Management of giant internal carotid aneurysm by extracranial-intracranial bypass and flow diverter stent

Flow diverter stents have become the standard approach to managing intracranial aneurysms; however, in some cases of complex, wide-necked aneurysms, poor outcomes due to stent occlusion have been reported. We report the case of a giant internal carotid artery aneurysm treated by high-flow extracranial-intracranial (EC-IC) bypass with flow diverter deployment. Seven months post-operatively, radiographic imaging demonstrated occlusion of the stent and parent artery, with further ischemic events prevented by collateral flow from the high flow bypass. This case demonstrates the continued utility of EC-IC bypass in the endovascular era, especially as a rescue tool in cases of delayed stent occlusion.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:37

Enthalten in:

British journal of neurosurgery - 37(2023), 6 vom: 01. Dez., Seite 1893-1897

Sprache:

Englisch

Beteiligte Personen:

Kaliyev, Assylbek [VerfasserIn]
Makhambetov, Yerbol [VerfasserIn]
Medetov, Yerkin [VerfasserIn]
Kulmirzayev, Marat [VerfasserIn]
Dusembayev, Serik [VerfasserIn]
Nurimanov, Chingiz [VerfasserIn]
Kunakbayev, Baurzhan [VerfasserIn]
Akshulakov, Serik [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Flow diverter stent
Giant aneurysm
High flow bypass
Internal carotid artery
Journal Article

Anmerkungen:

Date Completed 13.11.2023

Date Revised 13.11.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/02688697.2021.1947974

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM327822341