Pipeline embolization for definitive endoluminal reconstruction of blister-type carotid aneurysms after clip wrapping

M. S. Yashar Kalani, Felipe C. Albuquerque, Michael Levitt, Peter Nakaji, Robert F. Spetzler, Cameron McDougall

Research output: Contribution to journalArticle

Abstract

Background Ruptured blister aneurysms of the carotid artery are difficult to safely treat. We present a novel strategy of microsurgical clip wrapping of internal carotid artery blister aneurysms in the setting of acute rupture, followed by delayed placement of a pipeline embolization device for definitive treatment. Clinical presentation We present two cases of ruptured blister aneurysms of the internal carotid artery treated by wrapping of the diseased segment of the vessel, followed by delayed deployment of a flow diverting stent once the patient was out of the vasospasm window but during the same hospitalization. Results Clip wrapping followed by flow diversion in a delayed fashion results in anatomic remodeling of the diseased artery without a high morbidity. Conclusions A combined approach of acute surgical stabilization followed by definitive endovascular reconstruction may reduce hemorrhagic complications while improving long term treatment durability.

Original languageEnglish (US)
Pages (from-to)495-500
Number of pages6
JournalJournal of NeuroInterventional Surgery
Volume8
Issue number5
DOIs
StatePublished - May 1 2016
Externally publishedYes

Fingerprint

Blister
Surgical Instruments
Aneurysm
Ruptured Aneurysm
Internal Carotid Artery
Carotid Arteries
Stents
Rupture
Hospitalization
Arteries
Morbidity
Equipment and Supplies
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Pipeline embolization for definitive endoluminal reconstruction of blister-type carotid aneurysms after clip wrapping. / Yashar Kalani, M. S.; Albuquerque, Felipe C.; Levitt, Michael; Nakaji, Peter; Spetzler, Robert F.; McDougall, Cameron.

In: Journal of NeuroInterventional Surgery, Vol. 8, No. 5, 01.05.2016, p. 495-500.

Research output: Contribution to journalArticle

Yashar Kalani, M. S. ; Albuquerque, Felipe C. ; Levitt, Michael ; Nakaji, Peter ; Spetzler, Robert F. ; McDougall, Cameron. / Pipeline embolization for definitive endoluminal reconstruction of blister-type carotid aneurysms after clip wrapping. In: Journal of NeuroInterventional Surgery. 2016 ; Vol. 8, No. 5. pp. 495-500.
@article{f1a8781aad2648988f10d82cd8cc87a8,
title = "Pipeline embolization for definitive endoluminal reconstruction of blister-type carotid aneurysms after clip wrapping",
abstract = "Background Ruptured blister aneurysms of the carotid artery are difficult to safely treat. We present a novel strategy of microsurgical clip wrapping of internal carotid artery blister aneurysms in the setting of acute rupture, followed by delayed placement of a pipeline embolization device for definitive treatment. Clinical presentation We present two cases of ruptured blister aneurysms of the internal carotid artery treated by wrapping of the diseased segment of the vessel, followed by delayed deployment of a flow diverting stent once the patient was out of the vasospasm window but during the same hospitalization. Results Clip wrapping followed by flow diversion in a delayed fashion results in anatomic remodeling of the diseased artery without a high morbidity. Conclusions A combined approach of acute surgical stabilization followed by definitive endovascular reconstruction may reduce hemorrhagic complications while improving long term treatment durability.",
author = "{Yashar Kalani}, {M. S.} and Albuquerque, {Felipe C.} and Michael Levitt and Peter Nakaji and Spetzler, {Robert F.} and Cameron McDougall",
year = "2016",
month = "5",
day = "1",
doi = "10.1136/neurintsurg-2015-011659",
language = "English (US)",
volume = "8",
pages = "495--500",
journal = "Journal of NeuroInterventional Surgery",
issn = "1759-8478",
publisher = "BMJ Publishing Group",
number = "5",

}

TY - JOUR

T1 - Pipeline embolization for definitive endoluminal reconstruction of blister-type carotid aneurysms after clip wrapping

AU - Yashar Kalani, M. S.

AU - Albuquerque, Felipe C.

AU - Levitt, Michael

AU - Nakaji, Peter

AU - Spetzler, Robert F.

AU - McDougall, Cameron

PY - 2016/5/1

Y1 - 2016/5/1

N2 - Background Ruptured blister aneurysms of the carotid artery are difficult to safely treat. We present a novel strategy of microsurgical clip wrapping of internal carotid artery blister aneurysms in the setting of acute rupture, followed by delayed placement of a pipeline embolization device for definitive treatment. Clinical presentation We present two cases of ruptured blister aneurysms of the internal carotid artery treated by wrapping of the diseased segment of the vessel, followed by delayed deployment of a flow diverting stent once the patient was out of the vasospasm window but during the same hospitalization. Results Clip wrapping followed by flow diversion in a delayed fashion results in anatomic remodeling of the diseased artery without a high morbidity. Conclusions A combined approach of acute surgical stabilization followed by definitive endovascular reconstruction may reduce hemorrhagic complications while improving long term treatment durability.

AB - Background Ruptured blister aneurysms of the carotid artery are difficult to safely treat. We present a novel strategy of microsurgical clip wrapping of internal carotid artery blister aneurysms in the setting of acute rupture, followed by delayed placement of a pipeline embolization device for definitive treatment. Clinical presentation We present two cases of ruptured blister aneurysms of the internal carotid artery treated by wrapping of the diseased segment of the vessel, followed by delayed deployment of a flow diverting stent once the patient was out of the vasospasm window but during the same hospitalization. Results Clip wrapping followed by flow diversion in a delayed fashion results in anatomic remodeling of the diseased artery without a high morbidity. Conclusions A combined approach of acute surgical stabilization followed by definitive endovascular reconstruction may reduce hemorrhagic complications while improving long term treatment durability.

UR - http://www.scopus.com/inward/record.url?scp=84963773961&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84963773961&partnerID=8YFLogxK

U2 - 10.1136/neurintsurg-2015-011659

DO - 10.1136/neurintsurg-2015-011659

M3 - Article

C2 - 25854686

AN - SCOPUS:84963773961

VL - 8

SP - 495

EP - 500

JO - Journal of NeuroInterventional Surgery

JF - Journal of NeuroInterventional Surgery

SN - 1759-8478

IS - 5

ER -