Scepter-Mini Balloon Assisted Coil Embolization of an Intracranial Arterial Aneurysm in a Child with PHACE Syndrome via a Persistent Trigeminal Artery
Cerebral vascular malformations constitute one of the key abnormalities in children with PHACE syndrome, which is characterized by Plaque like cutaneous hemangiomas, Posterior fossa abnormalities, arterial Cerebrovascular and Eye abnormalities, with or without Sternal clefts (PHACES when sternal cle...
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Format: | Article |
Language: | English |
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Korean Society of Interventional Neuroradiology
2021-07-01
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Series: | Neurointervention |
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Online Access: | http://neurointervention.org/upload/pdf/neuroint-2021-00073.pdf |
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author | Bharathi Dasan Jagadeesan Coridon Quinn IV Kamran Masood Andrew Grande Ramachandra Prasad Tummala |
author_facet | Bharathi Dasan Jagadeesan Coridon Quinn IV Kamran Masood Andrew Grande Ramachandra Prasad Tummala |
author_sort | Bharathi Dasan Jagadeesan |
collection | DOAJ |
description | Cerebral vascular malformations constitute one of the key abnormalities in children with PHACE syndrome, which is characterized by Plaque like cutaneous hemangiomas, Posterior fossa abnormalities, arterial Cerebrovascular and Eye abnormalities, with or without Sternal clefts (PHACES when sternal clefts are present), and associated midline anomalies. Both moyamoya arteriopathy and intracranial aneurysms have been reported in children with this syndrome. Herein, we report the successful treatment of a growing left posterior-communicating artery aneurysm arising from an aberrant left internal carotid artery (LICA) with balloon assisted coiling (BAC) in a child with PHACE syndrome. We circumvented the limitations posed by the narrow caliber of the proximal LICA, by successfully navigating a coiling microcatheter from the basilar artery into the LICA via a persistent trigeminal artery. BAC was then achieved using a Scepter Mini balloon microcatheter for aneurysm neck remodelling. |
first_indexed | 2024-03-08T08:07:08Z |
format | Article |
id | doaj.art-0de0ce4634834e968315f875692de73b |
institution | Directory Open Access Journal |
issn | 2093-9043 2233-6273 |
language | English |
last_indexed | 2024-03-08T08:07:08Z |
publishDate | 2021-07-01 |
publisher | Korean Society of Interventional Neuroradiology |
record_format | Article |
series | Neurointervention |
spelling | doaj.art-0de0ce4634834e968315f875692de73b2024-02-02T10:05:03ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732021-07-0116217517910.5469/neuroint.2021.00073335Scepter-Mini Balloon Assisted Coil Embolization of an Intracranial Arterial Aneurysm in a Child with PHACE Syndrome via a Persistent Trigeminal ArteryBharathi Dasan Jagadeesan0Coridon Quinn IV1Kamran Masood2Andrew Grande3Ramachandra Prasad Tummala4 Depatment of Radiology, Neurosurgery and Neurology, University of Minnesota, Minneapolis, MN, USA Depatment of Radiology, Neurosurgery and Neurology, University of Minnesota, Minneapolis, MN, USA Depatment of Radiology, Neurosurgery and Neurology, University of Minnesota, Minneapolis, MN, USA Depatment of Radiology, Neurosurgery and Neurology, University of Minnesota, Minneapolis, MN, USA Depatment of Radiology, Neurosurgery and Neurology, University of Minnesota, Minneapolis, MN, USACerebral vascular malformations constitute one of the key abnormalities in children with PHACE syndrome, which is characterized by Plaque like cutaneous hemangiomas, Posterior fossa abnormalities, arterial Cerebrovascular and Eye abnormalities, with or without Sternal clefts (PHACES when sternal clefts are present), and associated midline anomalies. Both moyamoya arteriopathy and intracranial aneurysms have been reported in children with this syndrome. Herein, we report the successful treatment of a growing left posterior-communicating artery aneurysm arising from an aberrant left internal carotid artery (LICA) with balloon assisted coiling (BAC) in a child with PHACE syndrome. We circumvented the limitations posed by the narrow caliber of the proximal LICA, by successfully navigating a coiling microcatheter from the basilar artery into the LICA via a persistent trigeminal artery. BAC was then achieved using a Scepter Mini balloon microcatheter for aneurysm neck remodelling.http://neurointervention.org/upload/pdf/neuroint-2021-00073.pdfphace syndromeaneurysmpersistent trigeminal arterycoil embolizationscepter mini balloon |
spellingShingle | Bharathi Dasan Jagadeesan Coridon Quinn IV Kamran Masood Andrew Grande Ramachandra Prasad Tummala Scepter-Mini Balloon Assisted Coil Embolization of an Intracranial Arterial Aneurysm in a Child with PHACE Syndrome via a Persistent Trigeminal Artery Neurointervention phace syndrome aneurysm persistent trigeminal artery coil embolization scepter mini balloon |
title | Scepter-Mini Balloon Assisted Coil Embolization of an Intracranial Arterial Aneurysm in a Child with PHACE Syndrome via a Persistent Trigeminal Artery |
title_full | Scepter-Mini Balloon Assisted Coil Embolization of an Intracranial Arterial Aneurysm in a Child with PHACE Syndrome via a Persistent Trigeminal Artery |
title_fullStr | Scepter-Mini Balloon Assisted Coil Embolization of an Intracranial Arterial Aneurysm in a Child with PHACE Syndrome via a Persistent Trigeminal Artery |
title_full_unstemmed | Scepter-Mini Balloon Assisted Coil Embolization of an Intracranial Arterial Aneurysm in a Child with PHACE Syndrome via a Persistent Trigeminal Artery |
title_short | Scepter-Mini Balloon Assisted Coil Embolization of an Intracranial Arterial Aneurysm in a Child with PHACE Syndrome via a Persistent Trigeminal Artery |
title_sort | scepter mini balloon assisted coil embolization of an intracranial arterial aneurysm in a child with phace syndrome via a persistent trigeminal artery |
topic | phace syndrome aneurysm persistent trigeminal artery coil embolization scepter mini balloon |
url | http://neurointervention.org/upload/pdf/neuroint-2021-00073.pdf |
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