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

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)4-7
Number of pages4
JournalWorld Neurosurgery
Volume114
DOIs
Publication statusPublished - 2018 Jun

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Aneurysm
Arteries
Equipment and Supplies
Collateral Circulation

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

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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.",
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Retrograde Snare-Assisted Rescue via Anterior Communicating Artery for Lost Access During Multiple Overlapping Pipeline Embolization Device Placement. / Son, Wonsoo; Kang, Dong Hun; Kim, Byung Moon; Park, Jaechan; Kim, Yong Sun.

In: World Neurosurgery, Vol. 114, 06.2018, p. 4-7.

Research output: Contribution to journalArticle

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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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