Technical challenges in endovascular treatment of ruptured aneurysm in a patient with BMI > 100

Authors

Krishna C. Joshi, Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA. Electronic address: Krishna_c_joshi@rush.edu.
Ryan Khanna, Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA.
Dominick Richards, Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA.
Demetrius Lopes, Advocate Aurora HealthFollow

Recommended Citation

Joshi KC, Khanna R, Richards D, Lopes D. Technical Challenges in Endovascular Treatment of Ruptured Aneurysm in a Patient with Body Mass Index >100. World Neurosurg. 2023;171:148-151. doi:10.1016/j.wneu.2023.01.027

Abstract

Morbid obesity can pose some unique challenges in the endovascular treatment of cerebrovascular diseases. In this technical report we discuss the challenges faced during the treatment of a ruptured aneurysm in a morbidly obese patient with BMI of 101. The technical adaptations we used ranged from utilization of Dyna CT for routine imaging, vacuum assist devices for patient transfer and trans radial approach to avoid groin complications. These adaptations are elaborated in this technical report and literature review, which we hope can be a good guide for physicians treating patients with this unique and challenging condition.

Document Type

Article

PubMed ID

36640833