Retrograde Snare-Assisted Rescue via Anterior Communicating Artery for Lost Access During Multiple Overlapping Pipeline Embolization Device Placement.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 29524711.
- Also identified by DOI 10.1016/j.wneu.2018.02.150.
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Abstract
The Pipeline embolization device (PED; ev3, Irvine, California, USA) has been used to divert flow away from an aneurysm sac. The risk of complications may increase for flow diversion with giant aneurysms because these cases may require multiple overlapping PEDs, which makes the technique highly complex. We report a rescue technical strategy for lost access during multiple overlapping PED placement for a giant, fusiform cavernous aneurysm. By using the collateral circulation as an alternative rescue route, intraprocedural loss of distal access may be salvaged.
Medical subject headings
- Aneurysm
- Anterior Cerebral Artery
- Microsurgery
- Prosthesis Failure
- Self Expandable Metallic Stents