Limits...
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

Intraoperative angiography imaging showing the endovascular stenting of segmental narrowing of the Extracranial-intracranial high-flow bypass graft
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3108449&req=5

Figure 8: Intraoperative angiography imaging showing the endovascular stenting of segmental narrowing of the Extracranial-intracranial high-flow bypass graft

Mentions: Three months later, the patient underwent an angiographic study confirming a complete aneurysm occlusion, and demonstrating an area of segmental narrowing at the level of the previously revealed kinking of the proximal portion of the graft.The narrowing was graded 75% (NASCET method) [Figure 7]. The endovascular team then proceeded with an angioplasty and stenting of the graft [Figure 8]. The procedure was well-tolerated and followed by a regular clinical course and immediate mobilization.


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)

Intraoperative angiography imaging showing the endovascular stenting of segmental narrowing of the Extracranial-intracranial high-flow bypass graft
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 8: Intraoperative angiography imaging showing the endovascular stenting of segmental narrowing of the Extracranial-intracranial high-flow bypass graft
Mentions: Three months later, the patient underwent an angiographic study confirming a complete aneurysm occlusion, and demonstrating an area of segmental narrowing at the level of the previously revealed kinking of the proximal portion of the graft.The narrowing was graded 75% (NASCET method) [Figure 7]. The endovascular team then proceeded with an angioplasty and stenting of the graft [Figure 8]. The procedure was well-tolerated and followed by a regular clinical course and immediate mobilization.

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