Article Text

Download PDFPDF

P032/347  Two cases of Moyamoya-like disease with associated internal carotid artery aneurysms: management and endovascular treatment using flow-diverters
  1. Mariangela Piano1,
  2. Tahereh Toluian2,
  3. Alessio Vitiello3
  1. 1ASST Grande Ospedale Metropolitano Niguarda, Department of Neuroradiology, Milan, Italy
  2. 2Università degli Studi di Milano, Post-graduate School in Neuroradiology, Milan, Italy
  3. 3Università degli Studi di Napoli Federico II, Post-graduate School in Neuroradiology, Naples, Italy


A 21-year-old patient came to our attention on suspicion of recurrence of a right internal carotid artery aneurysm previously treated endovascularly in another centre with stent and coils placement. The patient also had a history of previous occlusion of the ipsilateral middle cerebral artery with development of Moya-Moya-like collateralization. The preliminary angiographic study confirms the revascularization of the aneurysmal sac and also demonstrates the fracture of the previously placed stent. We then proceed to endovascular treatment by re-navigating the stent and placing multiple flow-diverting stents in a telescopic manner.

We also bring a companion case of another patient treated endovascularly in our centre for an internal carotid artery aneurysm with associated ipsilateral middle cerebral artery occlusion and development of Moyamoya-like syndrome.

Disclosure of Interest nothing to disclose

Statistics from

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.