Treatment for Giant Fusiform Aneurysm Located in the Cavernous Segment of the Internal Carotid Artery Using the Pipeline Embolization Device.
10.3340/jkns.2014.55.1.32
- Author:
Se Yang OH
1
;
Myeong Jin KIM
;
Bum Soo KIM
;
Yong Sam SHIN
Author Information
1. Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. nsshin@gmail.com
- Publication Type:Case Report
- Keywords:
Pipeline embolization device;
Fusiform aneurysm
- MeSH:
Adult;
Aneurysm*;
Angiography;
Arteries;
Carotid Artery, Internal*;
Facial Pain;
Female;
Humans;
Intracranial Aneurysm;
Orbit;
Parents;
Stents;
Thrombosis
- From:Journal of Korean Neurosurgical Society
2014;55(1):32-35
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.