Technical Challenges in Endovascular Treatment of Ruptured Aneurysm in a Patient with Body Mass Index >100

被引：0
作者：
Joshi, Krishna C. [1 ]
Khanna, Ryan [1 ]
Richards, Dominick [1 ]
Lopes, Demetrius [2 ]
机构：
[1] Rush Univ, Dept Neurosurg, Med Ctr, Chicago, IL 60612 USA
[2] Advocate Aurora Hlth Syst, Dept Neurosurg, Chicago, IL USA
来源：
WORLD NEUROSURGERY | 2023年 / 171卷
关键词：
Aneurysm; Coiling; Endovascular; Obesity; CORONARY-ANGIOGRAPHY; CT;
D O I：
10.1016/j.wneu.2023.01.027
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
BACKGROUND: Morbid obesity can pose unique challenges in the endovascular treatment of cerebrovascular diseases, particularly in the management of ruptured aneurysms.CASE DESCRIPTION: This technical report discusses the challenges faced during the treatment of a ruptured aneurysm in a morbidly obese patient with a body mass index of 101. The technical adaptations used included the utilization of Dyna CT for routine imaging, vacuum assist devices for patient transfer, and a transradial approach to avoid groin complications. The technical adaptations used in the management of the ruptured aneurysm in the morbidly obese patient were effective in overcoming the challenges posed by the patient's obesity.CONCLUSION: This technical report and literature re-view can serve as a guide for physicians treating morbidly obese patients with cerebrovascular diseases. Utilization of advanced technology and innovative approaches can aid in overcoming the challenges posed by obesity and improving patient outcomes.
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页码：148 / 151
页数：4
相关论文
共 13 条
[1]   Imaging obese patients: problems and solutions [J].
Carucci, Laura R. .
ABDOMINAL IMAGING, 2013, 38 (04) :630-646
[2]  
Edlich Richard F, 2005, J Long Term Eff Med Implants, V15, P225
[3]   Trends in Obesity Among Adults in the United States, 2005 to 2014 [J].
Flegal, Katherine M. ;
Kruszon-Moran, Deanna ;
Carroll, Margaret D. ;
Fryar, Cheryl D. ;
Ogden, Cynthia L. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 315 (21) :2284-2291
[4]  
Fryar CherylD., 2021, Prevalence of Overweight, Obesity, and Severe Obesity Among Adults Aged 20 and Over: United States, 1960-1962 through 2017-2018
[5]   Bariatric CT Imaging: Challenges and Solutions [J].
Fursevich, Dzmitry M. ;
LiMarzi, Gary M. ;
O'Dell, Matthew C. ;
Hernandez, Manuel A. ;
Sensakovic, William F. .
RADIOGRAPHICS, 2016, 36 (04) :1076-1086
[6]   The Challenge of CT and MRI Imaging of Obese Individuals Who Present to the Emergency Department: A National Survey [J].
Ginde, Adit A. ;
Foianini, Anthony ;
Renner, Daniel M. ;
Valley, Morgan ;
Camargo, Carlos A., Jr. .
OBESITY, 2008, 16 (11) :2549-2551
[7]   Transradial Versus Transfemoral Artery Approach for Coronary Angiography and Percutaneous Coronary Intervention in the Extremely Obese [J].
Hibbert, Benjamin ;
Simard, Trevor ;
Wilson, Kumanan R. ;
Hawken, Steven ;
Wells, George A. ;
Ramirez, F. Daniel ;
Le May, Michel R. ;
So, Derek Y. ;
Glover, Chris A. ;
Froeschl, Michael ;
Marquis, Jean-Francois ;
Labinaz, Marino ;
Dick, Alexander ;
O'Brien, Edward R. .
JACC-CARDIOVASCULAR INTERVENTIONS, 2012, 5 (08) :819-826
[8]  
Kern M, 2008, CATH LAB DIG, V16
[9]   Method for coronary angiography in morbidly obese patients [J].
Kussmaul, WG ;
Bowers, B ;
Dairywala, I .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2005, 65 (02) :268-270
[10]  
Nohara AM, 2003, AM J NEURORADIOL, V24, P1247
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