A case of delayed foreshortening and disconnection of pipeline embolization device detected by chronological cone-beam computed tomography fusion image.
Cone-beam computed tomography
Flow diverter
Foreshortening
Fusion images
Pipeline embolization device
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
received:
22
03
2022
accepted:
10
05
2022
pubmed:
25
5
2022
medline:
3
8
2022
entrez:
24
5
2022
Statut:
ppublish
Résumé
The morphological changes of the pipeline embolization device (PED; Medtronic, Minneapolis, MN, USA), such as delayed migration or foreshortening, can relate to the incomplete occlusion of aneurysms. A 30-year-old man with a giant cavernous carotid artery aneurysm was treated with two PEDs using the overlapping technique. Six months after treatment, follow-up angiography showed morphological changes of the PEDs and residual flow into the aneurysm. Chronological cone-beam computed tomography fusion imaging clearly revealed the dynamic foreshortening of the first PED and the disconnection of both PEDs, so we decided to implant an additional PED. This case illustrates that a three-dimensional understanding can be useful for assessing the cause of treatment failure or recurrence.
Identifiants
pubmed: 35610487
doi: 10.1007/s00701-022-05245-3
pii: 10.1007/s00701-022-05245-3
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2203-2206Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.
Références
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