Persistent Aneurysm Growth Following Pipeline Embolization Device Assisted Coiling of a Fusiform Vertebral Artery Aneurysm: A Word of Caution!
The complex morphology of vertebrobasilar fusiform aneurysms makes them one of the most challenging lesions treated by neurointerventionists. Different management strategies in the past included parent vessel occlusion with or without extra-intracranial bypass surgery and endovascular reconstruction...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Interventional Neuroradiology
2015-02-01
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| Series: | Neurointervention |
| Subjects: | |
| Online Access: | http://neurointervention.org/upload/pdf/ni-10-28.pdf |
| _version_ | 1797329756911304704 |
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| author | Mena Kerolus Manish K. Kasliwal Demetrius K. Lopes |
| author_facet | Mena Kerolus Manish K. Kasliwal Demetrius K. Lopes |
| author_sort | Mena Kerolus |
| collection | DOAJ |
| description | The complex morphology of vertebrobasilar fusiform aneurysms makes them one of the most challenging lesions treated by neurointerventionists. Different management strategies in the past included parent vessel occlusion with or without extra-intracranial bypass surgery and endovascular reconstruction by conventional stents. Use of flow diversion has emerged as a promising alternative option with various studies documenting its efficacy and safety. However, there are various caveats associated with use of flow diversion in patients with fusiform vertibrobasilar aneurysms especially in patients presenting with acute subarachnoid hemorrhage (SAH). We report a rare case of persistent aneurysmal growth after coiling and placement of the Pipeline Embolization Device (PED; ev3, Irvine, California, USA) for SAH from a fusiform vertebral artery aneurysm. As consequences of aneurysm rupture can be devastating especially in patients with a prior SAH, the clinical relevance of recognizing and understanding such patterns of failure cannot be overemphasized as highlighted in the present case. |
| first_indexed | 2024-03-08T07:10:04Z |
| format | Article |
| id | doaj.art-dc5a117f17c44f8c8e69a8887cc25b95 |
| institution | Directory Open Access Journal |
| issn | 2093-9043 2233-6273 |
| language | English |
| last_indexed | 2024-03-08T07:10:04Z |
| publishDate | 2015-02-01 |
| publisher | Korean Society of Interventional Neuroradiology |
| record_format | Article |
| series | Neurointervention |
| spelling | doaj.art-dc5a117f17c44f8c8e69a8887cc25b952024-02-03T03:25:50ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732015-02-01101283310.5469/neuroint.2015.10.1.2894Persistent Aneurysm Growth Following Pipeline Embolization Device Assisted Coiling of a Fusiform Vertebral Artery Aneurysm: A Word of Caution!Mena Kerolus0Manish K. Kasliwal1Demetrius K. Lopes2Department of Neurosurgery, Rush University Medical Center, Chicago, U.S.A.Department of Neurosurgery, Rush University Medical Center, Chicago, U.S.A.Department of Neurosurgery, Rush University Medical Center, Chicago, U.S.A.The complex morphology of vertebrobasilar fusiform aneurysms makes them one of the most challenging lesions treated by neurointerventionists. Different management strategies in the past included parent vessel occlusion with or without extra-intracranial bypass surgery and endovascular reconstruction by conventional stents. Use of flow diversion has emerged as a promising alternative option with various studies documenting its efficacy and safety. However, there are various caveats associated with use of flow diversion in patients with fusiform vertibrobasilar aneurysms especially in patients presenting with acute subarachnoid hemorrhage (SAH). We report a rare case of persistent aneurysmal growth after coiling and placement of the Pipeline Embolization Device (PED; ev3, Irvine, California, USA) for SAH from a fusiform vertebral artery aneurysm. As consequences of aneurysm rupture can be devastating especially in patients with a prior SAH, the clinical relevance of recognizing and understanding such patterns of failure cannot be overemphasized as highlighted in the present case.http://neurointervention.org/upload/pdf/ni-10-28.pdfaneurysmcomplicationflow diverterpipeline embolization devicerecurrencesubarachnoid hemorrhagetreatment |
| spellingShingle | Mena Kerolus Manish K. Kasliwal Demetrius K. Lopes Persistent Aneurysm Growth Following Pipeline Embolization Device Assisted Coiling of a Fusiform Vertebral Artery Aneurysm: A Word of Caution! Neurointervention aneurysm complication flow diverter pipeline embolization device recurrence subarachnoid hemorrhage treatment |
| title | Persistent Aneurysm Growth Following Pipeline Embolization Device Assisted Coiling of a Fusiform Vertebral Artery Aneurysm: A Word of Caution! |
| title_full | Persistent Aneurysm Growth Following Pipeline Embolization Device Assisted Coiling of a Fusiform Vertebral Artery Aneurysm: A Word of Caution! |
| title_fullStr | Persistent Aneurysm Growth Following Pipeline Embolization Device Assisted Coiling of a Fusiform Vertebral Artery Aneurysm: A Word of Caution! |
| title_full_unstemmed | Persistent Aneurysm Growth Following Pipeline Embolization Device Assisted Coiling of a Fusiform Vertebral Artery Aneurysm: A Word of Caution! |
| title_short | Persistent Aneurysm Growth Following Pipeline Embolization Device Assisted Coiling of a Fusiform Vertebral Artery Aneurysm: A Word of Caution! |
| title_sort | persistent aneurysm growth following pipeline embolization device assisted coiling of a fusiform vertebral artery aneurysm a word of caution |
| topic | aneurysm complication flow diverter pipeline embolization device recurrence subarachnoid hemorrhage treatment |
| url | http://neurointervention.org/upload/pdf/ni-10-28.pdf |
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