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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

Angiographic follow-up showing the patency of graft and robust flow to the middle cerebral artery territory
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Figure 9: Angiographic follow-up showing the patency of graft and robust flow to the middle cerebral artery territory

Mentions: One year after the first surgical procedure, the patient presented visual field loss improvement and no other neurological deficits. A follow-up angiogram performed 36 months later showed a widely patent graft and robust flow to the MCA territory [Figure 9]. The patient remained asymptomatic.


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)

Angiographic follow-up showing the patency of graft and robust flow to the middle cerebral artery territory
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 9: Angiographic follow-up showing the patency of graft and robust flow to the middle cerebral artery territory
Mentions: One year after the first surgical procedure, the patient presented visual field loss improvement and no other neurological deficits. A follow-up angiogram performed 36 months later showed a widely patent graft and robust flow to the MCA territory [Figure 9]. The patient remained asymptomatic.

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