Related Experiment Video
Updated: Jul 3, 2026
28:13
Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
33.3K
Pipeline embolization device for aneurysm recurrence after stent-assisted coiling.
Weiming Kong1, Shikai Liang1, Xianli Lv2
1Department of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Litang Road 168, Beijing, 102218, China.
Neuroradiology
|January 20, 2025
Summary
The Pipeline Embolization Device (PED) is safe and effective for treating recurrent intracranial aneurysms after stent-assisted coiling. This study shows complete occlusion in all patients, demonstrating successful outcomes for this complex condition.
Area of Science:
- Endovascular neurosurgery
- Cerebrovascular disease management
Background:
- The Pipeline Embolization Device (PED) is increasingly used off-label for complex intracranial aneurysms.
- Evidence for PED in recurrent aneurysms after stent-assisted coiling is limited.
- Recurrent aneurysms pose a significant treatment challenge.
Purpose of the Study:
- To evaluate the safety and efficacy of PED for treating recurrent intracranial aneurysms after prior stent-assisted coiling.
- To assess clinical outcomes and occlusion rates in this specific patient cohort.
Main Methods:
- Retrospective review of 10 patients treated with PED for recurrent aneurysms post-stent-assisted coiling.
- Mean interval between initial and subsequent treatment was 12 months.
- Outcomes assessed included complications, modified Rankin Scale (mRS) scores, and complete occlusion at 6-month follow-up.
Main Results:
- Successful PED placement in all 10 patients.
- Complete aneurysm occlusion achieved in all cases at 6-month follow-up.
- One case of minor perioperative complication; no adverse clinical sequelae reported.
Conclusions:
- PED treatment for recurrent aneurysms after stent-assisted coiling is a safe and effective option.
- High rates of complete occlusion and favorable clinical outcomes support its use.
- Further research may validate PED as a standard treatment for such cases.
Related Concept Videos
01:27Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
01:27Pulmonary Embolism III: Nursing Management
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...