title: Extraintracranial Bypass as a Rescue Therapy for Symptomatic Flow Diverter Thrombosis.
abstract: 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.
authors.affiliation: Department of Neuroscience and Surgery of the Nervous System, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Luigi A
authors.initials: LA
authors.lastname: Lanterna
authors.affiliation: Department of Neuroradiology, Alessandro Manzoni Hospital, Lecco, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Lunghi
authors.affiliation: Department of Neuroscience and Surgery of the Nervous System, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Brembilla
authors.affiliation: Department of Anesthesiology, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Gritti
authors.affiliation: Department of Neuroscience and Surgery of the Nervous System, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
authors.forename: Claudio
authors.initials: C
authors.lastname: Bernucci