Pipeline Embolization for the Treatment of a Progressively Enlarging Symptomatic Carotid Artery Petrous Segment Pseudoaneurysm. Case Report
| Autor: | Michael T Madison, Archie Defillo, Jeffrey P Lassig, Andrea Zelensky, Swaroopa Pulivarthi, Eric Nussbaum |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test biology business.industry medicine.medical_treatment Carotid arteries General Engineering Magnetic resonance imaging biology.organism_classification medicine.disease Alternative treatment Pseudoaneurysm Vertigo cardiovascular system medicine Neurosurgery Embolization Radiology business Coil embolization |
| Zdroj: | Cureus. |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.131 |
| Popis: | Introduction: In this report, we present the case of a young patient with a long history of a progressively enlarging internal carotid-petrous segment pseudoaneurysm (ICA-P). Surgical treatment at diagnosis was deemed untenable, and prior coil embolization of the pseudoaneurysm was unsuccessful. Upon recent reevaluation, the use of a flow diverting technique, such as the pipeline embolization device (PED), was considered a suitable option to treat the expanding lesion. Case Report: We present the case of a 39-year-old male who presented in 2001 with a history of left-sided hearing loss and vertigo. The presenting symptoms prompted magnetic resonance imaging (MRI) imaging, initially demonstrating a 6 mm left ICA-P pseudoaneurysm. Surgical treatment was considered a high risk procedure at the time. Attempted coil embolization was unsuccessfully undertaken. Post-diagnosis follow-up magnetic resonance angiographies (MRAs) confirmed the progressive enlargement of the lesion, maximally increasing to a 16 mm size. Pipeline embolization was considered a reasonable treatment option. Conclusions: The use of a PED may be a safe alternative treatment option for patients presenting with a progressively enlarging ICA-P pseudoaneurysm, which is not amenable to surgical intervention or primary coil embolization. Categories: Radiology, Neurosurgery |
| Databáze: | OpenAIRE |
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