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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Successful treatment of growing basilar artery dissecting aneurysm by pipeline flow diversion embolization device
Dasen Gong1, Bernard Yan2, Richard Dowling3
1Melbourne Brain Centre, University of Melbourne, Royal Melbourne Hospital, Parkville, Victoria, Australia; Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, PR China; Department of Neurosurgery, Tianjin Neurological Institute, Tianjin, PR China; Key Laboratory of Post-trauma Neuro-repair and Regeneration in Central Nervous System, Ministry of Education, Tianjin, PR China; Tianjin Key Laboratory of Injuries, Variations and Regeneration of Nervous System, Tianjin, PR China.
Abstract:
We describe a case of successful management of a growing basilar artery dissecting aneurysm by the Pipeline flow diversion embolization device (PED). A 48-year-old woman presented with severe headache, neck pain, and altered consciousness. Computed tomography showed subarachnoid hemorrhage located in basal cisterns, with a pontine infarct shown on magnetic resonance imaging. Digital subtraction angiography showed dissecting aneurysm of the trunk of the basilar artery, with growth over time on repeated imaging. Repeated imaging demonstrated growth in size of the aneurysm. The aneurysm was treated with PED with complete obliteration of the basilar artery aneurysm. Subsequent follow-up demonstrated good clinical recovery.
