Challenging access during flow diversion treatment of a giant cavernous ICA aneurysm

A man in his 60s presented with severe ophthalmoparesis and loss of visual acuity in his right eye. He was found to have a giant aneurysm of the cavernous internal carotid artery (ICA). Treatment with a flow diverter was recommended. The aneurysm caused matricidal outflow restriction of the ICA. Mic...

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Autores principales: Srinivasan, Visish M., Hartke, Joelle N., Catapano, Joshua S., Winkler, Ethan A., Jadhav, Ashutosh P., Albuquerque, Felipe C., Ducruet, Andrew F.
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/PMC9664495/
https://www.ncbi.nlm.nih.gov/pubmed/36425262
http://dx.doi.org/10.3171/2022.7.FOCVID2258
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author Srinivasan, Visish M.
Hartke, Joelle N.
Catapano, Joshua S.
Winkler, Ethan A.
Jadhav, Ashutosh P.
Albuquerque, Felipe C.
Ducruet, Andrew F.
author_facet Srinivasan, Visish M.
Hartke, Joelle N.
Catapano, Joshua S.
Winkler, Ethan A.
Jadhav, Ashutosh P.
Albuquerque, Felipe C.
Ducruet, Andrew F.
author_sort Srinivasan, Visish M.
collection PubMed
description A man in his 60s presented with severe ophthalmoparesis and loss of visual acuity in his right eye. He was found to have a giant aneurysm of the cavernous internal carotid artery (ICA). Treatment with a flow diverter was recommended. The aneurysm caused matricidal outflow restriction of the ICA. Microwire and microcatheter access through the aneurysm was challenging, requiring multiple wires, stentriever reduction, and more. Eventually, a construct of 3 Pipeline embolization devices was created across the aneurysm. Troubleshooting access across giant aneurysms is an important part of treatment. Informed consent was obtained for the procedure and for publication. The video can be found here: https://stream.cadmore.media/r10.3171/2022.7.FOCVID2258
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spelling pubmed-96644952022-11-23 Challenging access during flow diversion treatment of a giant cavernous ICA aneurysm Srinivasan, Visish M. Hartke, Joelle N. Catapano, Joshua S. Winkler, Ethan A. Jadhav, Ashutosh P. Albuquerque, Felipe C. Ducruet, Andrew F. Neurosurg Focus Video Article A man in his 60s presented with severe ophthalmoparesis and loss of visual acuity in his right eye. He was found to have a giant aneurysm of the cavernous internal carotid artery (ICA). Treatment with a flow diverter was recommended. The aneurysm caused matricidal outflow restriction of the ICA. Microwire and microcatheter access through the aneurysm was challenging, requiring multiple wires, stentriever reduction, and more. Eventually, a construct of 3 Pipeline embolization devices was created across the aneurysm. Troubleshooting access across giant aneurysms is an important part of treatment. Informed consent was obtained for the procedure and for publication. The video can be found here: https://stream.cadmore.media/r10.3171/2022.7.FOCVID2258 American Association of Neurological Surgeons 2022-10-01 /pmc/articles/PMC9664495/ /pubmed/36425262 http://dx.doi.org/10.3171/2022.7.FOCVID2258 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
Srinivasan, Visish M.
Hartke, Joelle N.
Catapano, Joshua S.
Winkler, Ethan A.
Jadhav, Ashutosh P.
Albuquerque, Felipe C.
Ducruet, Andrew F.
Challenging access during flow diversion treatment of a giant cavernous ICA aneurysm
title Challenging access during flow diversion treatment of a giant cavernous ICA aneurysm
title_full Challenging access during flow diversion treatment of a giant cavernous ICA aneurysm
title_fullStr Challenging access during flow diversion treatment of a giant cavernous ICA aneurysm
title_full_unstemmed Challenging access during flow diversion treatment of a giant cavernous ICA aneurysm
title_short Challenging access during flow diversion treatment of a giant cavernous ICA aneurysm
title_sort challenging access during flow diversion treatment of a giant cavernous ica aneurysm
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9664495/
https://www.ncbi.nlm.nih.gov/pubmed/36425262
http://dx.doi.org/10.3171/2022.7.FOCVID2258
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