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Endovascular reconstruction with flow diverting stent as a treatment for recurrent internal carotid artery aneurysm. A case report

Abstract

Recurrence of cerebral aneurysms after surgical treatment is an urgent medical and social problem, being a possible cause and a significant risk factor for intracranial hemorrhage, despite the primary total embolisation of the aneurysm. Early risk assessment and diagnosis of reсurrence can help improve treatment outcomes for these patients.

PURPOSE: to describe a case of successful endovascular treatment of recurrent aneurysm of the ophthalmic segment of the internal carotid artery after occlusion with detachable coils.

CONCLUSIONS: Assessment of the stability of aneurysm mbolisation in the long-term period after endovascular intervention on a cerebral aneurysm is an integral part of the treatment process in this type of cerebrovascular pathology. The optimal tactics for the treatment of cerebral aneurysms, both primary and with signs of recurrence, is the reconstruction of the parrent vessel. In some cases, one of the methods for solving this problem is the use of flow-diverting stents.

About the Authors

V. V. Bobinov
RNSI n. a. Prof A. L. Polenov at Almazov National Medical Research Centre
Russian Federation

Vasiliy Vitalievich Bobinov

Saint-Petersburg



A. E. Petrov
RNSI n. a. Prof A. L. Polenov at Almazov National Medical Research Centre
Russian Federation

Andrey Evgenievich Petrov

Saint-Petersburg



S. A. Goroshchenko
RNSI n. a. Prof A. L. Polenov at Almazov National Medical Research Centre
Russian Federation

Sergey Anatolyevich Goroshchenko 

Saint-Petersburg



E. G. Kolomin
RNSI n. a. Prof A. L. Polenov at Almazov National Medical Research Centre
Russian Federation

Egor Gennadievich Kolomin

Saint-Petersburg



L. V. Rozhchenko
RNSI n. a. Prof A. L. Polenov at Almazov National Medical Research Centre
Russian Federation

Rozhchenko Larisa Vitalievna

Saint-Petersburg



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Review

For citations:


Bobinov V.V., Petrov A.E., Goroshchenko S.A., Kolomin E.G., Rozhchenko L.V. Endovascular reconstruction with flow diverting stent as a treatment for recurrent internal carotid artery aneurysm. A case report. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2021;13(3):41-45. (In Russ.)

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