Internal Carotid Artery Reconstruction with a “Mega Flow Diverter”: First Experience with the 6×50 mm DERIVO Embolization Device.
10.5469/neuroint.2018.00934
- Author:
Mario MARTÍNEZ-GALDÁMEZ
1
;
Claudio RODRÍGUEZ
;
Antonio HERMOSÍN
;
Eduardo CRESPO-VALLEJO
;
Gonzalo MONEDERO
;
Juan CHAVIANO
;
Bin ZHENG
Author Information
1. Department of Interventional Neuroradiology, Fundación Jiménez-Diaz Hospital, Madrid, Spain. mariomgaldamez@hotmail.com
- Publication Type:Case Report
- Keywords:
Derivo embolization device;
Aaneurysm;
Carotid artery, Internal
- MeSH:
Aneurysm;
Arteries;
Carotid Artery, Internal*;
Humans;
Intracranial Aneurysm;
Parents;
Stents;
Thrombosis
- From:Neurointervention
2018;13(2):133-137
- CountryRepublic of Korea
- Language:English
-
Abstract:
Endoluminal reconstruction with a flow diverter device has emerged as a viable and often preferable alternative to traditional techniques for the treatment of intracranial aneurysms. Precise measurement and device selection are mandatory steps when considering flow diverters usage in order to avoid potential complications. In this sense, incomplete wall-apposition has been described as a predictive factor for immediate in-stent and delayed thrombosis after stent use. One significant usage limitation of flow diverter devices is the parent artery diameter, since the maximum opening of the sizes available are recommended for vessel diameters between 5.2–5.75 mm. Here we present the first clinical use of the largest flow diverter available, the 6×50 mm DERIVO embolization device (Acandis GmbH & Co. KG, Pforzheim, Germany), into the arterial circulation for a cervical internal carotid artery endovascular reconstruction. This is a new device for large or fusiform aneurysms requiring flow diversion, especially located in the vertebrobasilar system or extracranial segments.
