Churg-Strauss syndrome (CSS) represents a rare systemic vasculitis that is almost invariably accompanied by bronchial asthma and eosinophilia. We report.

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Presentation transcript:

Churg-Strauss syndrome (CSS) represents a rare systemic vasculitis that is almost invariably accompanied by bronchial asthma and eosinophilia. We report a case of a 56-year-old woman with bilateral giant cavernous aneurysms. Hematological examination revealed an increased percentage of eosinophils. We treated with stents and flow diverter One week after the implant of the second aneurysm the patient suffered a massive intracranial bleeding

June First embolization outside our center of the right aneurism with a LEO stent

22/02/ Left Carotid Aneurism Embolization with Pipeline

12/09/ Right Carotid Aneurism Embolization with 2 Pipelines

Navigation of SL-10 inside the LEO

prePTA :Hyperglyde 4 x 30 balloon exchange over an X -celerator 0.10, 300 cm Pre "first" PTA Post "first" PTA

Failure in distal opening of the pipe opening with a terumo ¨J¨ curve after complete deployment

Control angio after 2nd pipe deployed in the proximal cavernous segment

PTA Post Stenting

19/09/2011- Patient come to emergency room with a lost of consciousness. Glasgow 5 and dead.

Origin of the haemorraghe? Antiagregation? Difficult procedure and delayed complication? Endoleak and growth aneurysm? Increased inflow in the carotid syphon territory and "reperfusion syndrome"?