NYMC Faculty Publications

Early Angiographic Occlusion of Ruptured Blister Aneurysms of the Internal Carotid Artery Using the Pipeline Embolization Device as a Primary Treatment Option

Author Type(s)

Faculty

DOI

10.1136/neurintsurg-2013-010937

Journal Title

Journal of NeuroInterventional Surgery

First Page

740

Last Page

743

Document Type

Article

Publication Date

12-1-2014

Department

Neurosurgery

Keywords

Aged, 80 and over, Aneurysm, Ruptured, Angiography, Digital Subtraction, Carotid Artery, Internal, Cerebral Angiography, Embolization, Therapeutic, Humans, Intracranial Aneurysm, Neuroimaging, Subarachnoid Hemorrhage, Tomography, X-Ray Computed

Disciplines

Medicine and Health Sciences

Abstract

BACKGROUND: Data on the timing, durability and occlusion rate of treating ruptured blister cerebral aneurysms using the Pipeline Embolization Device (PED) are limited.

CLINICAL PRESENTATION: Three patients who presented with subarachnoid hemorrhages from ruptured blister aneurysms of the internal carotid arteries were treated with the PED.

RESULTS: Aneurysmal occlusion with reconstruction of the parent vessels occurred angiographically using the PED as a primary treatment modality. All three patients were treated successfully without immediate or delayed complications and remained neurologically intact during the 6-month follow-up period.

CONCLUSIONS: Complete occlusion of a ruptured blister aneurysm can occur immediately after PED placement. In ruptured blister aneurysms with contrast stagnation after PED treatment, early angiographic occlusion was confirmed as early as 6 weeks and continued with medium-term durability.

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