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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Main Authors: Bharathi Dasan Jagadeesan, Coridon Quinn IV, Kamran Masood, Andrew Grande, Ramachandra Prasad Tummala
Format: Article
Language:English
Published: Korean Society of Interventional Neuroradiology 2021-07-01
Series:Neurointervention
Subjects:
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.
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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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