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Erschienen in: Acta Neurochirurgica 7/2019

17.05.2019 | Case Report - Neurosurgery general

Iatrogenic pseudoaneurysm rupture of the anterior cerebral artery after placement of an external ventricular drain, treated with clip-wrapping: a case report and review of the literature

verfasst von: Joshua S. Catapano, Michaela Lee, Damjan Veljanoski, Alexander C. Whiting, Scott Brigeman, Clinton D. Morgan, Mohamed A. Labib, Andrew F. Ducruet, Peter Nakaji

Erschienen in: Acta Neurochirurgica | Ausgabe 7/2019

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Abstract

External ventricular drains (EVDs) are often placed emergently for patients with hydrocephalus, which carries a risk of hemorrhage. Rarely, rupture of a pseudoaneurysm originating from an EVD placement precipitates such a hemorrhage. An EVD was placed in a patient with a ruptured left posterior communicating artery aneurysm who later underwent endovascular coil embolization. On post-bleed day 20, a distal right anterior cerebral artery pseudoaneurysm along the EVD tract ruptured, which was successfully treated via clip-wrapping. Although EVD-associated pseudoaneurysms are rare, they have a high propensity for rupture. Early treatment of these lesions should be considered to prevent neurologic deterioration.
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Metadaten
Titel
Iatrogenic pseudoaneurysm rupture of the anterior cerebral artery after placement of an external ventricular drain, treated with clip-wrapping: a case report and review of the literature
verfasst von
Joshua S. Catapano
Michaela Lee
Damjan Veljanoski
Alexander C. Whiting
Scott Brigeman
Clinton D. Morgan
Mohamed A. Labib
Andrew F. Ducruet
Peter Nakaji
Publikationsdatum
17.05.2019
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 7/2019
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-019-03935-z

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