Flow diversion of a dissecting PICA aneurysm

A 47-year-old female with a history of a ruptured left posterior inferior cerebellar artery (PICA) aneurysm, status post coil embolization and retreatment for recurrence, presented with evidence of a recurrent dissecting PICA aneurysm. Given that these aneurysms are considered high risk and have a g...

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Autores principales: Lazaro, Tyler, Vasandani, Viren, Robledo, Ariadna, Gadgil, Nisha, Kan, Peter
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/PMC9664496/
https://www.ncbi.nlm.nih.gov/pubmed/36425264
http://dx.doi.org/10.3171/2022.7.FOCVID2247
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author Lazaro, Tyler
Vasandani, Viren
Robledo, Ariadna
Gadgil, Nisha
Kan, Peter
author_facet Lazaro, Tyler
Vasandani, Viren
Robledo, Ariadna
Gadgil, Nisha
Kan, Peter
author_sort Lazaro, Tyler
collection PubMed
description A 47-year-old female with a history of a ruptured left posterior inferior cerebellar artery (PICA) aneurysm, status post coil embolization and retreatment for recurrence, presented with evidence of a recurrent dissecting PICA aneurysm. Given that these aneurysms are considered high risk and have a greater propensity for rupture than anterior circulation aneurysms, retreatment was recommended. With the patient’s strong preference for endovascular therapy, flow diversion with a Silk Vista Baby was performed. Given the low-profile design of the device, a radial artery approach and coaxial technique were used to deploy the flow diverter. The device was successfully placed, with complete obliteration of the aneurysm after 1 year. The video can be found here: https://stream.cadmore.media/r10.3171/2022.7.FOCVID2247
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spelling pubmed-96644962022-11-23 Flow diversion of a dissecting PICA aneurysm Lazaro, Tyler Vasandani, Viren Robledo, Ariadna Gadgil, Nisha Kan, Peter Neurosurg Focus Video Article A 47-year-old female with a history of a ruptured left posterior inferior cerebellar artery (PICA) aneurysm, status post coil embolization and retreatment for recurrence, presented with evidence of a recurrent dissecting PICA aneurysm. Given that these aneurysms are considered high risk and have a greater propensity for rupture than anterior circulation aneurysms, retreatment was recommended. With the patient’s strong preference for endovascular therapy, flow diversion with a Silk Vista Baby was performed. Given the low-profile design of the device, a radial artery approach and coaxial technique were used to deploy the flow diverter. The device was successfully placed, with complete obliteration of the aneurysm after 1 year. The video can be found here: https://stream.cadmore.media/r10.3171/2022.7.FOCVID2247 American Association of Neurological Surgeons 2022-10-01 /pmc/articles/PMC9664496/ /pubmed/36425264 http://dx.doi.org/10.3171/2022.7.FOCVID2247 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
Lazaro, Tyler
Vasandani, Viren
Robledo, Ariadna
Gadgil, Nisha
Kan, Peter
Flow diversion of a dissecting PICA aneurysm
title Flow diversion of a dissecting PICA aneurysm
title_full Flow diversion of a dissecting PICA aneurysm
title_fullStr Flow diversion of a dissecting PICA aneurysm
title_full_unstemmed Flow diversion of a dissecting PICA aneurysm
title_short Flow diversion of a dissecting PICA aneurysm
title_sort flow diversion of a dissecting pica aneurysm
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9664496/
https://www.ncbi.nlm.nih.gov/pubmed/36425264
http://dx.doi.org/10.3171/2022.7.FOCVID2247
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