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Endovascular stenting of an extracranial-intracranial saphenous vein high-flow bypass graft: Technical case report.

Maselli G, Tommasi CD, Ricci A, Gallucci M, Galzio RJ - Surg Neurol Int (2011)

Bottom Line: A 43-year-old woman was admitted with progressive visual field restriction and headache.The right carotid aneurysm was clipped and the left one was treated by an endovascular procedure, after performing an internal carotid artery-middle cerebral artery (ICA-MCA) saphenous vein bypass graft.Endovascular stenting of the extracranial-intracranial saphenous vein high-flow bypass graft is technically feasible when postoperative graft occlusion is discovered.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Operative Unit of Neurosurgery and Health Sciences, University of L'Aquila, San Salvatore Hospital, via Vetoio, 1, Coppito, 67100, L'Aquila, Italy.

ABSTRACT

Background: The authors describe a case of endovascular stenting of an extracranial-intracranial saphenous vein high-flow bypass graft in the management of a complex bilateral carotid aneurysm case.

Case description: A 43-year-old woman was admitted with progressive visual field restriction and headache. Imaging studies revealed bilateral supraclinoid carotid aneurysms. The right carotid aneurysm was clipped and the left one was treated by an endovascular procedure, after performing an internal carotid artery-middle cerebral artery (ICA-MCA) saphenous vein bypass graft. A few months following the bypass procedure, a 70-80% stenosis of the graft was discovered and treated endovascularly with a stenting procedure. Follow-up at 36 months after the first operation showed the patency of the venous graft and no neurological deficits.

Conclusions: Endovascular stenting of the extracranial-intracranial saphenous vein high-flow bypass graft is technically feasible when postoperative graft occlusion is discovered.

No MeSH data available.


Related in: MedlinePlus

Presence of a giant aneurysm from the supraclinoid tract of the right carotid siphon, digital subtraction angiogram in anterior-posterior craniocervical view
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Figure 1: Presence of a giant aneurysm from the supraclinoid tract of the right carotid siphon, digital subtraction angiogram in anterior-posterior craniocervical view

Mentions: The patient underwent to a cerebral angiography [Figures 1 and 2]. There were two aneurysms. A right supraclinoid one measuring 3 cm in maximum diameter and a left one, also supraclinoid and measuring a maximum diameter of 10 mm.


Endovascular stenting of an extracranial-intracranial saphenous vein high-flow bypass graft: Technical case report.

Maselli G, Tommasi CD, Ricci A, Gallucci M, Galzio RJ - Surg Neurol Int (2011)

Presence of a giant aneurysm from the supraclinoid tract of the right carotid siphon, digital subtraction angiogram in anterior-posterior craniocervical view
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3108449&req=5

Figure 1: Presence of a giant aneurysm from the supraclinoid tract of the right carotid siphon, digital subtraction angiogram in anterior-posterior craniocervical view
Mentions: The patient underwent to a cerebral angiography [Figures 1 and 2]. There were two aneurysms. A right supraclinoid one measuring 3 cm in maximum diameter and a left one, also supraclinoid and measuring a maximum diameter of 10 mm.

Bottom Line: A 43-year-old woman was admitted with progressive visual field restriction and headache.The right carotid aneurysm was clipped and the left one was treated by an endovascular procedure, after performing an internal carotid artery-middle cerebral artery (ICA-MCA) saphenous vein bypass graft.Endovascular stenting of the extracranial-intracranial saphenous vein high-flow bypass graft is technically feasible when postoperative graft occlusion is discovered.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Operative Unit of Neurosurgery and Health Sciences, University of L'Aquila, San Salvatore Hospital, via Vetoio, 1, Coppito, 67100, L'Aquila, Italy.

ABSTRACT

Background: The authors describe a case of endovascular stenting of an extracranial-intracranial saphenous vein high-flow bypass graft in the management of a complex bilateral carotid aneurysm case.

Case description: A 43-year-old woman was admitted with progressive visual field restriction and headache. Imaging studies revealed bilateral supraclinoid carotid aneurysms. The right carotid aneurysm was clipped and the left one was treated by an endovascular procedure, after performing an internal carotid artery-middle cerebral artery (ICA-MCA) saphenous vein bypass graft. A few months following the bypass procedure, a 70-80% stenosis of the graft was discovered and treated endovascularly with a stenting procedure. Follow-up at 36 months after the first operation showed the patency of the venous graft and no neurological deficits.

Conclusions: Endovascular stenting of the extracranial-intracranial saphenous vein high-flow bypass graft is technically feasible when postoperative graft occlusion is discovered.

No MeSH data available.


Related in: MedlinePlus