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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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M. de Barros Faria, R. Nella Castro, J. Lundquist, E. Scrivano, R. Ceratto, A. Ferrario, P. Lylyk
The Role of the Pipeline Embolization Device for the Treatment of Dissecting Intracranial Aneurysms
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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