The Use of a Pipeline Embolization Device for Treatment of a Ruptured Dissecting Middle Cerebral Artery M3/M4 Aneurysm: Challenges and Technical Considerations

Prompt, effective treatment is necessary following aneurysmal subarachnoid hemorrhage to prevent recurrent rupture, which is thought to double mortality. Atypical ruptured aneurysms, such as blister or dissecting pseudoaneurysms, or those that are unusually distal in the middle cerebral artery (MCA)...

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Published in:Neurointervention 2022, 17(2), , pp.126-130
Main Authors: Berwanger, Robert P., Hoover, Madeline C., Scott, John A., DeNardo, Andrew J., Amuluru, Krishna, Payner, Troy D., Kulwin, Charles G., Sahlein, Daniel H.
Format: Article
Language:English
Subjects:
Case Report
embolization, therapeutic
middle cerebral artery
pseudoaneurysm
subarachnoid hemorrhage
방사선과학
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Summary:Prompt, effective treatment is necessary following aneurysmal subarachnoid hemorrhage to prevent recurrent rupture, which is thought to double mortality. Atypical ruptured aneurysms, such as blister or dissecting pseudoaneurysms, or those that are unusually distal in the middle cerebral artery (MCA) are challenging to treat with either open or endovascular options, though the pipeline embolization device (PED) has shown promise in multiple case series. We present a case of a ruptured dissecting pseudoaneurysm in the distal MCA (distal M3/proximal M4) prefrontal division in an healthy young patient (
ISSN:2093-9043
2233-6273
DOI:10.5469/neuroint.2022.00045