RT Journal Article
SR Electronic
T1 Failure of aneurysm occlusion by flow diverter: a role for surgical bypass and parent artery occlusion
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP e13
OP e13
DO 10.1136/neurintsurg-2013-011062
VO 7
IS 4
A1 Mattingly, Thomas
A1 Van Adel, Brian
A1 Dyer, Erin
A1 Lopez-Ojeda, Pablo
A1 Pelz, David M
A1 Lownie, Stephen P
A1 Marotta, Thomas
A1 Boulton, Melfort
YR 2015
UL http://jnis.bmj.com/content/7/4/e13.abstract
AB Flow diverters represent a paradigm shift in the treatment of aneurysms. However, unusual and poorly understood complications are being reported. We present a case of a giant internal carotid artery terminus aneurysm treated with flow diversion that progressively and symptomatically enlarged despite a reduction in the filling portion. Complete occlusion of the aneurysm and reduction in mass effect occurred through superficial temporal artery– middle cerebral artery bypass and parent artery occlusion. Incomplete aneurysm occlusion following flow diversion has been reported, but mechanisms and predisposing factors are speculative and definitive solutions have not been described. This case illustrates a potential solution.