Endovascular treatment for intracranial infectious aneurysms.
OBJECTIVE
To re-enforce an alternative, less aggressive treatment modality in the management of intracranial infectious aneurysms.


METHODS
We present a series of five patients with infectious endocarditis and intracranial infectious aneurysms (mycotic aneurysms) managed by means of endovascular treatment.


RESULTS
Endovascular treatment was executed technically uneventfully in all patients. Three patients had favorable clinical outcome: two were classified as Glasgow Outcome Scale 4/5, and one had total neurological recovery (GOS 5/5). Two patients died (GOS 1/5), one in consequence of the initial intracranial bleeding and the other after cardiac complications from endocarditis and open-heart surgery.


CONCLUSIONS
Endovascular techniques are an expanding option for the treatment of IIAs. It has been especially useful for infectious endocarditis patients with IIA, who will be submitted to cardiac surgery with cardiopulmonary bypass and anticoagulation, with the risk of intracranial bleeding.
Wajnberg
Eduardo
E
Médico do Serviço de Serviço de Radiodiagnóstico, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro RJ, Brasil. eduardowj@gmail.com
Rueda
Fernanda
F
Marchiori
Edson
E
Gasparetto
Emerson L
EL
D000328:Adult; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D004697:Endocarditis, Bacterial / Q000628:therapy*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome