Endovascular treatment of cerebral aneurysms during pregnancy: Report of six cases

Congress:

ECR 2018

Poster Number:

C-0812

Type:

Scientific Exhibit

Keywords:

Interventional vascular, Neuroradiology brain, Vascular, Catheter arteriography, Catheters, Arterial access, Embolisation, Aneurysms, Acute

Authors:

F. E. FALCON LEON, Y. Tairouz; VALENCIA, CARABOBO/VE

DOI:

10.1594/ecr2018/C-0812

DOI-Link:

https://dx.doi.org/10.1594/ecr2018/C-0812

Fig. 1: 32-year-old woman with severe headache and a grade III subarachnoid hemorrhage...

Fig. 2: Postembolization angiogram after GDC occlusion shows complete obliteration of...

Aims and objectives

Historically, surgical management of cerebral aneurysms during pregnancy has been controversial. Debate originally focused on early versus late intervention, before or after delivery of the fetus. More recently, treatment has centered on rapid intervention. We describe the endovascular treatment of cerebral artery aneurysms with Guglielmi detachable coils in six pregnant women.

Methods and materials

In a seven-year period, 6 patients with 6 cerebral aneurysms during pregnancy were treated with Guglielmi detachable coils by the medical team of the Center Guerra Mendez. Clinical and angiographic results were evaluated retrospectively.

Results

Total occlusion was achieved in 66% of patients. The mean age was 30 years. The location was 3 posterior communicating artery aneurysms, 1 anterior communicating artery aneurysm, 1 carotid tip and 1 left middle cerebral artery aneurysm. No complications were observed at follow-up.

Conclusion

Our early experience indicates that endovascular techniques may play an important role in the management of symptomatic cerebral artery aneurysms during pregnancy. Limited alterations in maternal-fetal physiology, low relative risk of significant radiation exposure to the fetus when appropriate techniques are observed, and successful outcomes suggest that the endovascular approach to aneurysms during pregnancy is warranted and may be less invasive to both the mother and fetus than conventional neurosurgery.

Personal information

References

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