Pipeline Embolization Device for the treatment of cervical carotid and vertebral dissecting aneurysms Emma F. Sczudlo, BS, Carolina Benavides-Baron,

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Presentation transcript:

Pipeline Embolization Device for the treatment of cervical carotid and vertebral dissecting aneurysms Emma F. Sczudlo, BS, Carolina Benavides-Baron, PA, Joseph T. Ho, MD, PhD, George P. Teitelbaum, MD, FSIR Journal of Vascular Surgery Volume 63, Issue 5, Pages 1371-1374 (May 2016) DOI: 10.1016/j.jvs.2015.04.426 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 Pipeline Embolization Device (PED; ev3 Endovascular Inc/Covidien, Plymouth, Minn) in expanded form. Journal of Vascular Surgery 2016 63, 1371-1374DOI: (10.1016/j.jvs.2015.04.426) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 Imaging before and after embolization with the Pipeline Embolization Device (PED; ev3 Endovascular Inc/Covidien, Plymouth, Minn) is shown for all three patients. A, Patient 1: Lateral digital subtraction angiogram of right vertebral artery demonstrates distal cervical dissecting aneurysm (arrow). B, Follow-up right vertebral digital subtraction angiogram ∼8 months after PED insertion demonstrates occlusion of previously noted dissecting aneurysm. C, Patient 2: A right lateral common carotid digital subtraction angiogram before PED embolization demonstrates 16-mm-diameter cervical right internal carotid artery (ICA) dissecting aneurysm (arrow). Note marked tortuosity of ICA adjacent to aneurysm. D, Gray scale image of color Doppler ultrasound examination of the right neck ∼1 year after insertion of the PED demonstrates patency of PED lumen (arrow) and absence of flow within the adjacent treated aneurysm cavity. E, Patient 3: Right internal carotid angiogram demonstrates right ICA dissecting aneurysm (white arrow) near the skull base. Note the intraluminal intimal flap (curved arrow) and band-like stenosis (black arrow). F, A right internal carotid follow-up angiogram demonstrates complete occlusion of the right ICA dissecting aneurysm. Journal of Vascular Surgery 2016 63, 1371-1374DOI: (10.1016/j.jvs.2015.04.426) Copyright © 2016 Society for Vascular Surgery Terms and Conditions