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.
机构:
Univ Alabama Birmingham, Dept Surg, Div Neurosurg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Dept Surg, Div Neurosurg, Birmingham, AL 35294 USA
Foreman, Paul M.
;
Griessenauer, Christoph J.
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Univ Alabama Birmingham, Dept Surg, Div Neurosurg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Dept Surg, Div Neurosurg, Birmingham, AL 35294 USA
Griessenauer, Christoph J.
;
Falola, Michael
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Univ Alabama Birmingham, Dept Biostat, Birmingham, AL 35294 USAUniv Alabama Birmingham, Dept Surg, Div Neurosurg, Birmingham, AL 35294 USA
Falola, Michael
;
Harrigan, Mark R.
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Univ Alabama Birmingham, Dept Surg, Div Neurosurg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Dept Surg, Div Neurosurg, Birmingham, AL 35294 USA
机构:
Univ Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USA
Griessenauer, Christoph J.
;
Foreman, Paul
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Univ Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USA
Foreman, Paul
;
Shoja, Mohammadali M.
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Univ Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USA
Shoja, Mohammadali M.
;
Kicielinski, Kimberly P.
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Univ Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USA
Kicielinski, Kimberly P.
;
Deveikis, John P.
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Univ Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USA
Deveikis, John P.
;
Walters, Beverly C.
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Univ Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USA
Walters, Beverly C.
;
Harrigan, Mark R.
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Univ Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USA
机构:
Cent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USACent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USA
Jones, M. R.
;
Attizzani, G. F.
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Case Western Reserve Univ, Harrington McLaughlin Heart & Vasc Inst, Univ Hosp, Case Med Ctr, Cleveland, OH 44106 USACent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USA
Attizzani, G. F.
;
Given, C. A., II
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Cent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USACent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USA
Given, C. A., II
;
Brooks, W. H.
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Cent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USACent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USA
Brooks, W. H.
;
Costa, M. A.
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Case Western Reserve Univ, Harrington McLaughlin Heart & Vasc Inst, Univ Hosp, Case Med Ctr, Cleveland, OH 44106 USACent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USA
Costa, M. A.
;
Bezerra, H. G.
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Case Western Reserve Univ, Harrington McLaughlin Heart & Vasc Inst, Univ Hosp, Case Med Ctr, Cleveland, OH 44106 USACent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USA
机构:
Univ Alabama Birmingham, Dept Surg, Div Neurosurg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Dept Surg, Div Neurosurg, Birmingham, AL 35294 USA
Foreman, Paul M.
;
Griessenauer, Christoph J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Alabama Birmingham, Dept Surg, Div Neurosurg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Dept Surg, Div Neurosurg, Birmingham, AL 35294 USA
Griessenauer, Christoph J.
;
Falola, Michael
论文数: 0引用数: 0
h-index: 0
机构:
Univ Alabama Birmingham, Dept Biostat, Birmingham, AL 35294 USAUniv Alabama Birmingham, Dept Surg, Div Neurosurg, Birmingham, AL 35294 USA
Falola, Michael
;
Harrigan, Mark R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Alabama Birmingham, Dept Surg, Div Neurosurg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Dept Surg, Div Neurosurg, Birmingham, AL 35294 USA
机构:
Univ Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USA
Griessenauer, Christoph J.
;
Foreman, Paul
论文数: 0引用数: 0
h-index: 0
机构:
Univ Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USA
Foreman, Paul
;
Shoja, Mohammadali M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USA
Shoja, Mohammadali M.
;
Kicielinski, Kimberly P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USA
Kicielinski, Kimberly P.
;
Deveikis, John P.
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h-index: 0
机构:
Univ Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USA
Deveikis, John P.
;
Walters, Beverly C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USA
Walters, Beverly C.
;
Harrigan, Mark R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USAUniv Alabama Birmingham, Div Neurosurg, Dept Surg, Birmingham, AL 35294 USA
机构:
Cent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USACent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USA
Jones, M. R.
;
Attizzani, G. F.
论文数: 0引用数: 0
h-index: 0
机构:
Case Western Reserve Univ, Harrington McLaughlin Heart & Vasc Inst, Univ Hosp, Case Med Ctr, Cleveland, OH 44106 USACent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USA
Attizzani, G. F.
;
Given, C. A., II
论文数: 0引用数: 0
h-index: 0
机构:
Cent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USACent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USA
Given, C. A., II
;
Brooks, W. H.
论文数: 0引用数: 0
h-index: 0
机构:
Cent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USACent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USA
Brooks, W. H.
;
Costa, M. A.
论文数: 0引用数: 0
h-index: 0
机构:
Case Western Reserve Univ, Harrington McLaughlin Heart & Vasc Inst, Univ Hosp, Case Med Ctr, Cleveland, OH 44106 USACent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USA
Costa, M. A.
;
Bezerra, H. G.
论文数: 0引用数: 0
h-index: 0
机构:
Case Western Reserve Univ, Harrington McLaughlin Heart & Vasc Inst, Univ Hosp, Case Med Ctr, Cleveland, OH 44106 USACent Baptist Hosp, Baptist Heart & Vasc Inst, Lexington, KY USA