Post traumatic ophthalmic artery pseudoaneurysm
A young man had a missile injury to his right eye, following which the globe ruptured and was removed. After few days, he developed sudden proptosis severe pain in the right orbit.
A contrast CT scan showed a large oval contrast filled structure filling half the right orbit and some soft tissue.
A DSA was performed which showed a large pseudoaneurysm of the right ophthalmic artery.
Embolisation was performed and a single GDC coil was deployed in the ophthalmic artery proximal to the aneurysm which was completely excluded.
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Need for a blog dedicated to the science of neurointervention
Hi all
Why?
Why do we need a free and open discussion among neurointerventionists....
Why do we have to develop the field as a science ...and not practice as arts as is being done..............
Why do we need a forum for students of neurointervention rather then businessmen of neurointervention....
Why do we need to have to have this medical branch at all...............
Why?
Single answer.....for the love of it....
this blog is meant for all those who live and breathe neurointervention not just who want to fill their bellies.....because it is meant to fill your minds rather...
Cheers
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Immediate in-stent thrombosis during carotid stenting
A 65 years - old man with recurrent right sided TIAs and severe left ICA stenosis was undergoing stent placement.
He had been taking Aspirin and Clopidogrel and the ACT pre-procedure was ~300.
After heparinization with 5000 Units, a Zilver stent was deployed following pre-dilatation with a balloon.
Immediately after deployment thrombosis was noticed in the proximal part of the stent.
Immediately, intra-arterial Tirofiban was started and balloon angioplasty done.
After 15 min. there was complete reopening. Follow up Color doppler studies next day and at 1 nad 3 months showed complete patency of the stent.
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