Management of a Twisted Flow Diverting Stent with a Balloon Mounted Cardiac Stent in a Pediatric Aneurysm: A Technical Report

Keannette Russell, William Chase Johnson, Fadi Al-Saiegh, Lee Birnbaum, Alexander Coon, Justin Mascitelli

Producción científica: Articlerevisión exhaustiva

Resumen

BACKGROUND AND IMPORTANCE:Giant aneurysms can present technical challenges during treatment with flow diversion including inability to access the aneurysm outflow directly. Encircling the aneurysm with a microwire/microcatheter has been well described; however, it can result in a twisted stent because of catheter twisting during the reduction maneuver, which, in turn, could lead to thromboembolic complications.CASE PRESENTATION:Here, we describe a novel technique to manage the twist of the flow diverter in a giant internal carotid artery aneurysm using a combination of angioplasty and off-label placement of a balloon-mounted cardiac stent within the flow diverter.CONCLUSION:At 1 year, the aneurysm is completely occluded on digital subtraction angiography and MRI, and the patient is neurologically intact.

Idioma originalEnglish (US)
PublicaciónOperative Neurosurgery
DOI
EstadoAccepted/In press - 2024

ASJC Scopus subject areas

  • General Medicine

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