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Treatment for Giant Fusiform Aneurysm Located in the Cavernous Segment of the Internal Carotid Artery Using the Pipeline Embolization Device

  • Oh, Se-Yang (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Myeong Jin (Department of Neurosurgery, Gachon University, Gil Hospital) ;
  • Kim, Bum-Soo (Department of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Shin, Yong Sam (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • 투고 : 2013.05.24
  • 심사 : 2013.12.16
  • 발행 : 2014.01.28

초록

The pipeline embolization device (PED) is a new endovascular device for treatment of complex, fusiform and wide-neck intracranial aneurysms. The main mechanism of this stent is to divert the flow in the parent artery with reduction of inflow in the aneurysm leading to thrombosis. We treated a 40-year-old woman who had left facial pain and orbit discomfort. Angiography showed a giant fusiform aneurysm located in the cavernous segment of the left internal carotid artery. A PED was successfully deployed across the aneurysm. The procedure and post-procedural course were uneventful. After 3 months, angiography showed complete obliteration of the aneurysm with good patency of the branching vessels originating from the deployed segment. The patient's symptoms improved completely without complications.

키워드

참고문헌

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피인용 문헌

  1. Inadvertent Complication of a Pipeline Embolization Device for Treatment with Vertebral Artery Dissecting Aneurysm : Distal Tip Fracture of Delivery Wire vol.59, pp.5, 2016, https://doi.org/10.3340/jkns.2016.59.5.521
  2. Healing of Aneurysm after Treatment Using Flow Diverter Stent : Histopathological Study in Experimental Canine Carotid Side Wall Aneurysm vol.63, pp.1, 2014, https://doi.org/10.3340/jkns.2019.0067
  3. Pipeline embolization device for treatment of atypical facial pain caused by a cavernous sinus aneurysm vol.23, pp.None, 2014, https://doi.org/10.1016/j.inat.2020.101001