Pipeline Embolization Device for the treatment of cervical carotid and vertebral dissecting aneurysms.
We present three patients with dissecting and saccular aneurysms affecting the cervical carotid and vertebral arteries treated with flow diversion using the Pipeline Embolization Device (ev3 Endovascular Inc/Covidien, Plymouth, Minn). The device was successfully deployed in all three patients without complication. Follow-up imaging studies at 8 to 18 months revealed complete occlusion of all three aneurysms. This device may be a valuable alternative to stent-graft devices in the treatment of cervical aneurysms since it is delivered through a microcatheter that is better able to negotiate tortuous anatomy of cervical carotid and vertebral arteries.
University of California, Santa Cruz, Santa Cruz, Calif. Electronic address: efortesczudlo@gmail.com.
Emma F
EF
Sczudlo
Providence Neurovascular Center, Providence St. Joseph Medical Center, Burbank, Calif.
Carolina
C
Benavides-Baron
Providence Neurovascular Center, Providence St. Joseph Medical Center, Burbank, Calif.
Joseph T
JT
Ho
Providence Neurovascular Center, Providence St. Joseph Medical Center, Burbank, Calif.
George P
GP
Teitelbaum
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D002533:Cerebral Angiography / Q000379:methods; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012039:Regional Blood Flow; D016896:Treatment Outcome; D062666:Vascular Access Devices; D020217:Vertebral Artery Dissection / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*