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http://dx.doi.org/10.3340/jkns.2009.45.4.236

Development of 'De novo' Aneurysm after Therapeutic Carotid Occlusion  

Jin, Sung-Chul (Department of Neurological Surgery, University of Ulsan College of Medicine, Asan Medical Center)
Choi, Choong-Gon (Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center)
Kwon, Do-Hoon (Department of Neurological Surgery, University of Ulsan College of Medicine, Asan Medical Center)
Publication Information
Journal of Korean Neurosurgical Society / v.45, no.4, 2009 , pp. 236-239 More about this Journal
Abstract
Carotid occlusion is an inevitable therapeutic modality for the treatment of complex aneurysms such as giant, traumatic, and intracavernous aneurysms. Late complications of carotid occlusion include 'de novo' aneurysm formation at a distant site because of hemodynamic changes in the circle of Willis. We report a case of de novo aneurysm in a vessel that appeared to be normal on initial angiography. The patient developed an anterior communicating artery aneurysm and marked growth of a basilar bifurcation aneurysm 9 years after trapping of the left internal carotid artery for the treatment of a ruptured large saccular aneurysm involving ophthalmic and cavernous segments. We propose that patients who undergo therapeutic carotid occlusion should be periodically followed by magnetic resonance angiography or computed tomographic angiography to evaluate the possibility of de novo aneurysm formation; this advice is in line with previous reports.
Keywords
De novo aneurysm; Carotid occlusion; Late complication; Magnetic resonance angiography; Computed tomographic angiography;
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1 Dyste GN, Beck DW : De novo aneurysm formation following carotid ligation : case report and review of the literature. Neurosurgery 24 : 88-92, 1989   DOI   PUBMED
2 Hassler O : Experimental carotid ligation followed by aneurysmal formation and other morphological changes in the circle of willis. J Neurosurg 20 : 1-7, 1963   DOI   PUBMED
3 Hoh BL, Cheung AC, Rabinov JD, Pryor JC, Carter BS, Ogilvy CS : Results of a prospective protocol of computed tomographic angiography in place of catheter angiography as the only diagnostic and pretreatment planning study for cerebral aneurysms by a combined neurovascular team. Neurosurgery 54 : 1329-1340; discussion 1340-1342, 2004   DOI   PUBMED   ScienceOn
4 Maiuri F, Spaziante R, Iaconetta G, Signorelli F, Cirillo S, Di Salle F : 'De novo' aneurysm formation : report of two cases. Clin Neurol Neurosurg 97 : 233-238, 1995   DOI   ScienceOn
5 Meng H, Swartz DD, Wang Z, Hoi Y, Kolega J, Metaxa EM, et al : A model system for mapping vascular responses to complex hemodynamics at arterial bifurcations in vivo. Neurosurgery 59 : 1094-1100; discussion 1100-1101, 2006   PUBMED   ScienceOn
6 Wermer MJ, van der Schaaf IC, Velthuis BK, Algra A, Buskens E, Rinkel GJ; ASTRA Study Group : Follow-up screening after subarachnoid haemorrhage : frequency and determinants of new aneurysms and enlargement of existing aneurysms. Brain 128 : 2421-2429, 2005   DOI   ScienceOn
7 Gao L, Hoi Y, Swartz DD, Kolega J, Siddiqui A, Meng H : Nascent aneurysm formation at the basilar terminus induced by hemodynamics. Stroke 39 : 2085-2090, 2008   DOI   ScienceOn
8 Miskolczi L, Guterman LR, Flaherty JD, Hopkins LN : Saccular aneurysm induction by elastase digestion of the arterial wall : a new animal model. Neurosurgery 43 : 595-600; discussion 600-601, 1998   DOI   ScienceOn
9 Redekop G, TerBrugge K, Montanera W, Willinsky R : Arterial aneurysms associated with cerebral arteriovenous malformations : classification, incidence, and risk of hemorrhage. J Neurosurg 89 : 539-546, 1998   DOI   ScienceOn
10 Fujiwara S, Fujii K, Fukui M : De novo aneurysm formation and aneurysm growth following therapeutic carotid occlusion for intracranial internal carotid artery (ICA) aneurysms. Acta Neurochir (Wien) 120 : 20-25, 1993   DOI
11 Briganti F, Cirillo S, Caranci F, Esposito F, Maiuri F : Development of 'de novo' aneurysms following endovascular procedures. Neuroradiology 44 : 604-609, 2002   DOI   ScienceOn
12 Roski RA, Spetzler RF, Nulsen FE : Late complications of carotid ligation in the treatment of intracranial aneurysms. J Neurosurg 54 : 583-587, 1981   DOI   PUBMED
13 Yousaf I, Gray WJ, McKinstry CS, Choudhari KA : Development of posterior circulation aneurysm in association with bilateral internal carotid artery occlusion. Br J Neurosurg 17 : 471-472, 2003   DOI   ScienceOn
14 Shibuya T, Hayashi N : A case of posterior cerebral artery aneurysm associated with idiopathic bilateral internal carotid artery occlusion : case report. Surg Neurol 52 : 617-622, 1999   DOI   ScienceOn
15 Wolf RL, Imbesi SG, Galetta SL, Hurst RW, Sinson GP, Grossman RI : Development of a posterior cerebral artery aneurysm subsequent to occlusion of the contralateral internal carotid artery for giant cavernous aneurysm. Neuroradiology 44 : 443-446, 2002   DOI   ScienceOn
16 Cuatico W, Cook AW, Tyshchenko V, Khatib R : Massive enlargement of intracranial aneurysms following carotid ligation. Arch Neurol 17 : 609-613, 1967   PUBMED   ScienceOn
17 Tsutsumi K, Ueki K, Morita A, Usui M, Kirino T : Risk of aneurysm recurrence in patients with clipped cerebral aneurysms : results of long-term follow-up angiography. Stroke 32 : 1191-1194, 2001   PUBMED   ScienceOn
18 Drapkin AJ, Rose WS : Serial development of 'de novo' aneurysms after carotid ligation : case report. Surg Neurol 38 : 302-308, 1992   DOI   ScienceOn
19 Kaspera W, Majchrzak H, Kopera M, Ladzinski P : 'True' aneurysm of the posterior communicating artery as a possible effect of collateral circulation in a patient with occlusion of the internal carotid artery. A case study and literature review. Minim Invasive Neurosurg 45 : 240-244, 2002   DOI   ScienceOn
20 Meng H, Wang Z, Hoi Y, Gao L, Metaxa E, Swartz DD, et al : Complex hemodynamics at the apex of an arterial bifurcation induces vascular remodeling resembling cerebral aneurysm initiation. Stroke 38 : 1924-1931, 2007   DOI   ScienceOn