FRED flow diversion with LVIS protection of large posterior communicating artery aneurysm: the "FRELVIS" technique

Treatment of wide-necked posterior communicating artery (PCoA) aneurysms is extremely challenging, especially in fetal posterior cerebral artery (PCA) configurations. This technical video demonstrates the nuances of an innovative use of flow diversion to treat a recurrent wide-necked PCoA aneurysm....

Descripción completa

Detalles Bibliográficos
Autores principales: Housley, Steven B., Cappuzzo, Justin M., Waqas, Muhammad, Monteiro, Andre, Levy, Elad I., Siddiqui, Adnan H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2022
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9664491/
https://www.ncbi.nlm.nih.gov/pubmed/36425266
http://dx.doi.org/10.3171/2022.7.FOCVID2262
_version_ 1784831111590838272
author Housley, Steven B.
Cappuzzo, Justin M.
Waqas, Muhammad
Monteiro, Andre
Levy, Elad I.
Siddiqui, Adnan H.
author_facet Housley, Steven B.
Cappuzzo, Justin M.
Waqas, Muhammad
Monteiro, Andre
Levy, Elad I.
Siddiqui, Adnan H.
author_sort Housley, Steven B.
collection PubMed
description Treatment of wide-necked posterior communicating artery (PCoA) aneurysms is extremely challenging, especially in fetal posterior cerebral artery (PCA) configurations. This technical video demonstrates the nuances of an innovative use of flow diversion to treat a recurrent wide-necked PCoA aneurysm. This middle-aged patient presented with recurrence of a previously ruptured, coil-embolized PCoA aneurysm. Initial attempts at Comaneci-assisted coiling were unsuccessful because the coil herniated into the middle cerebral artery (MCA). Therefore, a low-profile visualized intraluminal support (LVIS) was placed in the fetal PCA across the aneurysm ostium and a flow diverter was placed in the internal carotid artery and MCA to constitute a Y-construct. The video can be found here: https://stream.cadmore.media/r10.3171/2022.7.FOCVID2262
format Online
Article
Text
id pubmed-9664491
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher American Association of Neurological Surgeons
record_format MEDLINE/PubMed
spelling pubmed-96644912022-11-23 FRED flow diversion with LVIS protection of large posterior communicating artery aneurysm: the "FRELVIS" technique Housley, Steven B. Cappuzzo, Justin M. Waqas, Muhammad Monteiro, Andre Levy, Elad I. Siddiqui, Adnan H. Neurosurg Focus Video Article Treatment of wide-necked posterior communicating artery (PCoA) aneurysms is extremely challenging, especially in fetal posterior cerebral artery (PCA) configurations. This technical video demonstrates the nuances of an innovative use of flow diversion to treat a recurrent wide-necked PCoA aneurysm. This middle-aged patient presented with recurrence of a previously ruptured, coil-embolized PCoA aneurysm. Initial attempts at Comaneci-assisted coiling were unsuccessful because the coil herniated into the middle cerebral artery (MCA). Therefore, a low-profile visualized intraluminal support (LVIS) was placed in the fetal PCA across the aneurysm ostium and a flow diverter was placed in the internal carotid artery and MCA to constitute a Y-construct. The video can be found here: https://stream.cadmore.media/r10.3171/2022.7.FOCVID2262 American Association of Neurological Surgeons 2022-10-01 /pmc/articles/PMC9664491/ /pubmed/36425266 http://dx.doi.org/10.3171/2022.7.FOCVID2262 Text en © 2022, The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the CC BY license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Housley, Steven B.
Cappuzzo, Justin M.
Waqas, Muhammad
Monteiro, Andre
Levy, Elad I.
Siddiqui, Adnan H.
FRED flow diversion with LVIS protection of large posterior communicating artery aneurysm: the "FRELVIS" technique
title FRED flow diversion with LVIS protection of large posterior communicating artery aneurysm: the "FRELVIS" technique
title_full FRED flow diversion with LVIS protection of large posterior communicating artery aneurysm: the "FRELVIS" technique
title_fullStr FRED flow diversion with LVIS protection of large posterior communicating artery aneurysm: the "FRELVIS" technique
title_full_unstemmed FRED flow diversion with LVIS protection of large posterior communicating artery aneurysm: the "FRELVIS" technique
title_short FRED flow diversion with LVIS protection of large posterior communicating artery aneurysm: the "FRELVIS" technique
title_sort fred flow diversion with lvis protection of large posterior communicating artery aneurysm: the "frelvis" technique
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9664491/
https://www.ncbi.nlm.nih.gov/pubmed/36425266
http://dx.doi.org/10.3171/2022.7.FOCVID2262
work_keys_str_mv AT housleystevenb fredflowdiversionwithlvisprotectionoflargeposteriorcommunicatingarteryaneurysmthefrelvistechnique
AT cappuzzojustinm fredflowdiversionwithlvisprotectionoflargeposteriorcommunicatingarteryaneurysmthefrelvistechnique
AT waqasmuhammad fredflowdiversionwithlvisprotectionoflargeposteriorcommunicatingarteryaneurysmthefrelvistechnique
AT monteiroandre fredflowdiversionwithlvisprotectionoflargeposteriorcommunicatingarteryaneurysmthefrelvistechnique
AT levyeladi fredflowdiversionwithlvisprotectionoflargeposteriorcommunicatingarteryaneurysmthefrelvistechnique
AT siddiquiadnanh fredflowdiversionwithlvisprotectionoflargeposteriorcommunicatingarteryaneurysmthefrelvistechnique

Ejemplares similares