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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.

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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

Right intracerebral vascularization vicariated by the left circulation, digital subtraction angiogram after first intervention
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Figure 4: Right intracerebral vascularization vicariated by the left circulation, digital subtraction angiogram after first intervention

Mentions: Angiographic control demonstrated the complete exclusion of the right ICA giant aneurysm, but a right ICA occlusion was discovered [Figure 3]. Right intracerebral vascularization was compensated by the left circulation. The left carotid aneurysm remained unchanged [Figure 4]. At discharge, the patient presented a right third cranial nerve palsy and hypoesthesia in the right V1and V2nervous branches that recovered within 1 month. After 3 months, the patient returned to our institution to undergo treatment for the left ICA aneurysm for which an endovascular approach was selected.


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)

Right intracerebral vascularization vicariated by the left circulation, digital subtraction angiogram after first intervention
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Right intracerebral vascularization vicariated by the left circulation, digital subtraction angiogram after first intervention
Mentions: Angiographic control demonstrated the complete exclusion of the right ICA giant aneurysm, but a right ICA occlusion was discovered [Figure 3]. Right intracerebral vascularization was compensated by the left circulation. The left carotid aneurysm remained unchanged [Figure 4]. At discharge, the patient presented a right third cranial nerve palsy and hypoesthesia in the right V1and V2nervous branches that recovered within 1 month. After 3 months, the patient returned to our institution to undergo treatment for the left ICA aneurysm for which an endovascular approach was selected.

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