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    Mesenteric ischaemia after endovascular coiling of ruptured cerebral aneurysms.

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    Authors
    Kamel, M H
    Murphy, M
    Kamel, M H
    Affiliation
    Urology Department, Cork University Hospital, Cork, Ireland., mahmoudhamdy@yahoo.com
    Issue Date
    2012-02-03T15:14:32Z
    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
    Show allShow less
    
    Metadata
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    Citation
    Acta Neurochir (Wien). 2008 Apr;150(4):367-70; discussion 370. Epub 2008 Feb 19.
    Journal
    Acta neurochirurgica
    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
    ISSN
    0942-0940 (Electronic)
    0001-6268 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00701-008-1518-9
    Scopus Count
    Collections
    Cork University Hospital

    entitlement

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