Endovascular management of intracranial aneurysms during pregnancy in three cases and review of the literature.

Abstract

We present three cases of cerebral aneurysms (1 unruptured; 2 ruptured) treated with endovascular techniques in pregnancies. The first ruptured case is a 28-year-old female on 20th gestational week. After the endovascular coiling, the patient suffered persistent hemiparesis and delivered a healthy baby by cesarean section. The second ruptured case is a 25-year-old female on 36th week of pregnancy. She died of aneurysm re-rupture after delivery of a healthy baby by cesarean section. The third unruptured case is a 31-year-old woman on the 26th gestational week of pregnancy who died of a giant basilar tip aneurysm after stent-assisted coiling. Ruptured aneurysm obliteration should be prioritized followed by vaginal delivery or cesarean section. The decision regarding the treatment of unruptured aneurysms should be carefully considered on a case-by-case basis. Stent-assisted coiling may be applicable to aneurysm during pregnancy.

• Authors: Peng Liu, Xianli Lv, Youxiang Li, Ming Lv
• Journal: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences (Interv Neuroradiol) Vol. 21 Issue 6 Pg. 654-8 (Dec 2015) ISSN: 1591-0199 [Print] United States
• PMID: 26472635 (Publication Type: Case Reports, Journal Article, Review)
• Copyright: © The Author(s) 2015.

Topics

• Adult
• Aneurysm, Ruptured (diagnostic imaging, therapy)
• Cesarean Section
• Diagnostic Imaging
• Endovascular Procedures (methods)
• Fatal Outcome
• Female
• Humans
• Intracranial Aneurysm (diagnostic imaging, therapy)
• Pregnancy
• Pregnancy Complications, Cardiovascular (diagnostic imaging, therapy)
• Pregnancy Outcome
• Stents