A Case of Ruptured Blood Blister-like Aneurysm Treated with Pipeline Embolization Device: Clinical Significance of Fetal-type Posterior Communicating Artery

Blood-blister like aneurysms (BBAs) are challenging lesions because of their wide fragile neck. Flow-diverting stents (FDSs), such as the Pipeline Embolization Device (PED), have been applied to treat BBAs less amenable to more established techniques of treatment. However, the use of FDSs, including...

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Autores principales: Park, Ki-Su, Kang, Dong-Hun, Son, Won-Soo, Park, Jaechan, Kim, Young-Sun, Kim, Byung Moon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Interventional Neuroradiology 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5355460/
https://www.ncbi.nlm.nih.gov/pubmed/28316868
http://dx.doi.org/10.5469/neuroint.2017.12.1.40
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author Park, Ki-Su
Kang, Dong-Hun
Son, Won-Soo
Park, Jaechan
Kim, Young-Sun
Kim, Byung Moon
author_facet Park, Ki-Su
Kang, Dong-Hun
Son, Won-Soo
Park, Jaechan
Kim, Young-Sun
Kim, Byung Moon
author_sort Park, Ki-Su
collection PubMed
description Blood-blister like aneurysms (BBAs) are challenging lesions because of their wide fragile neck. Flow-diverting stents (FDSs), such as the Pipeline Embolization Device (PED), have been applied to treat BBAs less amenable to more established techniques of treatment. However, the use of FDSs, including the PED, in acute subarachnoid hemorrhage (SAH) still remains controversial. We report a case of aneurysm regrowth following PED application for a ruptured BBA that overlapped the origin of the dominant posterior communicating artery (PCoA), which was successfully treated after coil trapping of the origin of the fetal-type PCoA. And, we discuss the clinical significance of the fetal-type PCoA communicating with a BBA in terms of PED failure.
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spelling pubmed-53554602017-03-17 A Case of Ruptured Blood Blister-like Aneurysm Treated with Pipeline Embolization Device: Clinical Significance of Fetal-type Posterior Communicating Artery Park, Ki-Su Kang, Dong-Hun Son, Won-Soo Park, Jaechan Kim, Young-Sun Kim, Byung Moon Neurointervention Case Report Blood-blister like aneurysms (BBAs) are challenging lesions because of their wide fragile neck. Flow-diverting stents (FDSs), such as the Pipeline Embolization Device (PED), have been applied to treat BBAs less amenable to more established techniques of treatment. However, the use of FDSs, including the PED, in acute subarachnoid hemorrhage (SAH) still remains controversial. We report a case of aneurysm regrowth following PED application for a ruptured BBA that overlapped the origin of the dominant posterior communicating artery (PCoA), which was successfully treated after coil trapping of the origin of the fetal-type PCoA. And, we discuss the clinical significance of the fetal-type PCoA communicating with a BBA in terms of PED failure. Korean Society of Interventional Neuroradiology 2017-03 2017-03-06 /pmc/articles/PMC5355460/ /pubmed/28316868 http://dx.doi.org/10.5469/neuroint.2017.12.1.40 Text en Copyright © 2017 Korean Society of Interventional Neuroradiology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Park, Ki-Su
Kang, Dong-Hun
Son, Won-Soo
Park, Jaechan
Kim, Young-Sun
Kim, Byung Moon
A Case of Ruptured Blood Blister-like Aneurysm Treated with Pipeline Embolization Device: Clinical Significance of Fetal-type Posterior Communicating Artery
title A Case of Ruptured Blood Blister-like Aneurysm Treated with Pipeline Embolization Device: Clinical Significance of Fetal-type Posterior Communicating Artery
title_full A Case of Ruptured Blood Blister-like Aneurysm Treated with Pipeline Embolization Device: Clinical Significance of Fetal-type Posterior Communicating Artery
title_fullStr A Case of Ruptured Blood Blister-like Aneurysm Treated with Pipeline Embolization Device: Clinical Significance of Fetal-type Posterior Communicating Artery
title_full_unstemmed A Case of Ruptured Blood Blister-like Aneurysm Treated with Pipeline Embolization Device: Clinical Significance of Fetal-type Posterior Communicating Artery
title_short A Case of Ruptured Blood Blister-like Aneurysm Treated with Pipeline Embolization Device: Clinical Significance of Fetal-type Posterior Communicating Artery
title_sort case of ruptured blood blister-like aneurysm treated with pipeline embolization device: clinical significance of fetal-type posterior communicating artery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5355460/
https://www.ncbi.nlm.nih.gov/pubmed/28316868
http://dx.doi.org/10.5469/neuroint.2017.12.1.40
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