RESUMO
UNLABELLED: The paper presents indications for and the technique of the intravascular procedures as well as the results of treating patients with intracranial aneurysms. MATERIAL AND METHOD: Between 1997 and the May 2000, 25 patients (14 women and 11 men) with cerebral aneurysms underwent intravascular embolisation. The aneurysms were embolised with MDS-N BALT with coils. In 5 patients with aneurysm (about 2 cm), the procedure was performed in two or three steps. RESULTS: Aneurysms were embolised successfully in 19 patients. Three patients revealed intra- and postoperative complication manifestations. CONCLUSIONS: Intravascular embolisation of intracranial aneurysms is an affective treatment modality. It carries, though, a certain risk of complication development. Using this method in neurosurgically non-operable cases is a method of choice.
Assuntos
Embolização Terapêutica/métodos , Aneurisma Intracraniano/terapia , Adulto , Idoso , Angiografia Cerebral/métodos , Artérias Cerebrais/patologia , Fossa Craniana Posterior/irrigação sanguínea , Fossa Craniana Posterior/diagnóstico por imagem , Feminino , Humanos , Complicações Intraoperatórias , Masculino , Pessoa de Meia-Idade , Complicações Pós-OperatóriasRESUMO
UNLABELLED: The paper presents the technique of the procedures as well as the results of treating patients with operable difficult and non-operable intracranial angiomas. MATERIAL AND METHOD: During 26 months (1997, 1998 and 1999) 13 patients (7 women and 6 men) with intracranial arteriovenous haemangiomas underwent intravascular embolisation. The angiomas were embolised with coils (COOK) and Histoacryl with Lipiodol. RESULTS: Among the angioma patients, 2 were treated successfully during four procedures, 2 were treated during 3 procedures. The treatment was fully successful in 6 patients following the 3-rd and 4-th procedures. 5 patients are still being treated. Complications, during both the treatment and follow-up, were observed in two patients. CONCLUSIONS: The intravascular embolisation of intracranial angiomas is an effective treatment modality. It carries, though, a certain risk of complication development. Using this method in neuro-surgically non-operable cases is a method of choice.
Assuntos
Neoplasias Encefálicas/terapia , Angioma Venoso do Sistema Nervoso Central/terapia , Embolização Terapêutica/métodos , Adolescente , Adulto , Angiografia Cerebral , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Takayasu's arteritis is non-specific vasculitis, affecting aorta and its main branches. Renal involvement is usually manifested by renovascular hypertension followed by ischemic nephropathy. Early start of immunosuppressive treatment can substantially improve prognosis and delay progress of dangerous organic complications. On the basis of two cases of Takayasu's arteritis with renal involvement, we paid the attention to progressive nature of disease with renovascular hypertension, requiring corrective operation of renal arteries, despite intensive immunosuppressive treatment.
