Treatment for Giant Fusiform Aneurysm Located in the Cavernous Segment of the Internal Carotid Artery Using the Pipeline Embolization Device
Journal of Korean Neurosurgical Society 2014³â 55±Ç 1È£ p.32 ~ p.35
¿À¼¼¾ç(Oh Se-Yang) - Catholic University College of Medicine Seoul St. Mary¡¯s Hospital Department of Neurosurgery
±è¸íÁø(Kim Myeong-Jin) - Gachon University Gil Hospital Department of Neurosurgery
±è¹ü¼ö(Kim Bum-Soo) - Catholic University College of Medicine Seoul St. Mary¡¯s Hospital Department of Radiology
½Å¿ë»ï(Shin Yong-Sam) - Catholic University College of Medicine Seoul St. Mary¡¯s Hospital Department of Neurosurgery
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.
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Pipeline embolization device, Fusiform aneurysm
KMID :
1001920140550010032
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