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Localized kinking during deployment of a flow redirection lumen device (FRED) could be due to excessive pushing

BACKGROUND: The safety and efficacy analysis of flow redirection lumen device (FRED) demonstrated the excellent safety profile of FREDs for aneurysm treatment. We describe the first case in which FRED deployment for a paraclinoid aneurysm resulted in in-stent stenosis, necessitating balloon angiopla...

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Autores principales: Beppu, Mikiya, Kuramoto, Yoji, Abe, Soichiro, Namitome, Satoshi, Yoshimura, Shinichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8813601/
https://www.ncbi.nlm.nih.gov/pubmed/35127222
http://dx.doi.org/10.25259/SNI_1127_2021
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author Beppu, Mikiya
Kuramoto, Yoji
Abe, Soichiro
Namitome, Satoshi
Yoshimura, Shinichi
author_facet Beppu, Mikiya
Kuramoto, Yoji
Abe, Soichiro
Namitome, Satoshi
Yoshimura, Shinichi
author_sort Beppu, Mikiya
collection PubMed
description BACKGROUND: The safety and efficacy analysis of flow redirection lumen device (FRED) demonstrated the excellent safety profile of FREDs for aneurysm treatment. We describe the first case in which FRED deployment for a paraclinoid aneurysm resulted in in-stent stenosis, necessitating balloon angioplasty, and an additional stent. CASE DESCRIPTION: A 50-year-old woman had a left paraclinoid aneurysm with a maximum diameter of 6.1 mm. We planned FRED deployment. We experienced in-stent stenosis just after the deployment of a FRED. Devices such as guidewires and catheters could not cross the lesion through the FRED because of an obstruction in the FRED. Balloon angioplasty and subsequent stenting resolved thrombosis and kinking. FRED has potential for kinking locally. CONCLUSION: Surgeons should consider this possibility when treating cerebral aneurysm using FRED. Cone-beam computed tomography after deployment of FRED may be useful for evaluating the stent shape.
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spelling pubmed-88136012022-02-04 Localized kinking during deployment of a flow redirection lumen device (FRED) could be due to excessive pushing Beppu, Mikiya Kuramoto, Yoji Abe, Soichiro Namitome, Satoshi Yoshimura, Shinichi Surg Neurol Int Case Report BACKGROUND: The safety and efficacy analysis of flow redirection lumen device (FRED) demonstrated the excellent safety profile of FREDs for aneurysm treatment. We describe the first case in which FRED deployment for a paraclinoid aneurysm resulted in in-stent stenosis, necessitating balloon angioplasty, and an additional stent. CASE DESCRIPTION: A 50-year-old woman had a left paraclinoid aneurysm with a maximum diameter of 6.1 mm. We planned FRED deployment. We experienced in-stent stenosis just after the deployment of a FRED. Devices such as guidewires and catheters could not cross the lesion through the FRED because of an obstruction in the FRED. Balloon angioplasty and subsequent stenting resolved thrombosis and kinking. FRED has potential for kinking locally. CONCLUSION: Surgeons should consider this possibility when treating cerebral aneurysm using FRED. Cone-beam computed tomography after deployment of FRED may be useful for evaluating the stent shape. Scientific Scholar 2022-01-20 /pmc/articles/PMC8813601/ /pubmed/35127222 http://dx.doi.org/10.25259/SNI_1127_2021 Text en Copyright: © 2022 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Beppu, Mikiya
Kuramoto, Yoji
Abe, Soichiro
Namitome, Satoshi
Yoshimura, Shinichi
Localized kinking during deployment of a flow redirection lumen device (FRED) could be due to excessive pushing
title Localized kinking during deployment of a flow redirection lumen device (FRED) could be due to excessive pushing
title_full Localized kinking during deployment of a flow redirection lumen device (FRED) could be due to excessive pushing
title_fullStr Localized kinking during deployment of a flow redirection lumen device (FRED) could be due to excessive pushing
title_full_unstemmed Localized kinking during deployment of a flow redirection lumen device (FRED) could be due to excessive pushing
title_short Localized kinking during deployment of a flow redirection lumen device (FRED) could be due to excessive pushing
title_sort localized kinking during deployment of a flow redirection lumen device (fred) could be due to excessive pushing
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8813601/
https://www.ncbi.nlm.nih.gov/pubmed/35127222
http://dx.doi.org/10.25259/SNI_1127_2021
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