Cargando…

Pipeline for previously stented basilar trunk aneurysm: a case focusing on how the pipeline should be deployed

BACKGROUND: Recurrent, previously stented basilar trunk aneurysms pose significant challenges to either microsurgical clipping or traditional endovascular treatment. We here presented an intriguing case that was successfully treated by the pipeline embolization device (PED; ev3/Covidien Neurovascula...

Descripción completa

Detalles Bibliográficos
Autores principales: Liang, Fei, Zhang, Yupeng, Di, Yuntao, Guo, Feng, Jiang, Chuhan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7398407/
https://www.ncbi.nlm.nih.gov/pubmed/32922888
http://dx.doi.org/10.1186/s41016-018-0134-7
_version_ 1783565960072921088
author Liang, Fei
Zhang, Yupeng
Di, Yuntao
Guo, Feng
Jiang, Chuhan
author_facet Liang, Fei
Zhang, Yupeng
Di, Yuntao
Guo, Feng
Jiang, Chuhan
author_sort Liang, Fei
collection PubMed
description BACKGROUND: Recurrent, previously stented basilar trunk aneurysms pose significant challenges to either microsurgical clipping or traditional endovascular treatment. We here presented an intriguing case that was successfully treated by the pipeline embolization device (PED; ev3/Covidien Neurovascular, Irvine, California, USA). CASE PRESENTATION: A 62-year-old male found a recurrent aneurysm, which had been treated with coiling and stent-assisted coiling before. The patient came to our center seeking for a third treatment. In our center, a single PED and additional coils were used to treat this refractory aneurysm. The whole length of the PED was delicately implanted in the previous Enterprise stent (Cordis Corporation, Miami FL, USA), which resembled the double-layer flow diverter FRED (Microvention, Tustin, California, USA). The inflow zone of the aneurysmal sac was further coiled considering that this aneurysm had ruptured. No procedure-related complications occurred. Follow-up angiogram at 6 months indicated that the intractable aneurysm was completely occluded and the patient was free from any neurologic deficit. CONCLUSIONS: This is a case that adds knowledge to improve the poor performance of flow diverters in previously stented aneurysms. However, future studies with larger group of patients are needed to further test the safety and efficacy of this technique.
format Online
Article
Text
id pubmed-7398407
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-73984072020-09-10 Pipeline for previously stented basilar trunk aneurysm: a case focusing on how the pipeline should be deployed Liang, Fei Zhang, Yupeng Di, Yuntao Guo, Feng Jiang, Chuhan Chin Neurosurg J Case Report BACKGROUND: Recurrent, previously stented basilar trunk aneurysms pose significant challenges to either microsurgical clipping or traditional endovascular treatment. We here presented an intriguing case that was successfully treated by the pipeline embolization device (PED; ev3/Covidien Neurovascular, Irvine, California, USA). CASE PRESENTATION: A 62-year-old male found a recurrent aneurysm, which had been treated with coiling and stent-assisted coiling before. The patient came to our center seeking for a third treatment. In our center, a single PED and additional coils were used to treat this refractory aneurysm. The whole length of the PED was delicately implanted in the previous Enterprise stent (Cordis Corporation, Miami FL, USA), which resembled the double-layer flow diverter FRED (Microvention, Tustin, California, USA). The inflow zone of the aneurysmal sac was further coiled considering that this aneurysm had ruptured. No procedure-related complications occurred. Follow-up angiogram at 6 months indicated that the intractable aneurysm was completely occluded and the patient was free from any neurologic deficit. CONCLUSIONS: This is a case that adds knowledge to improve the poor performance of flow diverters in previously stented aneurysms. However, future studies with larger group of patients are needed to further test the safety and efficacy of this technique. BioMed Central 2018-11-02 /pmc/articles/PMC7398407/ /pubmed/32922888 http://dx.doi.org/10.1186/s41016-018-0134-7 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Liang, Fei
Zhang, Yupeng
Di, Yuntao
Guo, Feng
Jiang, Chuhan
Pipeline for previously stented basilar trunk aneurysm: a case focusing on how the pipeline should be deployed
title Pipeline for previously stented basilar trunk aneurysm: a case focusing on how the pipeline should be deployed
title_full Pipeline for previously stented basilar trunk aneurysm: a case focusing on how the pipeline should be deployed
title_fullStr Pipeline for previously stented basilar trunk aneurysm: a case focusing on how the pipeline should be deployed
title_full_unstemmed Pipeline for previously stented basilar trunk aneurysm: a case focusing on how the pipeline should be deployed
title_short Pipeline for previously stented basilar trunk aneurysm: a case focusing on how the pipeline should be deployed
title_sort pipeline for previously stented basilar trunk aneurysm: a case focusing on how the pipeline should be deployed
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7398407/
https://www.ncbi.nlm.nih.gov/pubmed/32922888
http://dx.doi.org/10.1186/s41016-018-0134-7
work_keys_str_mv AT liangfei pipelineforpreviouslystentedbasilartrunkaneurysmacasefocusingonhowthepipelineshouldbedeployed
AT zhangyupeng pipelineforpreviouslystentedbasilartrunkaneurysmacasefocusingonhowthepipelineshouldbedeployed
AT diyuntao pipelineforpreviouslystentedbasilartrunkaneurysmacasefocusingonhowthepipelineshouldbedeployed
AT guofeng pipelineforpreviouslystentedbasilartrunkaneurysmacasefocusingonhowthepipelineshouldbedeployed
AT jiangchuhan pipelineforpreviouslystentedbasilartrunkaneurysmacasefocusingonhowthepipelineshouldbedeployed