Endovascular Treatment for Cavernous Carotid Aneurysms: A Systematic Review and Meta-Analysis

Sun, Yuan; Wan, Benlin; Li, Qi; Li, Tang; Huang, Ge; Zhang, Wenchao; Yang, Jianghua; Tong, Xiaoguang

doi:10.1016/j.jstrokecerebrovasdis.2020.104808

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…Precedent clinical CCA series seldom describe patients with asymptomatic CCA; however, with the increasing availability of CT and MRI, many CCA are discovered incidentally [3,24]. In a recent series, up to 40% of patients are asymptomatic, and the CCA is incidentally found, which matches the observations in our cohort [18,25].…”

Section: Discussionsupporting

confidence: 85%

Management of Cavernous Carotid Artery Aneurysms: A Retrospective Single-Center Experience

et al. 2022

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Objective: While cavernous carotid aneurysms can cause neurological symptoms, their often-uneventful natural course and the increasing options of intravascular aneurysm closure call for educated decision-making. However, evidence-based guidelines are missing. Here, we report 64 patients with cavernous carotid aneurysms, their respective therapeutic strategies, and follow-up. Methods: We included all patients with cavernous carotid aneurysms who presented to our clinic between 2014 and 2020 and recorded comorbidities (elevated blood pressure, diabetes mellitus, and nicotine consumption), PHASES score, aneurysm site, size and shape, therapeutic strategy, neurological deficits, and clinical follow-up. Results: The mean age of the 64 patients (86% female) was 53 years, the mean follow-up time was 3.8 years. A total of 22 patients suffered from cranial nerve deficit. Of these patients, 50% showed a relief of symptoms regardless of the therapy regime. We found no significant correlations between aneurysm size or PHASES score and the occurrence of neurological symptoms. Conclusion: If aneurysm specific symptoms persist over a longer period of time, relief is difficult to achieve despite aneurysm treatment. Patients should be advised by experts in neurovascular centers, weighing the possibility of an uneventful course against the risks of treatment. In this regard, more detailed prospective data is needed to improve individual patient counseling.

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Section: Discussionsupporting

confidence: 85%

Management of Cavernous Carotid Artery Aneurysms: A Retrospective Single-Center Experience

et al. 2022

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“…Тактика лечения интраселлярных аневризм зависит от их размера и формы. Возможны как деконструктивные операции при адекватном коллатеральном кровотоке [25,26,40], так и сосудосохраняющие операции в виде койлинга или установки поток-перенаправляющего стента при условии подходящих анатомических особенностей [41]. В описанных нами случаях при проведении селективной ангиографии интраоперационно обращали на себя внимание практически полная дисплазия ВСА на уровне аневризм, крайне неблагоприятные анатомические характеристики аневризмы, включая угол отхождения ВСА дистальнее аневризм, что, в свою очередь, не позволило провести реконструктивную операцию с использованием поток-перенаправляющих стентов, и в результате были выполнены деконструктивные операции.…”

Section: рис 4 гигантская аневризма кавернозного сегмента правой вса ...unclassified

Development of internal carotid artery aneurysm after successful conservative treatment of prolactinoma

Kutin,

Astafyeva,

Chernov

et al. 2023

Nejrohirurgiâ (Mosk.)

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Background. The problem of concomitant pituitary adenomas and intracranial aneurysms is extensively covered in literature. According to various authors, the prevalence of such a combination of lesions is as high as 9 %, most commonly involving hormone‑producing pituitary adenomas and aneurysms of the anterior circulation, up to 69 % of which originate from the carotid artery.Aim. To analyze and demonstrate the treatment of patients with developed internal carotid artery aneurysm (ICA) against the background of successful conservative therapy of prolactinoma. Materials and methods. In this article we review the literature and present two clinical cases of patients with development of internal carotid artery (ICA) aneurysms after successful conservative treatment of prolactinomas.Results. In both of the described cases, ICA aneurysms with intrasellar extension developed after successful conservative treatment of large invasive prolactinomas. In both cases ICA occlusion were performed and in one of them extra‑intracranial bypass surgery was performed as well.Conclusion. The presented clinical cases suggest potential direct destructive effect of tumor tissue on vessel walls. Currently, it seems reasonable to carry out computed tomography angiography in all patients with adenomas invading the cavernous sinus.

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Destructive strategies in treating cerebrovascular pathology: Review and treatment algorithm

2022

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Endovascular Treatment for Cavernous Carotid Aneurysms: A Systematic Review and Meta-Analysis

Cited by 3 publications

References 22 publications

Management of Cavernous Carotid Artery Aneurysms: A Retrospective Single-Center Experience

Management of Cavernous Carotid Artery Aneurysms: A Retrospective Single-Center Experience

Development of internal carotid artery aneurysm after successful conservative treatment of prolactinoma

Destructive strategies in treating cerebrovascular pathology: Review and treatment algorithm

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