Retrograde trans-posterior communicating artery rescue balloon angioplasty of incompletely expanded pipeline embolization device: complication management.
Pipeline embolization device
aneurysm embolization
complication
complication management
deployment failure
flow diversion device
incomplete expansion
rescue strategy
salvage strategy
vertebral artery aneurysm
Journal
British journal of neurosurgery
ISSN: 1360-046X
Titre abrégé: Br J Neurosurg
Pays: England
ID NLM: 8800054
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
medline:
19
6
2023
pubmed:
19
5
2020
entrez:
19
5
2020
Statut:
ppublish
Résumé
Pipeline embolization device (PED) deployment is a technically demanding procedure. Incomplete device expansion or deployment is one intra-operative risk, especially in patients with significant vascular tortuosity. We describe the case of a 71-year female with an unruptured left vertebral artery saccular aneurysm. Tortuosity of the arteries proximal to the aneurysm complicated deployment and the proximal end of the PED failed to expand despite several maneuvers. The inadequately expanded PED caused flow limitation in the left vertebral artery and it became imperative to achieve wall apposition of the PED. We salvaged the PED from the left vertebral artery by retrograde trans-right posterior communicating artery balloon angioplasty. Our case documents the successful application of the rarely used salvage strategy - anterior-to-posterior circulation retrograde rescue balloon angioplasty of an unopened PED.
Sections du résumé
BACKGROUND
UNASSIGNED
Pipeline embolization device (PED) deployment is a technically demanding procedure. Incomplete device expansion or deployment is one intra-operative risk, especially in patients with significant vascular tortuosity.
CASE DESCRIPTION
UNASSIGNED
We describe the case of a 71-year female with an unruptured left vertebral artery saccular aneurysm. Tortuosity of the arteries proximal to the aneurysm complicated deployment and the proximal end of the PED failed to expand despite several maneuvers. The inadequately expanded PED caused flow limitation in the left vertebral artery and it became imperative to achieve wall apposition of the PED. We salvaged the PED from the left vertebral artery by retrograde trans-right posterior communicating artery balloon angioplasty.
CONCLUSIONS
UNASSIGNED
Our case documents the successful application of the rarely used salvage strategy - anterior-to-posterior circulation retrograde rescue balloon angioplasty of an unopened PED.
Identifiants
pubmed: 32419501
doi: 10.1080/02688697.2020.1764495
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM