Ophthalmic artery occlusion immediately following placement of a flow diverter without clinical sequelae

Justin R Mascitelli, Margaret Pain, Fedor Panov, Joshua B. Bederson, Aman B. Patel

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Branch vessel occlusion is a potential consequence following flow diverter placement for intracranial aneurysms, but the frequency and clinical impact has not been completely elucidated. In this case of a 45-year-old woman with a large left internal carotid artery aneurysm, the ophthalmic artery was covered by two flow diverters and was acutely occluded along with the aneurysm. Common carotid injections failed to demonstrate collateral flow to the ophthalmic artery via the external carotid artery. Nonetheless, the patient woke from anesthesia with objectively stable and subjectively improved vision. This case demonstrates that an acute occlusion of the ophthalmic artery without external carotid artery collaterals can be tolerated clinically.

Original languageEnglish (US)
Pages (from-to)191-195
Number of pages5
JournalInterventional Neuroradiology
Volume21
Issue number2
DOIs
StatePublished - Apr 1 2015
Externally publishedYes

Keywords

  • Flow diversion
  • Intracranial aneurysm
  • Ophthalmic artery

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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