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Single center experience with pipeline stent: feasibility, technique, and complications
Rohan Chitale1, L Fernando Gonzalez, Ciro Randazzo
1Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Neurosurgery
|June 2, 2012
Summary
The Pipeline Embolization Device (PED) is a feasible treatment for intracranial aneurysms, but requires skilled application. Careful patient selection is crucial due to potential major perioperative adverse events.
Area of Science:
- Endovascular neurosurgery
- Cerebrovascular disease management
Background:
- Endovascular coil embolization is a standard treatment for intracranial aneurysms.
- The Pipeline Embolization Device (PED) is an endovascular stent designed to reconstruct arteries and reduce aneurysm blood flow.
Purpose of the Study:
- To evaluate the safety and efficacy of the Pipeline Embolization Device (PED) in treating intracranial aneurysms.
Main Methods:
- A retrospective review of 36 patients who underwent PED placement for aneurysm treatment.
- Data collected from October 2010 to November 2011 at Jefferson Hospital for Neuroscience.
Main Results:
- Successful PED placement in all 36 patients, treating 42 aneurysms.
- 13.9% of patients experienced symptomatic postoperative complications, including hemorrhage, dissection, stroke, and one death.
- All treated aneurysms achieved stasis post-procedure.
Conclusions:
- PED treatment for intracranial aneurysms is technically feasible, either alone or with coil embolization.
- The procedure demands advanced endovascular skills and careful consideration of indications to mitigate risks.
- Further study of major perioperative adverse events is warranted.
