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Retinal Artery Occlusion Following Coil Embolization of Carotid-Ophthalmic Aneurysms
Arch Ophthalmol. 2000;118:851-852.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Paraclinoid aneurysms, such as carotid-ophthalmic aneurysms, represent 5% of all intracranial aneurysms. In the past, treatment involved surgical clipping of the aneurysm, which is associated with 4% morbidity and 1% mortality even in elective cases.1 A nonsurgical alternative treatment for intracranial aneurysms was developed in 1990 that utilizes detachable coils placed by an endovascular route to embolize the aneurysm and induce thrombus formation within the aneurysmal sac. The procedure has the advantage of avoiding the risks of neurosurgery and enabling treatment of aneurysms that are unclippable or otherwise associated with a high morbidity. However, cerebral embolization can complicate this procedure.2-3 We report 2 cases of retinal artery occlusion following coil embolization of nonruptured carotid-ophthalmic aneurysms.
Report of Cases
Case 1
A 54-year-old man had a subarachnoid hemorrhage on November 1996 secondary to rupture of a left carotid-ophthalmic aneurysm that was successfully embolized with coils. He also had a small right carotid-ophthalmic aneurysm measuring 4 mm . . . [Full Text of this Article] Case 2 Comment
Bienvenido Castillo, Jr, MD;
Felipe De Alba, MD;
John Thornton, FRCSI;
Gerard DeBrun, MD;
Jose Pulido, MD
Chicago, Ill
Corresponding author: Jose S. Pulido, MD, Department of Ophthalmology, University of Illinois at Chicago Eye Center, 1855 W Taylor St, Chicago, IL 60612.
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