Intrasaccular flow disruption (WEB) of a large wide-necked basilar apex aneurysm using PulseRider-assistance
Large, wide-necked basilar apex aneurysms are difficult to treat. Microsurgical clipping can result in neurologic morbidity and mortality. Endovascular treatment often leaves remnants that need retreatment and/or stent placement with dual antiplatelet therapy. The Woven EndoBridge (WEB) is an intras...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-06-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751920306332 |
| _version_ | 1818700662003728384 |
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| author | Kazim H. Narsinh M. Travis Caton Nausheen F. Mahmood Randall T. Higashida Van V. Halbach Steven W. Hetts Matthew R. Amans Christopher F. Dowd Daniel L. Cooke |
| author_facet | Kazim H. Narsinh M. Travis Caton Nausheen F. Mahmood Randall T. Higashida Van V. Halbach Steven W. Hetts Matthew R. Amans Christopher F. Dowd Daniel L. Cooke |
| author_sort | Kazim H. Narsinh |
| collection | DOAJ |
| description | Large, wide-necked basilar apex aneurysms are difficult to treat. Microsurgical clipping can result in neurologic morbidity and mortality. Endovascular treatment often leaves remnants that need retreatment and/or stent placement with dual antiplatelet therapy. The Woven EndoBridge (WEB) is an intrasaccular flow disruption device that can be used without dual antiplatelet therapy. However, the WEB cannot typically be used in large or giant aneurysms > 10 mm because the largest diameter device is the 11 × 9.6 mm single layer sphere (SLS). We present a case in which we use a PulseRider aneurysm neck reconstruction device in the basilar artery to assist in WEB deployment within a 22 mm basilar apex aneurysm with 14 mm neck, thereby permitting aspirin monotherapy postoperatively. |
| first_indexed | 2024-12-17T15:08:30Z |
| format | Article |
| id | doaj.art-b7e40902841c48dfad4e830284553751 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-17T15:08:30Z |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-b7e40902841c48dfad4e8302845537512022-12-21T21:43:44ZengElsevierInterdisciplinary Neurosurgery2214-75192021-06-0124101072Intrasaccular flow disruption (WEB) of a large wide-necked basilar apex aneurysm using PulseRider-assistanceKazim H. Narsinh0M. Travis Caton1Nausheen F. Mahmood2Randall T. Higashida3Van V. Halbach4Steven W. Hetts5Matthew R. Amans6Christopher F. Dowd7Daniel L. Cooke8Department of Radiology & Biomedical Imaging, USADepartment of Radiology & Biomedical Imaging, USADepartment of Neurology, University of California San Francisco, San Francisco, CA 94143, USADepartment of Radiology & Biomedical Imaging, USADepartment of Radiology & Biomedical Imaging, USADepartment of Radiology & Biomedical Imaging, USADepartment of Radiology & Biomedical Imaging, USADepartment of Radiology & Biomedical Imaging, USADepartment of Radiology & Biomedical Imaging, USA; Corresponding author at: UCSF Department of Radiology & Biomedical Imaging, 505 Parnassus Avenue, L-349, San Francisco, CA 94143, USA.Large, wide-necked basilar apex aneurysms are difficult to treat. Microsurgical clipping can result in neurologic morbidity and mortality. Endovascular treatment often leaves remnants that need retreatment and/or stent placement with dual antiplatelet therapy. The Woven EndoBridge (WEB) is an intrasaccular flow disruption device that can be used without dual antiplatelet therapy. However, the WEB cannot typically be used in large or giant aneurysms > 10 mm because the largest diameter device is the 11 × 9.6 mm single layer sphere (SLS). We present a case in which we use a PulseRider aneurysm neck reconstruction device in the basilar artery to assist in WEB deployment within a 22 mm basilar apex aneurysm with 14 mm neck, thereby permitting aspirin monotherapy postoperatively.http://www.sciencedirect.com/science/article/pii/S2214751920306332Basilar apex aneurysmWide-neckedIntrasaccular flow disruption |
| spellingShingle | Kazim H. Narsinh M. Travis Caton Nausheen F. Mahmood Randall T. Higashida Van V. Halbach Steven W. Hetts Matthew R. Amans Christopher F. Dowd Daniel L. Cooke Intrasaccular flow disruption (WEB) of a large wide-necked basilar apex aneurysm using PulseRider-assistance Interdisciplinary Neurosurgery Basilar apex aneurysm Wide-necked Intrasaccular flow disruption |
| title | Intrasaccular flow disruption (WEB) of a large wide-necked basilar apex aneurysm using PulseRider-assistance |
| title_full | Intrasaccular flow disruption (WEB) of a large wide-necked basilar apex aneurysm using PulseRider-assistance |
| title_fullStr | Intrasaccular flow disruption (WEB) of a large wide-necked basilar apex aneurysm using PulseRider-assistance |
| title_full_unstemmed | Intrasaccular flow disruption (WEB) of a large wide-necked basilar apex aneurysm using PulseRider-assistance |
| title_short | Intrasaccular flow disruption (WEB) of a large wide-necked basilar apex aneurysm using PulseRider-assistance |
| title_sort | intrasaccular flow disruption web of a large wide necked basilar apex aneurysm using pulserider assistance |
| topic | Basilar apex aneurysm Wide-necked Intrasaccular flow disruption |
| url | http://www.sciencedirect.com/science/article/pii/S2214751920306332 |
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