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Updated: Dec 29, 2025
03:43
Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
6.2K
The POP (Pull on Pipe) Maneuver: A Technical Note for Rescuing a Prolapsed Pipeline Device
Jose Danilo Bengzon Diestro1, Carmen Parra-Farinas1, Mohamed Akli Zetchi2
1Department of Medical Imaging, Division of Diagnostic and Therapeutic Neuroradiology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Summary
A novel Pull on Pipe (POP) maneuver salvages prolapsed flow diverters during aneurysm treatment. This technique repositions the device and enhances construct stability for better patient outcomes.
Area of Science:
- Endovascular neurosurgery
- Cerebrovascular disease management
Background:
- Flow diverters are crucial for treating large aneurysms.
- Device prolapse into the aneurysm is a rare but serious complication.
Observation:
- A case report details a 21-year-old male with a giant internal carotid artery aneurysm.
- During Pipeline Embolization Device (PED) retrieval, the device prolapsed into the aneurysm.
Findings:
- The Pull on Pipe (POP) maneuver was successfully employed to salvage the prolapsed PED.
- This involved deploying a second PED and applying gentle traction to reposition the initial device.
- The maneuver restored proper device position and improved construct stability.
Implications:
- The POP maneuver offers a new strategy for managing flow diverter prolapse.
- This technique can salvage devices and enhance the stability of the endovascular repair.
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