Pipeline embolisation device (PED) treatment of two right-sided intracranial carotid artery (ICA) aneurysms, 4 mm anterior choroidal aneurysm and a 5 mm.

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Presentation transcript:

Pipeline embolisation device (PED) treatment of two right-sided intracranial carotid artery (ICA) aneurysms, 4 mm anterior choroidal aneurysm and a 5 mm communicating segment aneurysm, with occlusion demonstrated at 12 months. Pipeline embolisation device (PED) treatment of two right-sided intracranial carotid artery (ICA) aneurysms, 4 mm anterior choroidal aneurysm and a 5 mm communicating segment aneurysm, with occlusion demonstrated at 12 months. (A) Pre-embolisation 3D-rotational reconstructed image, oblique view, and (B) digital subtraction angiogram (lateral view) of right ICA demonstrating the right anterior choroidal aneurysm (red arrow) and communicating segment aneurysm (red arrowhead). Native fluoroscopy (C, anteroposterior (AP) view; D, lateral view) immediately following deployment confirms the single 3.75 mm by 16 mm PED (black arrow) was implanted across the length of both aneurysms with appropriate wall apposition (red arrow, communicating segment aneurysm). At 12 months, (E, lateral view) follow-up digital subtraction angiogram of the right ICA confirms occlusion of both aneurysms and (F, AP view) patent distal vasculature. Jessica K Campos et al. Stroke Vasc Neurol 2019;4:43-47 © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.