Republished: Recurrence of a totally occluded aneurysm after treatment with a pipeline embolization device.

Abstract:

:Treatment with a pipeline embolization device (PED) is widely accepted as an excellent option for patients harboring giant, wide neck, saccular intracranial aneurysms. It has been shown to be safe and very effective. We describe a previously unreported case of a large middle cerebral artery aneurysm, related to the carotid tip, that was treated with a PED and coils. The 6 month follow-up angiogram demonstrated complete occlusion of the aneurysm. However, the 9 month angiogram revealed recurrent filling of the aneurysm sac. To our knowledge, this is the first report to describe recanalization of an aneurysm totally occluded on the control angiography after treatment with a PED. Unanswered questions include the mechanism of recanalization and the need for additional control angiograms and MRI following a previous examination revealing total aneurysm occlusion.

journal_name

J Neurointerv Surg

authors

Trivelato FP,Ulhôa AC,Rezende MT,Castro-Afonso LH,Abud DG

doi

10.1136/neurintsurg-2018-013842.rep

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

e5

issue

9

eissn

1759-8478

issn

1759-8486

pii

neurintsurg-2018-013842.rep

journal_volume

11

pub_type

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