Therapeutic occlusion of the vertebral artery using a new penumbra occlusion device system and ruby coils (penumbra): A technical note.

Cervical tumor coil embolization penumbra penumbra occlusion device ruby coils vertebral artery sacrifice

Journal

Brain circulation
ISSN: 2455-4626
Titre abrégé: Brain Circ
Pays: India
ID NLM: 101669876

Informations de publication

Date de publication:
Historique:
received: 30 07 2019
accepted: 15 10 2019
entrez: 14 3 2020
pubmed: 14 3 2020
medline: 14 3 2020
Statut: epublish

Résumé

There are several methods to achieve the therapeutic sacrifice of the vessel, coiling brings the most commonly used. Penumbra occlusion device (POD) system is a newer modality for therapeutic large vessel occlusion, and it is the Food and Drug Administration approved only for peripheral vessels. We report a case where therapeutic vertebral artery (VA) occlusion was achieved with the POD system and Ruby coils for the first time. A patient was diagnosed with a new malignant-appearing tumor of the cervical spine. A conventional angiogram showed multiple tiny arterial feeders from the VA beyond scope of coil/onyx embolization, so we performed a balloon occlusion test followed by therapeutic sacrifice of the VA. A successful VA occlusion was achieved with significant reduction in the tumor blush, followed by open resection of the tumor. The patient had favorable postoperative course and without any neurological symptoms attributed to the VA occlusion.

Identifiants

pubmed: 32166201
doi: 10.4103/bc.bc_18_19
pii: BC-6-52
pmc: PMC7045540
doi:

Types de publication

Case Reports

Langues

eng

Pagination

52-56

Informations de copyright

Copyright: © 2020 Brain Circulation.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Jay P Kinariwala (JP)

Department of Neurology, Wayne State University, Detroit, MI, USA.

Gary B Rajah (GB)

Department of Neurosurgery, Wayne State University, Detroit, MI, USA.

Rahul Vaidya (R)

Department of Orthopedics, Wayne State University, Detroit, MI, USA.

Sandra Narayanan (S)

Department of Neurology, Wayne State University, Detroit, MI, USA.
Department of Neurosurgery, Wayne State University, Detroit, MI, USA.

Classifications MeSH