Delayed Proximal Flow Diverting Stent Migration in a Ruptured Intracranial Aneurysm: A Case Report

A flow diverter can be used to treat a ruptured aneurysm, especially during complicated cases for endovascular or open microsurgical procedures. However, some complications have been reported such as occlusion of side branches or perforating arteries, stent migration or improper stent position, re-r...

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Main Authors: Wittawat Takong, Chai Kobkitsuksakul
Format: Article
Language:English
Published: Korean Society of Interventional Neuroradiology 2020-11-01
Series:Neurointervention
Subjects:
Online Access:http://neurointervention.org/upload/pdf/neuroint-2020-00220.pdf
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author Wittawat Takong
Chai Kobkitsuksakul
author_facet Wittawat Takong
Chai Kobkitsuksakul
author_sort Wittawat Takong
collection DOAJ
description A flow diverter can be used to treat a ruptured aneurysm, especially during complicated cases for endovascular or open microsurgical procedures. However, some complications have been reported such as occlusion of side branches or perforating arteries, stent migration or improper stent position, re-rupture of the aneurysm, and in-stent thrombosis. A 38-year-old man diagnosed with a ruptured left supraclinoid aneurysm was treated with a Pipeline embolization device. Despite adequate stent coverage of the aneurysmal neck, delayed proximal migration was seen in follow-up imaging. To our knowledge, proximal migration of the stent mostly happens intraoperatively due to an undersized stent or excessive stretching. We report a case of delayed proximal flow diverter stent migration.
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spelling doaj.art-31701181da2646729f9c3c9e0e98d7c52024-02-03T03:28:20ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732020-11-0115315415710.5469/neuroint.2020.00220297Delayed Proximal Flow Diverting Stent Migration in a Ruptured Intracranial Aneurysm: A Case ReportWittawat Takong0Chai Kobkitsuksakul1 Neuroscience Center, Bangkok Pattaya Hospital, Chonburi, Thailand Division of Interventional Neuroradiology, Faculty of Medicine, Department of Diagnostic and Therapeutic Radiology, Ramathibodi Hospital, Mahidol University, Bangkok, ThailandA flow diverter can be used to treat a ruptured aneurysm, especially during complicated cases for endovascular or open microsurgical procedures. However, some complications have been reported such as occlusion of side branches or perforating arteries, stent migration or improper stent position, re-rupture of the aneurysm, and in-stent thrombosis. A 38-year-old man diagnosed with a ruptured left supraclinoid aneurysm was treated with a Pipeline embolization device. Despite adequate stent coverage of the aneurysmal neck, delayed proximal migration was seen in follow-up imaging. To our knowledge, proximal migration of the stent mostly happens intraoperatively due to an undersized stent or excessive stretching. We report a case of delayed proximal flow diverter stent migration.http://neurointervention.org/upload/pdf/neuroint-2020-00220.pdfflow diverterstent migrationruptured aneurysm
spellingShingle Wittawat Takong
Chai Kobkitsuksakul
Delayed Proximal Flow Diverting Stent Migration in a Ruptured Intracranial Aneurysm: A Case Report
Neurointervention
flow diverter
stent migration
ruptured aneurysm
title Delayed Proximal Flow Diverting Stent Migration in a Ruptured Intracranial Aneurysm: A Case Report
title_full Delayed Proximal Flow Diverting Stent Migration in a Ruptured Intracranial Aneurysm: A Case Report
title_fullStr Delayed Proximal Flow Diverting Stent Migration in a Ruptured Intracranial Aneurysm: A Case Report
title_full_unstemmed Delayed Proximal Flow Diverting Stent Migration in a Ruptured Intracranial Aneurysm: A Case Report
title_short Delayed Proximal Flow Diverting Stent Migration in a Ruptured Intracranial Aneurysm: A Case Report
title_sort delayed proximal flow diverting stent migration in a ruptured intracranial aneurysm a case report
topic flow diverter
stent migration
ruptured aneurysm
url http://neurointervention.org/upload/pdf/neuroint-2020-00220.pdf
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AT chaikobkitsuksakul delayedproximalflowdivertingstentmigrationinarupturedintracranialaneurysmacasereport