Failure of the Pipeline Embolization Device in Posterior Communicating Artery Aneurysms Associated with a Fetal Posterior Cerebral Artery

The pipeline embolization device has emerged as an important endovascular option. This is in part due to safety, efficacy, and possibly the ability to shorten the operative time considerably. With this new technology, some limitations are emerging as experience accumulates. We report three cases of...

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Main Authors: Mario Zanaty, Nohra Chalouhi, Robert M. Starke, Pascal Jabbour, Katherine O. Ryken, Ketan R. Bulsara, David Hasan
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2016/4691275
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spelling doaj-bd14ae2a940a4001b2627f10d3ad436f2020-11-24T22:41:56ZengHindawi LimitedCase Reports in Vascular Medicine2090-69862090-69942016-01-01201610.1155/2016/46912754691275Failure of the Pipeline Embolization Device in Posterior Communicating Artery Aneurysms Associated with a Fetal Posterior Cerebral ArteryMario Zanaty0Nohra Chalouhi1Robert M. Starke2Pascal Jabbour3Katherine O. Ryken4Ketan R. Bulsara5David Hasan6Department of Neurosurgery, University of Iowa Hospital and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USADepartment of Neurological Surgery, Thomas Jefferson University and Jefferson Hospital for Neuroscience, 901 Walnut Street, 3rd floor, Philadelphia, PA 19107, USADepartment of Neurosurgery, University of Virginia, Charlottesville, VA 22908, USADepartment of Neurological Surgery, Thomas Jefferson University and Jefferson Hospital for Neuroscience, 901 Walnut Street, 3rd floor, Philadelphia, PA 19107, USADepartment of Neurosurgery, University of Iowa Hospital and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USADepartment of Neurosurgery, Yale University, New Haven, CT 06519, USADepartment of Neurosurgery, University of Iowa Hospital and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USAThe pipeline embolization device has emerged as an important endovascular option. This is in part due to safety, efficacy, and possibly the ability to shorten the operative time considerably. With this new technology, some limitations are emerging as experience accumulates. We report three cases of posterior communicating (PCOM) artery aneurysms associated with fetal posterior cerebral artery where pipeline embolization was unsuccessful in obliterating the aneurysms. PCOM artery aneurysms associated with a fetal PCA should be managed either by microsurgical clipping or coiling when feasible.http://dx.doi.org/10.1155/2016/4691275
collection DOAJ
language English
format Article
sources DOAJ
author Mario Zanaty
Nohra Chalouhi
Robert M. Starke
Pascal Jabbour
Katherine O. Ryken
Ketan R. Bulsara
David Hasan
spellingShingle Mario Zanaty
Nohra Chalouhi
Robert M. Starke
Pascal Jabbour
Katherine O. Ryken
Ketan R. Bulsara
David Hasan
Failure of the Pipeline Embolization Device in Posterior Communicating Artery Aneurysms Associated with a Fetal Posterior Cerebral Artery
Case Reports in Vascular Medicine
author_facet Mario Zanaty
Nohra Chalouhi
Robert M. Starke
Pascal Jabbour
Katherine O. Ryken
Ketan R. Bulsara
David Hasan
author_sort Mario Zanaty
title Failure of the Pipeline Embolization Device in Posterior Communicating Artery Aneurysms Associated with a Fetal Posterior Cerebral Artery
title_short Failure of the Pipeline Embolization Device in Posterior Communicating Artery Aneurysms Associated with a Fetal Posterior Cerebral Artery
title_full Failure of the Pipeline Embolization Device in Posterior Communicating Artery Aneurysms Associated with a Fetal Posterior Cerebral Artery
title_fullStr Failure of the Pipeline Embolization Device in Posterior Communicating Artery Aneurysms Associated with a Fetal Posterior Cerebral Artery
title_full_unstemmed Failure of the Pipeline Embolization Device in Posterior Communicating Artery Aneurysms Associated with a Fetal Posterior Cerebral Artery
title_sort failure of the pipeline embolization device in posterior communicating artery aneurysms associated with a fetal posterior cerebral artery
publisher Hindawi Limited
series Case Reports in Vascular Medicine
issn 2090-6986
2090-6994
publishDate 2016-01-01
description The pipeline embolization device has emerged as an important endovascular option. This is in part due to safety, efficacy, and possibly the ability to shorten the operative time considerably. With this new technology, some limitations are emerging as experience accumulates. We report three cases of posterior communicating (PCOM) artery aneurysms associated with fetal posterior cerebral artery where pipeline embolization was unsuccessful in obliterating the aneurysms. PCOM artery aneurysms associated with a fetal PCA should be managed either by microsurgical clipping or coiling when feasible.
url http://dx.doi.org/10.1155/2016/4691275
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