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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.


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Endovascular exclusion of the left carotid siphon aneurysm, digital subtraction angiography in lateral view
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Figure 6: Endovascular exclusion of the left carotid siphon aneurysm, digital subtraction angiography in lateral view

Mentions: Two months later, following an intracranial angiography, endovascular treatment for exclusion of the left carotid aneurysm was performed. Before undergoing the procedure, the patient was pharmacologically treated for 7 days with antiplatelet drugs (ASA 300 mg + ticlopidine 300 mg per QD). During the procedure, an intracranial carotid stent was placed to cover the aneurysm neck (Neuroform, Boston Scientific). A microcatheter was then passed through the stent and GDCs (Guglielmi Detachable Coils) were used to fill the aneurysm sac. The procedure was well-tolerated with no further neurological deficits or complications [Figure 6].


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)

Endovascular exclusion of the left carotid siphon aneurysm, digital subtraction angiography in lateral view
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 6: Endovascular exclusion of the left carotid siphon aneurysm, digital subtraction angiography in lateral view
Mentions: Two months later, following an intracranial angiography, endovascular treatment for exclusion of the left carotid aneurysm was performed. Before undergoing the procedure, the patient was pharmacologically treated for 7 days with antiplatelet drugs (ASA 300 mg + ticlopidine 300 mg per QD). During the procedure, an intracranial carotid stent was placed to cover the aneurysm neck (Neuroform, Boston Scientific). A microcatheter was then passed through the stent and GDCs (Guglielmi Detachable Coils) were used to fill the aneurysm sac. The procedure was well-tolerated with no further neurological deficits or complications [Figure 6].

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