Article Text

Download PDFPDF
Case report
Republished: Successful treatment of ruptured multiple fusiform middle cerebral artery aneurysms with silk vista baby flow diverter in a 10-months-old infant
  1. Giovanni Barchetti1,
  2. Loris Di Clemente1,
  3. Mauro Mazzetto2,
  4. Mariano Zanusso2,
  5. Paola Ferrarese3,
  6. Giuseppe Iannucci1
  1. 1 Neuroradiology Unit, San Bortolo Hospital of Vicenza, Vicenza, Italy
  2. 2 Neurosurgery Unit, San Bortolo Hospital of Vicenza, Vicenza, Italy
  3. 3 Pediatric Intensive Care Unit, San Bortolo Hospital of Vicenza, Vicenza, Italy
  1. Correspondence to Dr Giovanni Barchetti, Neuroradiology Unit, San Bortolo Hospital of Vicenza, Vicenza 36100, Italy; giovanni.barchetti2{at}gmail.com

Abstract

We report the successful treatment of multiple ruptured fusiform middle cerebral artery (MCA) aneurysms in a 10-month-old girl. This previously healthy infant presented with subarachnoid haemorrhage and was found to have multiple irregular dilatations of the superior division branch of the right MCA. Cerebral angiography was performed and confirmed the presence of multiple fusiform aneurysms of the MCA. After multidisciplinary team discussion, it was decided to treat the aneurysms with endovascular approach, using a flow-diverter. Microsurgical clipping was deemed risky because of the high likelihood of parent artery occlusion and expectant management was also considered inappropriate because of the risk of re-bleeding. Dual antiplatelet therapy was started, and a flow-diverter was successfully delivered in the superior division branch of the right MCA. The post-operative course was uneventful, MRI at 12 months did not show any sign of recurrence and at 3 years of age the patient had a normal neurological examination.

  • flow diverter
  • pediatrics
  • angiography
  • aneurysm
  • stent

Statistics from Altmetric.com

Footnotes

  • Twitter @GBarchetti

  • Contributors All authors contributed equally to the design of the work, its drafting and critical revision.All authors approved the final version and take full responsibility of the integrity of the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.