Flow diversion of a middle cerebral artery pseudoaneurysm secondary to a gunshot wound: A case report. (Record no. 12880)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02760nam a22003617a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 230628s20232023 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | 2234-8565 |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | 10.7461/jcen.2023.E2022.11.001 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | jcen.2023.E2022.11.001 [pii] |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| PMID | 37220882 |
| 245 ## - TITLE STATEMENT | |
| Title | Flow diversion of a middle cerebral artery pseudoaneurysm secondary to a gunshot wound: A case report. |
| 251 ## - Source | |
| Source | Journal of Cerebrovascular & Endovascular Neurosurgery. 2023 May 24 |
| 252 ## - Abbreviated Source | |
| Abbreviated source | J. cerebrovasc. endovasc. neurosurg.. 2023 May 24 |
| 253 ## - Journal Name | |
| Journal name | Journal of cerebrovascular and endovascular neurosurgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Year | 2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Manufacturer | FY2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Publication date | 2023 May 24 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
| Publication status | aheadofprint |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
| Medline status | Publisher |
| 266 ## - Date added to catalog | |
| Date added to catalog | 2023-06-28 |
| 520 ## - SUMMARY, ETC. | |
| Abstract | Pseudoaneurysms are rare but devastating complications of penetrating head traumas. They require rapid surgical or endovascular intervention due to their high risk of rupture; however, complex presentations may limit treatment options. Our objective is to report a case of severe vasospasm, flow diversion, and in-stent stenosis complicating the treatment of a middle cerebral artery pseudoaneurysm following a gunshot wound. A 33-year-old woman presented with multiple calvarial and bullet fragments within the right frontotemporal lobes and a large right frontotemporal intraparenchymal hemorrhage with significant cerebral edema. She underwent an emergent right hemicraniectomy for decompression, removal of bullet fragments, and evacuation of hemorrhage. Once stable enough for diagnostic cerebral angiography, she was found to have an M1 pseudoaneurysm with severe vasospasm that precluded endovascular treatment until the vasospasm resolved. The pseudoaneurysm was treated with flow diversion and in-stent stenosis was found at 4-month follow-up angiography that resolved by 8 months post-embolization. We report the successful flow diversion of an middle cerebral artery (MCA) pseudoaneurysm complicated by severe vasospasm and later in-stent stenosis. The presence of asymptomatic stenosis is believed to be reversible intimal hyperplasia and a normal aspect of endothelial healing. We suggest careful observation and dual-antiplatelet therapy as a justified approach. |
| 546 ## - LANGUAGE NOTE | |
| Language note | English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | IN PROCESS -- NOT YET INDEXED |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Indexing | Automated |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
| Institution | MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION | |
| Department | Neurosurgery |
| 657 ## - INDEX TERM--FUNCTION | |
| Medline publication type | Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Armonda, Rocco A |
| Institution Code | MWHC |
| 790 ## - Authors | |
| All authors | Armonda R, Gelman JC, Ogilvy CS, Shutran M, Taussky P, Vega RA, Young M |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| DOI | <a href="https://dx.doi.org/10.7461/jcen.2023.E2022.11.001">https://dx.doi.org/10.7461/jcen.2023.E2022.11.001</a> |
| Public note | https://dx.doi.org/10.7461/jcen.2023.E2022.11.001 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Journal Article |
| Item type description | Article |
| Withdrawn status | Lost status | Damaged status | Not for loan | Collection | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedStar Authors Catalog | MedStar Authors Catalog | 06/28/2023 | 37220882 | 37220882 | 06/28/2023 | 06/28/2023 | Journal Article |