title: Coiling of a residual internal carotid artery aneurysm via an extracranial-intracranial bypass graft following parent vessel occlusion.
abstract: We report the case of a ruptured internal carotid artery (ICA) aneurysm that demonstrated significant persistent filling despite management with a common carotid to middle cerebral artery saphenous vein extracranial-intracranial bypass and subsequent permanent ICA balloon occlusion. The residual aneurysm was successfully embolised with detachable coils using a novel endovascular approach via the bypass graft.
authors.affiliation: Department of Neurosurgery, Addenbrooke's Hospital, Cambridge, UK.
authors.forename: Mathew R
authors.initials: MR
authors.lastname: Guilfoyle
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Kirkpatrick
authors.forename: J Nicholas P
authors.initials: JN
authors.lastname: Higgins
mesh_terms: D000368:Aged; D021721:Balloon Occlusion / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D017536:Carotid Artery, Common / Q000601:surgery; D002343:Carotid Artery, Internal; D020215:Carotid Artery, Internal, Dissection / Q000601:surgery; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000628:therapy*; D008866:Microsurgery / Q000379:methods; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology