scholarly journals Transcirculation Pipeline embolization device deployment: a rescue technique

2017 ◽  
Vol 42 (6) ◽  
pp. E13 ◽  
Author(s):  
Edison P. Valle-Giler ◽  
Elias Atallah ◽  
Stavropoula Tjoumakaris ◽  
Robert H. Rosenwasser ◽  
Pascal Jabbour
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Cerebral Aneurysms ◽  
Artery Aneurysm ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Anterior Communicating Artery ◽  
Pipeline Embolization Device ◽  
Contralateral Internal Carotid Artery

The Pipeline embolization device (PED) has become a very important tool in the treatment of nonruptured cerebral aneurysms. However, a patient’s difficult anatomy or vascular stenosis may affect the device delivery. The purpose of this article was to describe an alternate technique for PED deployment when ipsilateral anatomy is not amenable for catheter navigation.A 44-year-old woman with a symptomatic 6-mm right superior hypophyseal artery aneurysm and a known history of right internal carotid artery dissection presented for PED treatment of her aneurysm. An angiogram showed persistence of the arterial dissection with luminal stenosis after 6 months of dual antiplatelet treatment. The contralateral internal carotid artery was catheterized and the PED was deployed via a transcirculation approach, using the anterior communicating artery. Transcirculation deployment of a PED is a viable option when ipsilateral anatomy is difficult or contraindicated for this treatment.

Internal carotid artery aneurysm presenting as sinus pain

2007 ◽  
Vol 121 (10) ◽  
pp. 1006-1008 ◽  
Author(s):  
H Al-Reefy ◽  
C A Johnson ◽  
A Balfour ◽  
M Dilkes
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Facial Pain ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Atypical Symptoms ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm

Sinusitis and its associated facial pain are frequently seen by ENT surgeons. However, it is important to have a high index of suspicion in cases with atypical symptoms, particularly those with unexplained, unilateral, severe facial pain, and to consider an internal carotid artery dissection. This important diagnosis accounts for almost 20 per cent of all strokes in the young, and anti-coagulation can help to prevent thrombosis and embolism. Two cases are presented for illustration.

Delayed Collapse of a Pipeline Embolization Device

2015 ◽  
Vol 12 (1) ◽  
pp. 83-88 ◽  
Author(s):  
Rafael A Vega ◽  
Grzegorz Brzezicki ◽  
John F Reavey-Cantwell
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
Cerebral Angiogram ◽  
Promising Alternative ◽  
Pipeline Embolization Device ◽  
Post Operation

Abstract BACKGROUND The Pipeline Embolization Device (PED) is a treatment modality for wide-neck complex intracranial aneurysms. There have been recent reports for the use of PEDs in dissecting pseudoaneurysms of the cervical carotid arteries. The use of this flow diversion technology has emerged as a promising alternative; however, there are various risks and complications that one should be aware of. OBJECTIVE To report a rare postoperative complication, identified during follow-up, in a patient initially treated for an internal carotid artery dissection with multiple overlapping PEDs. METHODS A 53-year-old male with unremarkable history presented with acute Horner's syndrome, and imaging findings revealing internal carotid artery dissection and pseudoaneurysm with significant flow-limiting stenosis. He underwent treatment with a PED. RESULTS At 3 months post-operation, a cerebral angiogram demonstrated that one of his pipeline stents in the posterior cavernous segment had collapsed at its central portion. Flow was preserved around the outside of the collapsed device. We performed 4 rounds of balloon angioplasty with modest, but not complete, re-expansion of the stent. The patient has been doing well in the postoperative period with no complications. CONCLUSION The PED's role in the management of aneurysms and other intra- and extra-cranial vascular pathologies continues to expand, and new complications are bound to be discovered, similar to our case. As the use of these devices becomes routine and widespread, the frequency of these complications will increase. The management of unforeseen complications of PEDs, such as a collapsed stent, will need to be determined on an individual basis.

Development of Internal Carotid Artery Dissection During Masturbation

2021 ◽  
Vol 30 (1) ◽  
pp. 105387
Author(s):  
Masahiro Oomura ◽  
Takumi Kitamura ◽  
Kenichi Adachi ◽  
Yusuke Nishikawa ◽  
Mitsuhito Mase
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection

scholarly journals Takayasu Arteritis Presenting with Internal Carotid Artery Dissection

2012 ◽  
Vol 33 (4) ◽  
pp. 408-409 ◽  
Author(s):  
R. Geraldes ◽  
P. Batista ◽  
L.M. Pedro ◽  
A. Fernandes ◽  
T.P. Melo
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Takayasu Arteritis ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection
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