Retrograde Snare-Assisted Rescue via Anterior Communicating Artery for Lost Access During Multiple Overlapping Pipeline Embolization Device Placement

Wonsoo Son; Dong Hun Kang; Byung Moon Kim; Jaechan Park; Yong Sun Kim

doi:10.1016/j.wneu.2018.02.150

Retrograde Snare-Assisted Rescue via Anterior Communicating Artery for Lost Access During Multiple Overlapping Pipeline Embolization Device Placement

Wonsoo Son, Dong Hun Kang, Byung Moon Kim, Jaechan Park, Yong Sun Kim

Department of Radiology

Research output: Contribution to journal › Article › peer-review

Abstract

Background: The Pipeline embolization device (PED; ev3, Irvine, California, USA) has been used to divert flow away from an aneurysm sac. The risk of complications may increase for flow diversion with giant aneurysms because these cases may require multiple overlapping PEDs, which makes the technique highly complex. Case Description: We report a rescue technical strategy for lost access during multiple overlapping PED placement for a giant, fusiform cavernous aneurysm. Conclusions: By using the collateral circulation as an alternative rescue route, intraprocedural loss of distal access may be salvaged.

Original language	English
Pages (from-to)	4-7
Number of pages	4
Journal	World Neurosurgery
Volume	114
DOIs	https://doi.org/10.1016/j.wneu.2018.02.150
Publication status	Published - 2018 Jun

All Science Journal Classification (ASJC) codes

Surgery
Clinical Neurology

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10.1016/j.wneu.2018.02.150

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title = "Retrograde Snare-Assisted Rescue via Anterior Communicating Artery for Lost Access During Multiple Overlapping Pipeline Embolization Device Placement",

abstract = "Background: The Pipeline embolization device (PED; ev3, Irvine, California, USA) has been used to divert flow away from an aneurysm sac. The risk of complications may increase for flow diversion with giant aneurysms because these cases may require multiple overlapping PEDs, which makes the technique highly complex. Case Description: We report a rescue technical strategy for lost access during multiple overlapping PED placement for a giant, fusiform cavernous aneurysm. Conclusions: By using the collateral circulation as an alternative rescue route, intraprocedural loss of distal access may be salvaged.",

author = "Wonsoo Son and Kang, {Dong Hun} and Kim, {Byung Moon} and Jaechan Park and Kim, {Yong Sun}",

year = "2018",

month = jun,

doi = "10.1016/j.wneu.2018.02.150",

language = "English",

volume = "114",

pages = "4--7",

journal = "World Neurosurgery",

issn = "1878-8750",

publisher = "Elsevier Inc.",

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T1 - Retrograde Snare-Assisted Rescue via Anterior Communicating Artery for Lost Access During Multiple Overlapping Pipeline Embolization Device Placement

AU - Son, Wonsoo

AU - Kang, Dong Hun

AU - Kim, Byung Moon

AU - Park, Jaechan

AU - Kim, Yong Sun

PY - 2018/6

Y1 - 2018/6

N2 - Background: The Pipeline embolization device (PED; ev3, Irvine, California, USA) has been used to divert flow away from an aneurysm sac. The risk of complications may increase for flow diversion with giant aneurysms because these cases may require multiple overlapping PEDs, which makes the technique highly complex. Case Description: We report a rescue technical strategy for lost access during multiple overlapping PED placement for a giant, fusiform cavernous aneurysm. Conclusions: By using the collateral circulation as an alternative rescue route, intraprocedural loss of distal access may be salvaged.

AB - Background: The Pipeline embolization device (PED; ev3, Irvine, California, USA) has been used to divert flow away from an aneurysm sac. The risk of complications may increase for flow diversion with giant aneurysms because these cases may require multiple overlapping PEDs, which makes the technique highly complex. Case Description: We report a rescue technical strategy for lost access during multiple overlapping PED placement for a giant, fusiform cavernous aneurysm. Conclusions: By using the collateral circulation as an alternative rescue route, intraprocedural loss of distal access may be salvaged.

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