Ventriculoperitoneal shunt in a patient with ruptured blister aneurysm treated with pipeline embolization device.
| Autor: | Tan LA; Department of Neurosurgery, Rush University Medical Center, Chicago, IL, United States., Gerard CS; Department of Neurosurgery, Rush University Medical Center, Chicago, IL, United States., Keigher KM; Department of Neurosurgery, Rush University Medical Center, Chicago, IL, United States., Moftakhar R; Department of Neurosurgery, Rush University Medical Center, Chicago, IL, United States., Lopes DK; Department of Neurosurgery, Rush University Medical Center, Chicago, IL, United States. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of cerebrovascular and endovascular neurosurgery [J Cerebrovasc Endovasc Neurosurg] 2015 Mar; Vol. 17 (1), pp. 54-8. Date of Electronic Publication: 2015 Mar 31. |
| DOI: | 10.7461/jcen.2015.17.1.54 |
| Abstrakt: | Cerebral spinal fluid (CSF) diversion is frequently required in patients with aneurysmal subarachnoid hemorrhage who develop subsequent hydrocephalus. Procedures such as external ventricular drain (EVD) and ventriculoperitoneal shunt (VPS) usually carry a very low rate of complications. However, as flow diverting stents such as Pipeline Embolization Device (PED) become more widely available, flow diverters are being used in treatment of some ruptured complex aneurysms. EVD and VPS placement in the setting of dual antiplatelet therapy (DAT) in these patients are associated with a significant risk of intracranial hemorrhage. We describe a management strategy and surgical technique that can minimize hemorrhagic complications associated with VPS in patients on DAT after treatment with flow diverting stents. |
| Databáze: | MEDLINE |
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