Treatment of Recurrent Wide Neck Bifurcation Aneurysm With the Barrel Vascular Reconstruction Device
| Autor: | Radoslav Raychev, Stanimir Sirakov, Adriana Panayotova, Alexander Sirakov, Kirstian Ninov, Karsimir Minkin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Brain aneurysm
medicine.medical_specialty medicine.medical_treatment Barrel (horology) Case Report lcsh:RC346-429 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Aneurysm wide neck aneurysm Vascular reconstruction Medicine Embolization cardiovascular diseases Bifurcation lcsh:Neurology. Diseases of the nervous system Coil embolization Wide neck business.industry stent-assisted coil embolization medicine.disease Neurology cardiovascular system subarachanoid hemorrhage Neurology (clinical) Radiology brain aneurysm business retreatment 030217 neurology & neurosurgery |
| Zdroj: | Frontiers in Neurology, Vol 10 (2019) Frontiers in Neurology |
| ISSN: | 1664-2295 |
| DOI: | 10.3389/fneur.2019.01159/full |
| Popis: | We present a case of successful embolization of a recurrent wide neck bifurcation aneurysm with a Barrel vascular reconstruction device (VRD). The unique properties of this novel device allowed optimal aneurysm neck coverage during third consecutive re-treatment, ultimately resulting in complete aneurysm obliteration. The parent vessel anatomy and the neck morphology of the aneurysm, in combination with a presence of a large pre-existing coil mass, were ideal for Barrel stent placement. The expanded portion of the device conformed perfectly to the recanalized aneurysm neck, providing optimal support for additional coil embolization. This case illustrates the advantages of Barrel VRD for definitive embolization of large, recurrent, and previously coiled wide-neck bifurcation aneurysm as a reasonable alternative to other traditional treatment modalities, such as flow diversion or Y and X stenting. |
| Databáze: | OpenAIRE |
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