RT Journal Article
SR Electronic
T1 Republished: Novel balloon application for rescue and realignment of a proximal end migrated pipeline flex embolization device into the aneurysmal sac: complication management
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP e4
OP e4
DO 10.1136/neurintsurg-2016-012263.rep
VO 9
IS 1
A1 Martínez-Galdámez, Mario
A1 Ortega-Quintanilla, Joaquin
A1 Hermosín, Antonio
A1 Crespo-Vallejo, Eduardo
A1 Ailagas, Juan José
A1 Pérez, Santiago
YR 2017
UL http://jnis.bmj.com/content/9/1/e4.abstract
AB The pipeline embolization device (PED) has become a routine firstline option for the treatment of an increasing population of intracranial aneurysms at many neurovascular centers. Intraprocedural complications during PED deployment, or complications associated with migration of the device, are rarely reported problems. Significant mismatch in luminal diameter between the inflow vessel and the outflow vessel or excessive dragging–stretching of the PED have been related to ‘watermelon seed’ or ‘accordion’ effects, respectively, resulting in stent migration. Here we present a novel balloon technique that was successfully used to realign an in situ flow diverting stent that had prolapsed into a large aneurysm. This represents a useful salvage technique and should be considered when encountering this potential complication.