Mesenteric ischaemia after endovascular coiling of ruptured cerebral aneurysms.

Hdl Handle:
http://hdl.handle.net/10147/209186
Title:
Mesenteric ischaemia after endovascular coiling of ruptured cerebral aneurysms.
Authors:
Kamel, M H; Murphy, M; Kamel, M H
Affiliation:
Urology Department, Cork University Hospital, Cork, Ireland., mahmoudhamdy@yahoo.com
Citation:
Acta Neurochir (Wien). 2008 Apr;150(4):367-70; discussion 370. Epub 2008 Feb 19.
Journal:
Acta neurochirurgica
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209186
DOI:
10.1007/s00701-008-1518-9
PubMed ID:
18273535
Abstract:
Three patients were referred to a national neurosurgical centre following CT evidence of subarachnoid haemorrhage. The three patients, who were referred from different institutions within a seven week period, were Fisher grade 3 and WFNS Grade I at all times. Angiography showed a PCOM aneurysm in one case, a ruptured Basilar tip aneurysm and an unruptured ACOM aneurysm in another case, and an ACOM aneurysm in the third case. It was decided that the aneurysms were suitable for endovascular coiling. These patients had unremarkable intraoperative catheterizations and coiling but subsequently deteriorated post-operatively due to mesenteric ischaemia. Two patients required colectomy for mesenteric ischaemia, and the third arrested secondary to sepsis from bowel perforation. We discuss the various causes that may explain this association, and we alert the neurosurgical community for this complication which has not been reported before.
Language:
eng
MeSH:
Aged; Aneurysm, Ruptured/radiography/*therapy; Embolization, Therapeutic/*adverse effects/instrumentation; Female; Humans; Intestines/*blood supply/radiography; Intracranial Aneurysm/radiography/*therapy; Ischemia/*etiology/radiography; Male; Mesenteric Vascular Occlusion/*etiology/radiography; Postoperative Complications/*etiology/radiography; Tomography, X-Ray Computed
ISSN:
0942-0940 (Electronic); 0001-6268 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorKamel, M Hen_GB
dc.contributor.authorMurphy, Men_GB
dc.contributor.authorKamel, M Hen_GB
dc.date.accessioned2012-02-03T15:14:32Z-
dc.date.available2012-02-03T15:14:32Z-
dc.date.issued2012-02-03T15:14:32Z-
dc.identifier.citationActa Neurochir (Wien). 2008 Apr;150(4):367-70; discussion 370. Epub 2008 Feb 19.en_GB
dc.identifier.issn0942-0940 (Electronic)en_GB
dc.identifier.issn0001-6268 (Linking)en_GB
dc.identifier.pmid18273535en_GB
dc.identifier.doi10.1007/s00701-008-1518-9en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209186-
dc.description.abstractThree patients were referred to a national neurosurgical centre following CT evidence of subarachnoid haemorrhage. The three patients, who were referred from different institutions within a seven week period, were Fisher grade 3 and WFNS Grade I at all times. Angiography showed a PCOM aneurysm in one case, a ruptured Basilar tip aneurysm and an unruptured ACOM aneurysm in another case, and an ACOM aneurysm in the third case. It was decided that the aneurysms were suitable for endovascular coiling. These patients had unremarkable intraoperative catheterizations and coiling but subsequently deteriorated post-operatively due to mesenteric ischaemia. Two patients required colectomy for mesenteric ischaemia, and the third arrested secondary to sepsis from bowel perforation. We discuss the various causes that may explain this association, and we alert the neurosurgical community for this complication which has not been reported before.en_GB
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.meshAneurysm, Ruptured/radiography/*therapyen_GB
dc.subject.meshEmbolization, Therapeutic/*adverse effects/instrumentationen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIntestines/*blood supply/radiographyen_GB
dc.subject.meshIntracranial Aneurysm/radiography/*therapyen_GB
dc.subject.meshIschemia/*etiology/radiographyen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMesenteric Vascular Occlusion/*etiology/radiographyen_GB
dc.subject.meshPostoperative Complications/*etiology/radiographyen_GB
dc.subject.meshTomography, X-Ray Computeden_GB
dc.titleMesenteric ischaemia after endovascular coiling of ruptured cerebral aneurysms.en_GB
dc.contributor.departmentUrology Department, Cork University Hospital, Cork, Ireland., mahmoudhamdy@yahoo.comen_GB
dc.identifier.journalActa neurochirurgicaen_GB
dc.description.provinceMunster-

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