Infectious intracranial aneurysm related to infective endocarditis: report of three cases
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摘要: 感染性颅内动脉瘤是感染性心内膜炎少见但致命的并发症,其诊断与治疗是心内膜炎患者围术期处理的难点。本文回顾本中心成功救治的3例感染性心内膜炎合并感染性颅内动脉瘤复杂病例,总结相关诊疗经验。Abstract: Infectious intracranial aneurysm(IIA) is a rare yet fatal complication of infective endocarditis(IE), posing challenges in the perioperative management of patients with IE. This article reports three complex cases of IE complicated with IIAs which were successfully cured in our center, and summarizes related diagnosis and treatment experience.
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[1] Delgado V, Ajmone MN, de Waha S, et al. 2023 ESC Guidelines for the management of endocarditis[J]. Eur Heart J, 2023, 44(39): 3948-4042. doi: 10.1093/eurheartj/ehad193
[2] Hui FK, Bain M, Obuchowski NA, et al. Mycotic aneurysm detection rates with cerebral angiography in patients with infective endocarditis[J]. J Neurointerv Surg, 2015, 7(6): 449-452. doi: 10.1136/neurintsurg-2014-011124
[3] Alawieh AM, Dimisko L, Newman S, et al. Management and long-term outcomes of patients with infectious intracranial aneurysms[J]. Neurosurgery, 2023, 92(3): 515-523. doi: 10.1227/neu.0000000000002235
[4] Batista S, Oliveira LDB, Filho JAA, et al. Endovascular treatment of mycotic aneurysms: an update meta-analysis[J]. Clin Neurol Neurosurg, 2024, 236: 108068. doi: 10.1016/j.clineuro.2023.108068
[5] Rice CJ, Cho S, Marquardt RJ, et al. Clinical course of infectious intracranial aneurysm undergoing antibiotic treatment[J]. J Neurol Sci, 2019, 403: 50-55. doi: 10.1016/j.jns.2019.06.004
[6] Tunkel AR, Kaye D. Neurologic complications of infective endocarditis[J]. Neurol Clin, 1993, 11(2): 419-440. doi: 10.1016/S0733-8619(18)30161-0
[7] Park W, Ahn JS, Park JC, et al. Treatment strategy based on experience of treating intracranial infectious aneurysms[J]. World Neurosurg, 2017, 97: 351-359. doi: 10.1016/j.wneu.2016.09.119
[8] Ducruet AF, Hickman ZL, Zacharia BE, et al. Intracranial infectious aneurysms: a comprehensive review[J]. Neurosurg Rev, 2010, 33(1): 37-46. doi: 10.1007/s10143-009-0233-1
[9] Serrano F, Guédon A, Saint-Maurice J, et al. Endovascular treatment of infectious intracranial aneurysms complicating infective endocarditis: a series of 31 patients with 55 aneurysms[J]. Neuroradiology, 2022, 64(2): 353-360. doi: 10.1007/s00234-021-02798-5
[10] Ragulojan R, Grupke S, Fraser JF. Systematic review of endovascular, surgical, and conservative options for infectious intracranial aneurysms and cardiac considerations[J]. J Stroke Cerebrovasc Dis, 2019, 28(3): 838-844. doi: 10.1016/j.jstrokecerebrovasdis.2018.11.035
[11] Alawieh A, Chaudry MI, Turner RD, et al. Infectious intracranial aneurysms: a systematic review of epidemiology, management, and outcomes[J]. J Neurointerv Surg, 2018, 10(7): 708-716. doi: 10.1136/neurintsurg-2017-013603
[12] 中华医学会胸心血管外科分会瓣膜病外科学组. 感染性心内膜炎外科治疗中国专家共识[J]. 中华胸心血管外科杂志, 2022, 38(3): 146-155.
[13] Nakatani S, Ohara T, Ashihara K, et al. JCS 2017 guideline on prevention and treatment of infective endocarditis[J]. Circ J, 2019, 83(8): 1767-1809. doi: 10.1253/circj.CJ-19-0549
[14] Pettersson GB, Coselli JS, Pettersson GB, et al. 2016 The American Association for Thoracic Surgery(AATS)consensus guidelines: Surgical treatment of infective endocarditis: executive summary[J]. J Thorac Cardiovasc Surg, 2017, 153(6): 1241-1258. doi: 10.1016/j.jtcvs.2016.09.093
[15] 王世杰, 王寅, 董念国. 《感染性心内膜炎外科治疗中国专家共识》解读[J]. 临床心血管病杂志, 2022, 38(9): 696-699. doi: 10.13201/j.issn.1001-1439.2022.09.003
[16] Desai B, Soldozy S, Desai H, et al. Evaluating the safety and efficacy of various endovascular approaches for treatment of infectious intracranial aneurysms: a systematic review[J]. World Neurosurg, 2020, 144: 293-298. doi: 10.1016/j.wneu.2020.07.228
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