Pipeline Flow-Diversion Technology for the Treatment of ICA Pseudoaneurysms of Varying Etiology: Three Case Reports and Review

2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
Hesham Soliman ◽  
Koji Ebersole ◽  
Chris Moran ◽  
Paul Camarata
Keyword(s):  
Case Reports ◽  
Flow Diversion ◽  
Pipeline Flow

Rerupture of a Blister Aneurysm After Treatment With a Single Flow-Diverting Stent

Neurosurgery ◽  
2016 ◽  
Vol 79 (5) ◽  
pp. E634-E638 ◽  
Author(s):  
Marcus D. Mazur ◽  
Philipp Taussky ◽  
Joel D. MacDonald ◽  
Min S. Park
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Successful Treatment ◽  
Internal Carotid ◽  
Case Reports ◽  
Treatment Strategies ◽  
Artery Aneurysm ◽  
Flow Diversion ◽  
Multiple Treatment ◽  
Internal Carotid Artery Aneurysm

Abstract BACKGROUND AND IMPORTANCE: As the use of flow-diverting stents (FDSs) for intracranial aneurysms expands, a small number of case reports have described the successful treatment of blister aneurysms of the internal carotid artery with flow diversion. Blister aneurysms are uncommon and fragile lesions that historically have high rates of morbidity and mortality despite multiple treatment strategies. We report a case of rebleeding after treatment of a ruptured blister aneurysm with deployment of a single FDS. CLINICAL PRESENTATION: A 29-year-old man presented with subarachnoid hemorrhage and a ruptured dorsal variant internal carotid artery aneurysm. Despite a technically successful treatment with a single FDS, a second catastrophic hemorrhage occurred during the course of his hospitalization. CONCLUSION: This case highlights the risk of hemorrhage during the period after deployment of a single FDS. Ruptured aneurysms, especially of the blister type, are at risk for rehemorrhage while the occlusion remains incomplete after flow diversion.

scholarly journals Application of flow diverters in the treatment of aneurysms in the internal carotid artery bifurcation region

2020 ◽  
Vol 33 (4) ◽  
pp. 297-305
Author(s):  
Mostafa Mahmoud ◽  
Ahmed Farag ◽  
Mostafa Farid ◽  
Ahmed Elserwi ◽  
Amr Abdelsamad ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Case Reports ◽  
Therapeutic Option ◽  
Case Series ◽  
Flow Diversion ◽  
Occlusion Rate ◽  
Flow Diverters

Introduction The treatment of aneurysms in the internal carotid bifurcation region (ICABR), including aneurysms of the true internal carotid artery (ICA) terminus, those inclined on the proximal A1 or M1 segments or at the most distal pre-bifurcation (ICA) segment, is often challenging in microsurgical clipping and endovascular surgery. Few reports had discussed flow diversion as a therapeutic option for this group. Methods This was a retrospective study analysing flow diversion in treating ICABR aneurysms. Seven patients harbouring eight aneurysms in the ICABR were treated with flow diversion. Five aneurysms were inclined on the proximal A1 segment, and three were located at the most distal pre-bifurcation segment. Patients’ demographics, presentation, procedure technical description, angiographic and clinical follow-up were recorded. PubMed and Ovid MEDLINE were also reviewed for articles published in English, including case series or case reports, for ICABR aneurysms treated with flow diverters. Results All patients except one underwent angiographic follow-up. The Karman–Byrne occlusion scale was used to determine the occlusion rate. All six patients with documented angiographic follow-up had a class IV occlusion score. No permanent or transient neurological or non-neurological complications were encountered in this study. Conclusion Treating ICABR aneurysms using flow diversion is feasible, with a promising angiographic occlusion rate. Further studies are needed to analyse long-term clinical and angiographic results.

scholarly journals The Use of Prasugrel and Ticagrelor in Pipeline Flow Diversion

JHN Journal ◽  
2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Elias Atallah ◽  
Hassan Saad ◽  
Kimon Bekelis ◽  
Nohra El-Chalouhi ◽  
Stavropoula Tjoumakaris ◽  
...  
Keyword(s):  
Flow Diversion ◽  
Pipeline Flow

Twisting: Incidence and Risk Factors of an Intraprocedural Challenge Associated With Pipeline Flow Diversion of Cerebral Aneurysms

Neurosurgery ◽  
2021 ◽  
Vol 89 (Supplement_2) ◽  
pp. S59-S59
Author(s):  
Matthew T Bender ◽  
Robert W Young ◽  
David A Zarrin ◽  
Jessica K Campos ◽  
Justin M Caplan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cerebral Aneurysms ◽  
Flow Diversion ◽  
Pipeline Flow

O-014 The use of alternatives to clopidogrel in pipeline flow diversion

2017 ◽  
Author(s):  
E Atallah ◽  
K Bekelis ◽  
S Tjoumakaris ◽  
R Rosenwasser ◽  
P Jabbour
Keyword(s):  
Flow Diversion ◽  
Pipeline Flow
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