Limits...
Treatment for giant fusiform aneurysm located in the cavernous segment of the internal carotid artery using the pipeline embolization device.

Oh SY, Kim MJ, Kim BS, Shin YS - J Korean Neurosurg Soc (2014)

Bottom Line: Angiography showed a giant fusiform aneurysm located in the cavernous segment of the left internal carotid artery.The procedure and post-procedural course were uneventful.The patient's symptoms improved completely without complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.

ABSTRACT
The pipeline embolization device (PED) is a new endovascular device for treatment of complex, fusiform and wide-neck intracranial aneurysms. The main mechanism of this stent is to divert the flow in the parent artery with reduction of inflow in the aneurysm leading to thrombosis. We treated a 40-year-old woman who had left facial pain and orbit discomfort. Angiography showed a giant fusiform aneurysm located in the cavernous segment of the left internal carotid artery. A PED was successfully deployed across the aneurysm. The procedure and post-procedural course were uneventful. After 3 months, angiography showed complete obliteration of the aneurysm with good patency of the branching vessels originating from the deployed segment. The patient's symptoms improved completely without complications.

No MeSH data available.


Related in: MedlinePlus

AP (A) and lateral (B) views of 3-month angiography demonstrate anatomic reconstruction of the parent artery with complete occlusion of the aneurysm with the meningohypophyseal trunk preserved.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3928345&req=5

Figure 3: AP (A) and lateral (B) views of 3-month angiography demonstrate anatomic reconstruction of the parent artery with complete occlusion of the aneurysm with the meningohypophyseal trunk preserved.

Mentions: The patient returned for a 3-month follow-up angiography, having maintained antiplatelet medication of 100 mg aspirin and 75 mg clopidogrel per day. Symptoms had gradually reduced without neurological changes. DSA demonstrated anatomic reconstruction of the parent artery with complete occlusion of the aneurysm (Fig. 3). The distal portion of the PED covered the origin of the meningohypophyseal trunk; however, the meningohypophysial trunk was easily visualized by angiography. DynaCT and three-dimensional reconstruction angiography showed proper patency of the in-stent lumen without stenosis. The PED remained in the same position without migration or change in shape.


Treatment for giant fusiform aneurysm located in the cavernous segment of the internal carotid artery using the pipeline embolization device.

Oh SY, Kim MJ, Kim BS, Shin YS - J Korean Neurosurg Soc (2014)

AP (A) and lateral (B) views of 3-month angiography demonstrate anatomic reconstruction of the parent artery with complete occlusion of the aneurysm with the meningohypophyseal trunk preserved.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3928345&req=5

Figure 3: AP (A) and lateral (B) views of 3-month angiography demonstrate anatomic reconstruction of the parent artery with complete occlusion of the aneurysm with the meningohypophyseal trunk preserved.
Mentions: The patient returned for a 3-month follow-up angiography, having maintained antiplatelet medication of 100 mg aspirin and 75 mg clopidogrel per day. Symptoms had gradually reduced without neurological changes. DSA demonstrated anatomic reconstruction of the parent artery with complete occlusion of the aneurysm (Fig. 3). The distal portion of the PED covered the origin of the meningohypophyseal trunk; however, the meningohypophysial trunk was easily visualized by angiography. DynaCT and three-dimensional reconstruction angiography showed proper patency of the in-stent lumen without stenosis. The PED remained in the same position without migration or change in shape.

Bottom Line: Angiography showed a giant fusiform aneurysm located in the cavernous segment of the left internal carotid artery.The procedure and post-procedural course were uneventful.The patient's symptoms improved completely without complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.

ABSTRACT
The pipeline embolization device (PED) is a new endovascular device for treatment of complex, fusiform and wide-neck intracranial aneurysms. The main mechanism of this stent is to divert the flow in the parent artery with reduction of inflow in the aneurysm leading to thrombosis. We treated a 40-year-old woman who had left facial pain and orbit discomfort. Angiography showed a giant fusiform aneurysm located in the cavernous segment of the left internal carotid artery. A PED was successfully deployed across the aneurysm. The procedure and post-procedural course were uneventful. After 3 months, angiography showed complete obliteration of the aneurysm with good patency of the branching vessels originating from the deployed segment. The patient's symptoms improved completely without complications.

No MeSH data available.


Related in: MedlinePlus