Management of a Twisted Flow Diverting Stent With a Balloon Mounted Cardiac Stent in a Pediatric Aneurysm: A Technical Report-Reference-Cited by-同舟云学术

Management of a Twisted Flow Diverting Stent With a Balloon Mounted Cardiac Stent in a Pediatric Aneurysm: A Technical Report

Published:2024-07-31 Issue: Volume: Page:
ISSN:2332-4252
Container-title:Operative Neurosurgery
language:en
Short-container-title:

Author:

Russell Keannette¹,Johnson William Chase¹,Al Saiegh Fadi¹,Birnbaum Lee¹,Coon Alexander²,Mascitelli Justin¹^ORCID

Affiliation:

1. Department of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA;

2. Carondelet Neurological Institute, Carondelet St. Joseph's Hospital, Tucson, Arizona, USA

Abstract

BACKGROUND AND IMPORTANCE: Giant aneurysms can present technical challenges during treatment with flow diversion including inability to access the aneurysm outflow directly. Encircling the aneurysm with a microwire/microcatheter has been well described; however, it can result in a twisted stent because of catheter twisting during the reduction maneuver, which, in turn, could lead to thromboembolic complications. CASE PRESENTATION: Here, we describe a novel technique to manage the twist of the flow diverter in a giant internal carotid artery aneurysm using a combination of angioplasty and off-label placement of a balloon-mounted cardiac stent within the flow diverter. CONCLUSION: At 1 year, the aneurysm is completely occluded on digital subtraction angiography and MRI, and the patient is neurologically intact.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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