Extraintracranial Bypass as a Rescue Therapy for Symptomatic Flow Diverter Thrombosis

A 56-year-old female with a giant partially thrombosed unruptured carotid-ophthalmic aneurysm was treated with a Pipeline flow diverter. Three months after the procedure, in concomitance with the discontinuation of one of the antiplatelet medications, the patient suffered from a minor stroke and rel...

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Main Authors: Luigi A. Lanterna, Alessandro Lunghi, Carlo Brembilla, Paolo Gritti, Claudio Bernucci
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2015/204387
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author Luigi A. Lanterna
Alessandro Lunghi
Carlo Brembilla
Paolo Gritti
Claudio Bernucci
author_facet Luigi A. Lanterna
Alessandro Lunghi
Carlo Brembilla
Paolo Gritti
Claudio Bernucci
author_sort Luigi A. Lanterna
collection DOAJ
description A 56-year-old female with a giant partially thrombosed unruptured carotid-ophthalmic aneurysm was treated with a Pipeline flow diverter. Three months after the procedure, in concomitance with the discontinuation of one of the antiplatelet medications, the patient suffered from a minor stroke and relapsing transient ischemic attacks. The angiography demonstrated the occlusion of the internal carotid artery, and a perfusion-weighted CT scan showed a condition of hypoperfusion. The patient underwent a double-barrel extraintracranial bypass. The postoperative course was uneventful and she has experienced no further ischemic events to date.
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series Case Reports in Neurological Medicine
spelling doaj-art-db37161b9a524c879b920efa6bc9d3bf2025-02-03T06:42:27ZengWileyCase Reports in Neurological Medicine2090-66682090-66762015-01-01201510.1155/2015/204387204387Extraintracranial Bypass as a Rescue Therapy for Symptomatic Flow Diverter ThrombosisLuigi A. Lanterna0Alessandro Lunghi1Carlo Brembilla2Paolo Gritti3Claudio Bernucci4Department of Neuroscience and Surgery of the Nervous System, Papa Giovanni XXIII Hospital, 24127 Bergamo, ItalyDepartment of Neuroradiology, Alessandro Manzoni Hospital, Lecco, ItalyDepartment of Neuroscience and Surgery of the Nervous System, Papa Giovanni XXIII Hospital, 24127 Bergamo, ItalyDepartment of Anesthesiology, Papa Giovanni XXIII Hospital, 24127 Bergamo, ItalyDepartment of Neuroscience and Surgery of the Nervous System, Papa Giovanni XXIII Hospital, 24127 Bergamo, ItalyA 56-year-old female with a giant partially thrombosed unruptured carotid-ophthalmic aneurysm was treated with a Pipeline flow diverter. Three months after the procedure, in concomitance with the discontinuation of one of the antiplatelet medications, the patient suffered from a minor stroke and relapsing transient ischemic attacks. The angiography demonstrated the occlusion of the internal carotid artery, and a perfusion-weighted CT scan showed a condition of hypoperfusion. The patient underwent a double-barrel extraintracranial bypass. The postoperative course was uneventful and she has experienced no further ischemic events to date.http://dx.doi.org/10.1155/2015/204387
spellingShingle Luigi A. Lanterna
Alessandro Lunghi
Carlo Brembilla
Paolo Gritti
Claudio Bernucci
Extraintracranial Bypass as a Rescue Therapy for Symptomatic Flow Diverter Thrombosis
Case Reports in Neurological Medicine
title Extraintracranial Bypass as a Rescue Therapy for Symptomatic Flow Diverter Thrombosis
title_full Extraintracranial Bypass as a Rescue Therapy for Symptomatic Flow Diverter Thrombosis
title_fullStr Extraintracranial Bypass as a Rescue Therapy for Symptomatic Flow Diverter Thrombosis
title_full_unstemmed Extraintracranial Bypass as a Rescue Therapy for Symptomatic Flow Diverter Thrombosis
title_short Extraintracranial Bypass as a Rescue Therapy for Symptomatic Flow Diverter Thrombosis
title_sort extraintracranial bypass as a rescue therapy for symptomatic flow diverter thrombosis
url http://dx.doi.org/10.1155/2015/204387
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