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Trans-Cell Technique through Mesh of Pipeline Embolization Device: A Case Report
Shinya Sonobe1, Masayuki Ezura1, Ayumi Narisawa1
1Department of Neurosurgery, NHO Sendai Medical Center, Sendai, Miyagi, Japan.
This case study demonstrates successful coil embolization of a ruptured aneurysm via a Pipeline Embolization Device (PED) mesh using a trans-cell technique. This endovascular approach effectively treated a direct carotid cavernous fistula (dCCF) and resolved neurological symptoms.
Area of Science:
- Endovascular Neurosurgery
- Cerebrovascular Surgery
- Interventional Neuroradiology
Background:
- A 55-year-old female presented with a left cavernous carotid aneurysm (CCA) and abducens nerve palsy, initially treated with a Pipeline Embolization Device (PED).
- The patient later developed a direct carotid cavernous fistula (dCCF) due to aneurysm rupture, presenting with recurrent neurological deficits.
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