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Pipeline Embolization Device for Treatment of Craniocervical Internal Carotid Artery Dissections: Report of 3 Cases.
- Source :
-
World neurosurgery [World Neurosurg] 2019 Dec; Vol. 132, pp. 106-112. Date of Electronic Publication: 2019 Sep 03. - Publication Year :
- 2019
-
Abstract
- Background: Dissecting pseudoaneurysms of the craniocervical circulation are uncommon, accounting for only 3% of all cerebral aneurysms. These aneurysms pose a challenge due to their location and anatomic configuration. The Pipeline Embolization Device (PED) is a flow diversion technique that successfully treats aneurysms by diverting blood flow away from the aneurysm and reconstructing the diseased parent artery by altering its hemodynamics.<br />Case Description: We report 3 cases in which the PED was used to treat craniocervical carotid artery dissection with associated pseudoaneurysms. A single PED was used in the first case, 4 PEDs were used in the second case, and 3 PEDs and a PRECISE PRO RX carotid stent were placed in the third case. All 3 patients achieved full neurologic recovery postoperatively. Cerebral angiography performed postoperatively demonstrated revascularization, good laminar flow, and no in-stent or adjacent stenosis.<br />Conclusions: PED placement offers a safe and effective method of treating spontaneous or traumatic craniocervical carotid artery dissections with excellent neurologic outcomes postoperatively and complete long-term aneurysmal occlusion.<br /> (Copyright © 2019 Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Aneurysm, False complications
Aneurysm, False diagnostic imaging
Angiography, Digital Subtraction
Carotid Artery Diseases complications
Carotid Artery Diseases diagnostic imaging
Carotid Artery Diseases therapy
Carotid Artery, Internal, Dissection complications
Carotid Artery, Internal, Dissection diagnostic imaging
Cerebral Angiography
Computed Tomography Angiography
Embolization, Therapeutic methods
Female
Humans
Magnetic Resonance Imaging
Male
Aneurysm, False therapy
Carotid Artery, Internal, Dissection therapy
Embolization, Therapeutic instrumentation
Subjects
Details
- Language :
- English
- ISSN :
- 1878-8769
- Volume :
- 132
- Database :
- MEDLINE
- Journal :
- World neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 31491581
- Full Text :
- https://doi.org/10.1016/j.wneu.2019.08.183