A case of pipeline migration in the cervical carotid.
Publication/Presentation Date
1-1-2019
Abstract
Since its emergence in 2011, the pipeline flow diversion (PFD) has gained recognition in the treatment of certain intracranial aneurysms. However, early or delayed pipeline migration (PM) and micro-catheter/guidewire retention have been infrequently reported. We report a case of PM and shortening in the treatment of a left cervical internal carotid artery (LICA) aneurysm. A middle-aged African-American patient presents for an off-label PFD treatment of an incidental 21 × 23 mm aneurysm at the sub-petrous segment of the left ICA. While the patient remained completely neuro-intact, a 6 months follow-up angiogram revealed a persisting filling of the cervical aneurysm with a foreshortening of the pipeline by 1/3 of its original 30 mm size and proximal migration into the aneurysmal sac. We opted to watch the aneurysm within 6 months especially that the aneurysm was extra-cranial and because of the potential risks involved in trying to re-access the device.
Volume
59
First Page
344
Last Page
346
ISSN
1532-2653
Published In/Presented At
Jabbour, P., Atallah, E., Chalouhi, N., Tjoumakaris, S., & Rosenwasser, R. H. (2019). A case of pipeline migration in the cervical carotid. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 59, 344–346. https://doi.org/10.1016/j.jocn.2018.10.056
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
30392837
Department(s)
Administration and Leadership
Document Type
Article