Woven Endobridge device for treatment of dissection-related PICA aneurysm.
Journal Article (Journal Article)
Ruptured vertebrobasilar dissecting aneurysms require urgent, often challenging treatment as they have with a high re-hemorrhage rate within the first 24 hours. The patient is a 57-year-old woman who presented with severe-sudden onset headache. Further work up showed a ruptured dissecting aneurysm of the caudal loop of the posterior inferior cerebellar artery (PICA) with associated narrowing distally, in the ascending limb. The aneurysm was immediately occluded with a Woven Endobridge (WEB) device (MicroVention, Tustin, CA, USA) while flow diversion treatment of the diseased ascending limb was postponed. Follow-up angiography three months later showed complete occlusion of the aneurysm, as well as healing of the diseased distal vessel, obviating the need for further intervention. WEB embolization of a ruptured dissecting posterior circulation aneurysm provided an excellent outcome for this patient.
Full Text
Duke Authors
Cited Authors
- Khattar, NK; White, AC; Cruz, AS; Adams, SW; Meyer, KS; Nauta, HJ; Ding, D; James, RF
Published Date
- June 2021
Published In
Volume / Issue
- 27 / 3
Start / End Page
- 388 - 390
PubMed ID
- 33070683
Pubmed Central ID
- PMC8190937
Electronic International Standard Serial Number (EISSN)
- 2385-2011
Digital Object Identifier (DOI)
- 10.1177/1591019920968349
Language
- eng
Conference Location
- United States