| Autor: |
Manzoor, Muhammad Usman, AlRashed, Abdullah A., Alghabban, Fatimah A., Alqahtani, Sultan M., Alturki, Abdulrahman Y. |
| Předmět: |
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| Zdroj: |
Journal of Cerebrovascular & Endovascular Neurosurgery; Jun2021, Vol. 23 Issue 2, p123-129, 7p |
| Abstrakt: |
Giant internal carotid artery (ICA) aneurysms are complex vascular lesions which are difficult to treat with open as well as endovascular surgery. Parent vessel occlusion is a well-established treatment option for such aneurysms. However, there have been a few reported cases of ruptured aneurysms related to the persistent retrograde filling after parent vessel occlusion. We report a case which highlights the usage of the flow diverter stent as a potential treatment strategy for the management of retrograde filling of aneurysms. A 54-year-old female was found to have a giant left ICA aneurysm on a brain magnetic resonance imaging during workup for headaches. She underwent occlusion of the left ICA proximal to the aneurysm using multiple coils. However, follow up angiograms after 6 months and 2 years demonstrated persistent retrograde filling of the left ICA aneurysm through the posterior communicating (PCOM) artery. Eventually, she was successfully treated with a flow diverter stent across the PCOM artery into the distal ICA. Follow up angiogram after 6 months showed patent flow in the PCOM artery and the distal ICA. with complete occlusion of the aneurysm. Using a flow diverter stent after insufficient parent vessel occlusion for giant intracranial aneurysms may be a feasible treatment option and an addition to the neurovascular treatment armamentarium. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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