Journal article
Placement of a Pipeline Embolization Device: 2-Dimensional Operative Video
Operative neurosurgery (Hagerstown, Md.), v 20(3), pp E212-E213
01 Mar 2021
PMID: 33442743
Abstract
Flow diversion has been a game-changer in the treatment of wide-neck large and giant cavernous and supraclinoid internal carotid artery (ICA) aneurysms as well as large vertebral artery aneurysms. Prior to their existence, carotid sacrifice or clipping with or without external to internal carotid artery bypass was the mainstay of treatment. Prior to flow diversion, endovascular coil embolization was often not effective as a stand-alone treatment because of the fact that many of these aneurysms present with symptoms created by mass effect on the cavernous sinus cranial nerves by the aneurysm. Packing the aneurysm with coils did nothing to alleviate the mass effect and did not prevent flow from entering the aneurysm. The continued flow causes coil compaction and aneurysm enlargement. Flow diversion addressed both these issues by diverting flow from the aneurysm while allowing the aneurysm to slowly thrombose and shrink. The video is a step-by-step account of this procedure in a 72-yr-old male with a large recurrence of a previously coiled cavernous ICA aneurysm. The procedure was performed following informed consent.
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Details
- Title
- Placement of a Pipeline Embolization Device: 2-Dimensional Operative Video
- Creators
- Maureen A Darwal - Neurosciences InstituteMandy J Binning - Neurosciences InstituteErol Veznedaroglu - Neurosciences Institute
- Publication Details
- Operative neurosurgery (Hagerstown, Md.), v 20(3), pp E212-E213
- Publisher
- Oxford University Press
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurology; Neurosurgery
- Web of Science ID
- WOS:000637322100009
- Scopus ID
- 2-s2.0-85102153626
- Other Identifier
- 991021918097404721
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Clinical Neurology
- Surgery