Transcirculation Pipeline embolization device deployment: a rescue technique.

Abstract:

:The Pipeline embolization device (PED) has become a very important tool in the treatment of nonruptured cerebral aneurysms. However, a patient's difficult anatomy or vascular stenosis may affect the device delivery. The purpose of this article was to describe an alternate technique for PED deployment when ipsilateral anatomy is not amenable for catheter navigation. A 44-year-old woman with a symptomatic 6-mm right superior hypophyseal artery aneurysm and a known history of right internal carotid artery dissection presented for PED treatment of her aneurysm. An angiogram showed persistence of the arterial dissection with luminal stenosis after 6 months of dual antiplatelet treatment. The contralateral internal carotid artery was catheterized and the PED was deployed via a transcirculation approach, using the anterior communicating artery. Transcirculation deployment of a PED is a viable option when ipsilateral anatomy is difficult or contraindicated for this treatment.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Valle-Giler EP,Atallah E,Tjoumakaris S,Rosenwasser RH,Jabbour P

doi

10.3171/2017.2.FOCUS16485

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

E13

issue

6

issn

1092-0684

journal_volume

42

pub_type

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