Endoport-Assisted Microsurgical Treatment of a Ruptured Periventricular Aneurysm
Background and Importance. Ruptured periventricular aneurysms in patients with moyamoya disease represent challenging pathologies. The most common methods of treatment include endovascular embolization and microsurgical clipping. However, rare cases arise in which the location and anatomy of the ane...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/8654262 |
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| author | Ching-Jen Chen James Caruso Robert M. Starke Dale Ding Thomas Buell R. Webster Crowley Kenneth C. Liu |
| author_facet | Ching-Jen Chen James Caruso Robert M. Starke Dale Ding Thomas Buell R. Webster Crowley Kenneth C. Liu |
| author_sort | Ching-Jen Chen |
| collection | DOAJ |
| description | Background and Importance. Ruptured periventricular aneurysms in patients with moyamoya disease represent challenging pathologies. The most common methods of treatment include endovascular embolization and microsurgical clipping. However, rare cases arise in which the location and anatomy of the aneurysm make these treatment modalities particularly challenging. Clinical Presentation. We report a case of a 34-year-old female with moyamoya disease who presented with intraventricular hemorrhage. CT angiography and digital subtraction angiography revealed an aneurysm located in the wall of the atrium of the right lateral ventricle. Distal endovascular access was not possible, and embolization risked the sacrifice of arteries supplying critical brain parenchyma. Using the BrainPath endoport system, the aneurysm was able to be accessed. Since the fusiform architecture of the aneurysm prevented clip placement, the aneurysm was ligated with electrocautery. Conclusion. We demonstrate the feasibility of endoport-assisted approach for minimally invasive access and treatment of uncommon, distally located aneurysms. |
| format | Article |
| id | doaj-art-78a2bc4fc72143b0962637ea424b775c |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-78a2bc4fc72143b0962637ea424b775c2025-08-20T03:35:11ZengWileyCase Reports in Neurological Medicine2090-66682090-66762016-01-01201610.1155/2016/86542628654262Endoport-Assisted Microsurgical Treatment of a Ruptured Periventricular AneurysmChing-Jen Chen0James Caruso1Robert M. Starke2Dale Ding3Thomas Buell4R. Webster Crowley5Kenneth C. Liu6Department of Neurological Surgery, University of Virginia Health System, Charlottesville, VA 22908, USADepartment of Neurological Surgery, University of Virginia Health System, Charlottesville, VA 22908, USADepartment of Neurological Surgery, University of Virginia Health System, Charlottesville, VA 22908, USADepartment of Neurological Surgery, University of Virginia Health System, Charlottesville, VA 22908, USADepartment of Neurological Surgery, University of Virginia Health System, Charlottesville, VA 22908, USADepartment of Neurological Surgery, University of Virginia Health System, Charlottesville, VA 22908, USADepartment of Neurological Surgery, University of Virginia Health System, Charlottesville, VA 22908, USABackground and Importance. Ruptured periventricular aneurysms in patients with moyamoya disease represent challenging pathologies. The most common methods of treatment include endovascular embolization and microsurgical clipping. However, rare cases arise in which the location and anatomy of the aneurysm make these treatment modalities particularly challenging. Clinical Presentation. We report a case of a 34-year-old female with moyamoya disease who presented with intraventricular hemorrhage. CT angiography and digital subtraction angiography revealed an aneurysm located in the wall of the atrium of the right lateral ventricle. Distal endovascular access was not possible, and embolization risked the sacrifice of arteries supplying critical brain parenchyma. Using the BrainPath endoport system, the aneurysm was able to be accessed. Since the fusiform architecture of the aneurysm prevented clip placement, the aneurysm was ligated with electrocautery. Conclusion. We demonstrate the feasibility of endoport-assisted approach for minimally invasive access and treatment of uncommon, distally located aneurysms.http://dx.doi.org/10.1155/2016/8654262 |
| spellingShingle | Ching-Jen Chen James Caruso Robert M. Starke Dale Ding Thomas Buell R. Webster Crowley Kenneth C. Liu Endoport-Assisted Microsurgical Treatment of a Ruptured Periventricular Aneurysm Case Reports in Neurological Medicine |
| title | Endoport-Assisted Microsurgical Treatment of a Ruptured Periventricular Aneurysm |
| title_full | Endoport-Assisted Microsurgical Treatment of a Ruptured Periventricular Aneurysm |
| title_fullStr | Endoport-Assisted Microsurgical Treatment of a Ruptured Periventricular Aneurysm |
| title_full_unstemmed | Endoport-Assisted Microsurgical Treatment of a Ruptured Periventricular Aneurysm |
| title_short | Endoport-Assisted Microsurgical Treatment of a Ruptured Periventricular Aneurysm |
| title_sort | endoport assisted microsurgical treatment of a ruptured periventricular aneurysm |
| url | http://dx.doi.org/10.1155/2016/8654262 |
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