Endovascular treatment of mycotic pseudoaneurysms.
The surgical correction of ruptured intracranial infectious pseudoaneurysms is associated with high morbidity and mortality. An endovascular therapeutic approach has been introduced recently. This treatment is, compared to surgical intervention, less invasive, faster, more effective and safer, thus making it a gentler option, particularly for pediatric patients. Lower morbidity and mortality have been achieved thanks to the combination of prolonged administration of antibiotics, coil embolization, and parent artery occlusion. Two pediatric cases of bleeding mycotic pseudoaneurysm treated successfully with fibered coil embolization and long-term antibiotics are dealt with in this manuscript.
Vávrova
M
M
Department of Interventional Neuroradiology and Angiology, University Hospital Ostrava, Ostrava, Czech Republic.
Jonszta
Tomas
T
Czerný
D
D
Hrbac
T
T
Lipina
R
R
Klement
P
P
Procházka
V
V
D000293:Adolescent; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002533:Cerebral Angiography / Q000379:methods; D002648:Child; D003131:Combined Modality Therapy; D056424:Decompressive Craniectomy; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D020300:Intracranial Hemorrhages / Q000000981:diagnostic imaging / Q000628:therapy*; D018810:Magnetic Resonance Angiography; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents