Article ; Online: Management of giant internal carotid aneurysm by extracranial-intracranial bypass and flow diverter stent.
British journal of neurosurgery
2021 Volume 37, Issue 6, Page(s) 1893–1897
Abstract: Flow diverter stents have become the standard approach to managing intracranial aneurysms; however, in some cases of complex, wide-necked aneurysms, poor outcomes due to stent occlusion have been reported. We report the case of a giant internal carotid ... ...
| Abstract | Flow diverter stents have become the standard approach to managing intracranial aneurysms; however, in some cases of complex, wide-necked aneurysms, poor outcomes due to stent occlusion have been reported. We report the case of a giant internal carotid artery aneurysm treated by high-flow extracranial-intracranial (EC-IC) bypass with flow diverter deployment. Seven months post-operatively, radiographic imaging demonstrated occlusion of the stent and parent artery, with further ischemic events prevented by collateral flow from the high flow bypass. This case demonstrates the continued utility of EC-IC bypass in the endovascular era, especially as a rescue tool in cases of delayed stent occlusion. |
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| MeSH term(s) | Humans ; Carotid Artery, Internal/diagnostic imaging ; Carotid Artery, Internal/surgery ; Intracranial Aneurysm/diagnostic imaging ; Intracranial Aneurysm/surgery ; Carotid Artery Diseases/diagnostic imaging ; Carotid Artery Diseases/surgery ; Neurosurgical Procedures/methods ; Stents ; Treatment Outcome | |||||
| Language | English | |||||
| Publishing date | 2021-07-08 | |||||
| Publishing country | England | |||||
| Document type | Case Reports ; Journal Article | |||||
| ZDB-ID | 639029-8 | |||||
| ISSN | 1360-046X ; 0268-8697 | |||||
| ISSN (online) | 1360-046X | |||||
| ISSN | 0268-8697 | |||||
| DOI | 10.1080/02688697.2021.1947974 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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