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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 on theme: "Churg-Strauss syndrome (CSS) represents a rare systemic vasculitis that is almost invariably accompanied by bronchial asthma and eosinophilia. We report."— Presentation transcript:

1 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

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3 June 2010 - First embolization outside our center of the right aneurism with a LEO stent

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7 22/02/2011 - Left Carotid Aneurism Embolization with Pipeline

8 12/09/2011 - Right Carotid Aneurism Embolization with 2 Pipelines

9 Navigation of SL-10 inside the LEO

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

11 Failure in distal opening of the pipe opening with a 0.012 terumo ¨J¨ curve after complete deployment

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

13 PTA Post Stenting

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16 19/09/2011- Patient come to emergency room with a lost of consciousness. Glasgow 5 and dead.

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


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