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Spontaneous delayed migration/shortening of the pipeline embolization device: report of 5 cases.

Publication ,  Journal Article
Chalouhi, N; Tjoumakaris, SI; Gonzalez, LF; Hasan, D; Pema, PJ; Gould, G; Rosenwasser, RH; Jabbour, PM
Published in: AJNR Am J Neuroradiol
December 2013

Five patients were found to have spontaneous delayed migration/shortening of their Pipeline Embolization Devices on follow-up angiography. The device migrated proximally in 4 patients and distally in 1 patient. One patient had a subarachnoid hemorrhage and died as a result of migration of the Pipeline Embolization Device, and another patient presented with complete MCA occlusion and was left severely disabled. Mismatch in arterial diameter between inflow and outflow vessels was a constant finding. Migration of the Pipeline Embolization Device was managed conservatively, with additional placement of the device, or with parent vessel occlusion. Obtaining complete expansion of the embolization device by using a longer device, increasing vessel coverage, using adjunctive aneurysm coiling, and avoiding dragging and stretching of the device are important preventive measures. Neurointerventionalists should be aware of this potentially fatal complication and take all necessary preventive measures.

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Published In

AJNR Am J Neuroradiol

DOI

EISSN

1936-959X

Publication Date

December 2013

Volume

34

Issue

12

Start / End Page

2326 / 2330

Location

United States

Related Subject Headings

  • Treatment Failure
  • Subarachnoid Hemorrhage
  • Stents
  • Radiography
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Intracranial Aneurysm
  • Humans
  • Foreign-Body Migration
 

Citation

APA
Chicago
ICMJE
MLA
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Chalouhi, N., Tjoumakaris, S. I., Gonzalez, L. F., Hasan, D., Pema, P. J., Gould, G., … Jabbour, P. M. (2013). Spontaneous delayed migration/shortening of the pipeline embolization device: report of 5 cases. AJNR Am J Neuroradiol, 34(12), 2326–2330. https://doi.org/10.3174/ajnr.A3632
Chalouhi, N., S. I. Tjoumakaris, L. F. Gonzalez, D. Hasan, P. J. Pema, G. Gould, R. H. Rosenwasser, and P. M. Jabbour. “Spontaneous delayed migration/shortening of the pipeline embolization device: report of 5 cases.AJNR Am J Neuroradiol 34, no. 12 (December 2013): 2326–30. https://doi.org/10.3174/ajnr.A3632.
Chalouhi N, Tjoumakaris SI, Gonzalez LF, Hasan D, Pema PJ, Gould G, et al. Spontaneous delayed migration/shortening of the pipeline embolization device: report of 5 cases. AJNR Am J Neuroradiol. 2013 Dec;34(12):2326–30.
Chalouhi, N., et al. “Spontaneous delayed migration/shortening of the pipeline embolization device: report of 5 cases.AJNR Am J Neuroradiol, vol. 34, no. 12, Dec. 2013, pp. 2326–30. Pubmed, doi:10.3174/ajnr.A3632.
Chalouhi N, Tjoumakaris SI, Gonzalez LF, Hasan D, Pema PJ, Gould G, Rosenwasser RH, Jabbour PM. Spontaneous delayed migration/shortening of the pipeline embolization device: report of 5 cases. AJNR Am J Neuroradiol. 2013 Dec;34(12):2326–2330.

Published In

AJNR Am J Neuroradiol

DOI

EISSN

1936-959X

Publication Date

December 2013

Volume

34

Issue

12

Start / End Page

2326 / 2330

Location

United States

Related Subject Headings

  • Treatment Failure
  • Subarachnoid Hemorrhage
  • Stents
  • Radiography
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Intracranial Aneurysm
  • Humans
  • Foreign-Body Migration