Cerebral foreign body reaction after carotid aneurysm stenting

Research output: Contribution to journalJournal articleResearchpeer-review

  • Anastasia Orlova Lorentzen
  • Terje Nome
  • Søren Jacob Bakke
  • Scheie, David
  • Vidar Stenset
  • Anne Hege Aamodt

Flow diverter stents are new important tools in the treatment of large, giant, or wide-necked aneurysms. Their delivery and positioning may be difficult due to vessel tortuosity. Common adverse events include intracranial hemorrhage and ischemic stroke, which usually occurs within the same day, or the next few days after the procedure. We present a case where we encountered an unusual intracerebral complication several months after endovascular treatment of a large left internal carotid artery aneurysm, and where brain biopsy revealed foreign body reaction to hydrophilic polymer fragments distally to the stent site. Although previously described, embolization of polymer material from intravascular equipment is rare. We could not identify any other biopsy verified case in the literature, with this particular presentation of intracerebral polymer embolization--a multifocal inflammation spread out through the white matter of one hemisphere without hemorrhage or ischemic changes.

Original languageEnglish
JournalInterventional Neuroradiology
Volume22
Issue number1
Pages (from-to)53-7
Number of pages5
ISSN1591-0199
DOIs
Publication statusPublished - Feb 2016

    Research areas

  • Blood Vessel Prosthesis, Brain Edema, Carotid Artery Diseases, Endovascular Procedures, Female, Foreign-Body Reaction, Humans, Intracranial Aneurysm, Middle Aged, Stents, Treatment Outcome, Case Reports, Journal Article

ID: 171581265