) or neurointervention (20 patients) for spontaneous dissecting aneurysms of the intracranial VA. Twenty-two patients had ruptured aneurysms. (yonsei.ac.kr)
- Flow-Diverter Silk Stent for the Treatment of Intracranial Aneurysms: 1-year Follow-Up in a Multicenter Study. (medscape.com)
- A ruptured V1 segment of vertebral artery dissecting aneurysm making a fistula with the adjacent vein has rarely been described in literature. (bmj.com)
- CT angiogram showed a left-sided dissecting V1-segment vertebral artery ruptured aneurysm. (bmj.com)
- A-F) DSA images showing different steps of intervention, including coil embolisation of the V1-segment vertebral artery aneurysm. (bmj.com)
- Two cases of dissecting vertebral artery aneurysms that presented with bleed, were successfully operated by trapping and excision of the dissecting segment. (iitkgp.ac.in)
- The dissected/aneurysmal segment may encroach the esophagus .The TEE probe if faces any resistance at lower esophagus , the procedure is to be abandoned .The false lumen shares a intimate spacious relationship with esophagus and the probe can delicately hug the false lumen , can lift it accelerating the tear. (drsvenkatesan.com)
- 3D DSA showed a dissecting aneurysm of the right P2-P3 segment of PCA. (edu.au)
- Fusion of 3D DSA and 3T MRI clearly demonstrated the dissected segment of PCA crossed the tentorial free edge twice. (edu.au)
- The fusion images support the direct trauma hypothesis of dissecting aneurysm of the P2-P3 segment of PCA. (edu.au)
- Subarachnoid haemorrhage due to intracranial non-traumatic dissecting aneurysms is rare. (iitkgp.ac.in)
- We describe two cases of intracranial dissecting aneurysms, which presented as subarachnoid haemorrhage (SAH) and discuss the management issues. (iitkgp.ac.in)
- Long-term, serial screening for intracranial aneurysms in individuals with a family history of aneurysmal subarachnoid haemorrhage: a cohort study. (medscape.com)
- PURPOSE: Pathogenesis and treatment of spontaneous dissecting aneurysm of the intracranial vertebral artery (VA) remain controversial. (yonsei.ac.kr)
- 7 Our patient developed a spontaneous dissecting aneurysm of the Intra-petrous ICA, presenting purely with pulsatile tinnitus, thus is probably the first described in English language literature. (ispub.com)
- This type of aneurysm usually happens from a traumatic injury. (rochester.edu)
- This type of aneurysm looks like a "berry" with a narrow stem. (rochester.edu)
- Our program offers sophisticated diagnosis and innovative treatments for patients with intracranial (brain) aneurysms and rare conditions such as arteriovenous malformations (AVMs) of both the brain and spinal cord. (massgeneral.org)
- Dissecting aneurysm of the vertebral artery causing subarachnoid hemorrhage after non-hemorrhagic infarction--case report. (biomedsearch.com)
- Background Ruptured intracranial dissecting aneurysms must be secured quickly to prevent re-hemorrhage. (bmj.com)
- Treatment of aneurysm depends on the vessel involved, size of the aneurysm, and general health status of the patient. (thefreedictionary.com)
- The PRESERVE-Zenith® Iliac Branch System Clinical Study is a clinical trial to study the safety and effectiveness of the Zenith® Branch Endovascular Graft-Iliac Bifurcation in combination with the Zenith® Connection Endovascular Stent/ConnectSX™ covered stent in the treatment of aorto-iliac and iliac aneurysms. (stanford.edu)
- Genetic disorders like Marfan syndrome , ED syndrome, connective tissue disorders can also lead to dissecting common iliac artery aneurysm. (epainassist.com)
- What Are The Symptoms Of Dissecting Common Iliac Artery Aneurysm? (epainassist.com)
- The symptoms of dissecting common iliac artery aneurysm may start to appear gradually or can manifest suddenly. (epainassist.com)
- The most common symptoms which a patient experiences in case of dissecting common iliac artery aneurysm is dull pain in the lower abdomen or lower back region. (epainassist.com)
- In 2 patients the aneurysms were an incidental finding whereas in the other 3 cases were associated to neurologic symptoms, such as visual changes, ataxia, facial numbness or vertigo. (ovid.com)
- A person may have an unruptured aneurysm without any symptoms. (medlineplus.gov)
- What are the symptoms of a cerebral aneurysm? (rochester.edu)
- The aneurysm was treated by the endovascular insertion of two Surpass Streamline (Stryker) flow diverters using a telescoping technique. (springer.com)
- The use of flow diverters for treating chronic dissecting aneurysms located in the posterior circulation remains controversial. (springer.com)
- 5 Muggia reported a patient with this disease and an aortic arch aneurysm. (jamanetwork.com)
- With timely diagnosis and treatment along with proper care and maintaining a healthy lifestyle, the patients of dissecting common iliac artery aneurysm can get healthy in no time. (epainassist.com)
- In addition to diagnosis, they provide critical care and treatment for aneurysms, artery blockages and trauma injuries that involve your veins. (vitals.com)