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Research ArticleInterventional

The Role of the Pipeline Embolization Device for the Treatment of Dissecting Intracranial Aneurysms

M. de Barros Faria, R. Nella Castro, J. Lundquist, E. Scrivano, R. Ceratto, A. Ferrario and P. Lylyk
American Journal of Neuroradiology December 2011, 32 (11) 2192-2195; DOI: https://doi.org/10.3174/ajnr.A2671
M. de Barros Faria
aFrom the Department of Neurosurgery and Interventional Neuroradiology, Clínica La Sagrada Família, Buenos Aires, Argentina.
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R. Nella Castro
aFrom the Department of Neurosurgery and Interventional Neuroradiology, Clínica La Sagrada Família, Buenos Aires, Argentina.
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J. Lundquist
aFrom the Department of Neurosurgery and Interventional Neuroradiology, Clínica La Sagrada Família, Buenos Aires, Argentina.
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E. Scrivano
aFrom the Department of Neurosurgery and Interventional Neuroradiology, Clínica La Sagrada Família, Buenos Aires, Argentina.
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R. Ceratto
aFrom the Department of Neurosurgery and Interventional Neuroradiology, Clínica La Sagrada Família, Buenos Aires, Argentina.
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A. Ferrario
aFrom the Department of Neurosurgery and Interventional Neuroradiology, Clínica La Sagrada Família, Buenos Aires, Argentina.
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P. Lylyk
aFrom the Department of Neurosurgery and Interventional Neuroradiology, Clínica La Sagrada Família, Buenos Aires, Argentina.
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    Fig 1.

    This 33-year-old man (patient 16) presented with headache 2 days following an episode of mild head trauma. A, Brain CT demonstrates a small hematoma adjacent to the brain stem. Both CTA and MR angiography were negative for vascular abnormalities. B, Cerebral DSA shows an atypical fusiform dilation of the proximal segment of the PICA, associated with a blister-like aneurysm intimately related to the previous hemorrhage site. C and D, This lesion, probably dissecting in origin, is also demonstrated by tridimensional virtual EndoView (C) and was treated 1 week after ictus with a single PED (D). E−H, Immediate control 3D DSA confirms adequate endoluminal reconstruction of the PICA (E), which remains stable 9 months after treatment (F−H).

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    Fig 2.

    A−C, A 72-year-old man (patient 5) harboring this large incidental dissecting aneurysm of the proximal basilar trunk is treated with a single PED, with favorable outcome. Six-month control angiogram shows adequate parent vessel reconstruction, despite the persistence of a proximal stenotic segment and signs of mild intrastent hyperplasia. The patient remains asymptomatic, not requiring further treatment. D−F, After 18 months of follow-up, the angiographic findings remain unchanged, with stable aneurysm occlusion.

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American Journal of Neuroradiology: 32 (11)
American Journal of Neuroradiology
Vol. 32, Issue 11
1 Dec 2011
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The Role of the Pipeline Embolization Device for the Treatment of Dissecting Intracranial Aneurysms
M. de Barros Faria, R. Nella Castro, J. Lundquist, E. Scrivano, R. Ceratto, A. Ferrario, P. Lylyk
American Journal of Neuroradiology Dec 2011, 32 (11) 2192-2195; DOI: 10.3174/ajnr.A2671

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The Role of the Pipeline Embolization Device for the Treatment of Dissecting Intracranial Aneurysms
M. de Barros Faria, R. Nella Castro, J. Lundquist, E. Scrivano, R. Ceratto, A. Ferrario, P. Lylyk
American Journal of Neuroradiology Dec 2011, 32 (11) 2192-2195; DOI: 10.3174/ajnr.A2671
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  • Current Trends and Results of Endovascular Treatment of Unruptured Intracranial Aneurysms at a Single Institution in the Flow-Diverter Era
  • Effect of antiplatelet therapy and platelet function testing on hemorrhagic and thrombotic complications in patients with cerebral aneurysms treated with the pipeline embolization device: a review and meta-analysis
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  • International Retrospective Study of the Pipeline Embolization Device: A Multicenter Aneurysm Treatment Study
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  • Reconstructive endovascular treatment of a ruptured vertebral artery dissecting aneurysm using the Pipeline embolization device
  • Using Leo Plus stent as flow diverter and endoluminal remodeling in endovascular treatment of intracranial fusiform aneurysms
  • Stent usage in the treatment of intracranial aneurysms: past, present and future
  • Endovascular treatment of fusiform intracranial aneurysms
  • Pipeline Embolization Device in Aneurysmal Subarachnoid Hemorrhage
  • Endovascular Treatment of Intracranial Aneurysms With Flow Diverters: A Meta-Analysis
  • What's Coming Down the Pipe--And Should We Be Excited, Concerned, or Both?
  • Long-Term Clinical and Imaging Follow-Up of Complex Intracranial Aneurysms Treated by Endovascular Parent Vessel Occlusion
  • Safety of the Pipeline Embolization Device in Treatment of Posterior Circulation Aneurysms
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More in this TOC Section

  • Flow Diversion for ICA Aneurysms with Compressive Neuro-Ophthalmologic Symptoms: Predictors of Morbidity, Mortality, and Incomplete Aneurysm Occlusion
  • The Safety and Efficacy of Flow Diversion versus Conventional Endovascular Treatment for Intracranial Aneurysms: A Meta-analysis of Real-world Cohort Studies from the Past 10 Years
  • Differential Subsampling with Cartesian Ordering–MRA for Classifying Residual Treated Aneurysms
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