NDLI: Optical coherence tomography of traumatic aneurysms of the internal carotid artery: report of 2 cases.

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Optical coherence tomography of traumatic aneurysms of the internal carotid artery: report of 2 cases.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Griessenauer, Christoph J. Foreman, Paul M. Deveikis, John P. Harrigan, Mark R.
Description	Author Affiliation: Griessenauer CJ ( Department of Neurosurgery, University of Alabama at Birmingham, Alabama.); Foreman PM ( Department of Neurosurgery, University of Alabama at Birmingham, Alabama.); Deveikis JP ( Department of Neurosurgery, University of Alabama at Birmingham, Alabama.); Harrigan MR ( Department of Neurosurgery, University of Alabama at Birmingham, Alabama.)
Abstract	The pathophysiology of extracranial traumatic aneurysm formation has not been fully elucidated. Intraarterial optical coherence tomography (OCT), an imaging modality capable of micrometer cross-sectional resolution, was used to evaluate patients presenting with saccular traumatic aneurysms of the internal carotid artery (ICA). Two consecutive trauma patients diagnosed with saccular traumatic aneurysms of the cervical ICA, per the institutional screening protocol for traumatic cerebrovascular injury, underwent digital subtraction angiography (DSA) with OCT. Optical coherence tomography demonstrated disruption of the intima with preservation and stretching of the more peripheral layers. In 1 patient the traumatic aneurysm was associated with thrombus formation and a separate, more proximal dissection not visible on CT angiography (CTA) or DSA. Imaging with OCT indicates that saccular traumatic aneurysms may develop from disruption of the intima with at least partial preservation of the media and adventitia. This provides in vivo evidence that saccular traumatic aneurysms result from a partial arterial wall tear rather than complete disruption. Interestingly, OCT was also able to detect arterial injury and thrombi not visible on CTA or DSA.
File Format	HTM / HTML
ISSN	00223085
e-ISSN	19330693
Journal	Journal of Neurosurgery
Issue Number	2
Volume Number	124
Language	English
Publisher	American Association of Neurological Surgeons
Publisher Date	2016-02-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Neurosurgery Carotid Artery Injuries Diagnosis Carotid Artery, Internal, Dissection Intracranial Aneurysm Tomography, Optical Coherence Accidents, Traffic Anatomy, Cross-sectional Angiography, Digital Subtraction Pathology Carotid Artery, Internal Catheterization Glasgow Coma Scale Tomography, X-ray Computed
Content Type	Text
Resource Type	Case study Article
Subject	Neurology (clinical) Surgery

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