{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T20:10:03Z","timestamp":1781295003233,"version":"3.54.1"},"reference-count":13,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1993,4]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 The aim of this study was to evaluate the role of endovascular treatment for intracranial mycotic aneurysms. The clinical and angiographic features of three patients with endocarditic vegetation (two with <jats:italic>Streptococcus viridans<\/jats:italic> and one with <jats:italic>Staphylococcus<\/jats:italic>) were reviewed retrospectively. Patients were selected for this treatment according to the clinical setting and aneurysm location. In two cases, selective catheterization of a distal middle cerebral and posterior cerebral artery branch with a microcatheter followed by superselective amobarbital testing of the parent vessel was preliminary to the occlusion of that vessel with autologous clot or glue. The third patient was treated by selective occlusion of the aneurysm by intra-aneurysmal placement of platinum minicoils. Two patients presented with intracranial hemorrhage and in one the lesion was found on computerized tomography. All three aneurysms had been excluded from the circulation at the 6-month follow-up review. The only complication from the procedure, despite the septic nature and distal localization, was balloon deflation in one patient, who was successfully retreated with coils. Endovascular embolization is indicated in patients who are at risk of hemorrhage and cannot undergo the standard procedure. The superselective amobarbital test allows selection of patients who will tolerate distal vessel occlusion. This endovascular procedure represents a safe and effective treatment for these lesions.<\/jats:p>","DOI":"10.3171\/jns.1993.78.4.0661","type":"journal-article","created":{"date-parts":[[2009,5,27]],"date-time":"2009-05-27T15:15:10Z","timestamp":1243437310000},"page":"661-665","source":"Crossref","is-referenced-by-count":52,"title":["Selective endovascular techniques in the treatment of cerebral mycotic aneurysms"],"prefix":"10.3171","volume":"78","author":[{"given":"Mazen H.","family":"Khayata","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armand","family":"Aymard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfredo","family":"Casasco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Herbreteau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"France","family":"Woimant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Jacques","family":"Merland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurol","first-page":"51","article-title":"Late rupture of a mycotic aneurysm after \u201ccure\u201d of bacterial endocarditis.","volume":"233","author":"Bamford","year":"1986"},{"key":"b2","series-title":"J Neurosurg","first-page":"428","article-title":"Treatment of mycotic intracranial aneurysms.","volume":"46","author":"Bingham","year":"1977"},{"key":"b3","series-title":"Ann Neurol","first-page":"238","article-title":"The diagnosis and treatment of cerebral mycotic aneurysms.","volume":"27","author":"Brust","year":"1990"},{"key":"b4","series-title":"J Neurosurg","first-page":"633","article-title":"Bacterial intracranial aneurysms.","volume":"53","author":"Frazee","year":"1980"},{"key":"b5","series-title":"Neurosurgery","first-page":"923","article-title":"Middle cerebral artery aneurysm due to Nocardia asteroides: case report of aneurysm excision and extracranial-intracranial bypass.","volume":"22","author":"Hadley","year":"1988"},{"key":"b6","series-title":"Stroke","first-page":"1048","article-title":"Mechanisms of intracranial hemorrhage in infective endocarditis.","volume":"18","author":"Hart","year":"1987"},{"key":"b7","series-title":"AJNR","first-page":"633","article-title":"Treatment of intracranial aneurysms with preservation of the parent vessel: results of percutaneous balloon embolization in 84 patients.","volume":"11","author":"Higashida","year":"1990"},{"key":"b8","series-title":"J Neurosurg","first-page":"337","article-title":"Endovascular treatment of aneurysms with coils.","volume":"76","author":"Hilal","year":"1992"},{"key":"b9","series-title":"Stroke","first-page":"1751","article-title":"Bacterial cavernous sinus aneurysm treated by detachable balloon technique.","volume":"20","author":"Micheli","year":"1989"},{"key":"b10","series-title":"Operative Neurosurgical Techniques. Indications, Methods and Results","first-page":"997","article-title":"Surgical management of bacterial intracranial aneurysms","volume":"2","author":"Ojemann","year":"1988"},{"key":"b11","series-title":"Stroke","first-page":"1057","article-title":"Mycotic aneurysm, subarachnoid hemorrhage, and indications for cerebral angiography in infective endocarditis.","volume":"18","author":"Salgado","year":"1987"},{"key":"b12","series-title":"Neurology","first-page":"173","article-title":"Neurologic complications of endocarditis: a 12-year experience.","volume":"39","author":"Salgado","year":"1989"},{"key":"b13","series-title":"Neurochirurgie","first-page":"410","article-title":"Faut-il rechercher et op\u00e9rer les an\u00e9vrismes de la maladie d'Osler avant l'h\u00e9morragie?","volume":"32","author":"Stilhart","year":"1986"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/78\/4\/article-p661.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/78\/4\/article-p661.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/78\/4\/article-p661.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,19]],"date-time":"2023-03-19T21:08:10Z","timestamp":1679260090000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/78\/4\/article-p661.xml"}},"subtitle":["Report of three cases"],"short-title":[],"issued":{"date-parts":[[1993,4]]},"references-count":13,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/jns.1993.78.4.0661","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1993,4]]}}}