title: Pipeline embolization device for the treatment of a traumatic intracranial aneurysm in a child.
abstract: BACKGROUND
  Traumatic intracranial aneurysms in children are rare and may occur as the result of closed or penetrating head trauma. Their natural history seems to be more aggressive. Most traumatic aneurysms have complex shape, tending to have a large neck or even a fusiform morphology.
  
  
  METHODS
  We present a case of a traumatic carotid artery aneurysm in a 9-year-old girl that was successfully treated with pipeline embolization device.
  
  
  CONCLUSIONS
  Due to its dissecting nature, wall friability and lack of a substantial neck can make surgical clipping and selective coiling difficult and risky. Although endovascular parent artery occlusion is the best approach in the acute phase, in some situations it is not possible or very risky. In such scenario the use of flow diverter devices would be an alternative approach. Additionally, we discuss the potential advantages and risks of flow diverter deployment inside a developing vessel.
authors.affiliation: Division of Interventional Neuroradiology, Hospital Felício Rocho, Belo Horizonte, Minas Gerais, Brazil. felipepadovani@yahoo.com.br.
authors.forename: Felipe Padovani
authors.initials: FP
authors.lastname: Trivelato
authors.affiliation: Division of Interventional Neuroradiology, Hospital Felício Rocho, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Marco Túlio Salles
authors.initials: MTS
authors.lastname: Rezende
authors.affiliation: Division of Interventional Neuroradiology, Hospital Felício Rocho, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Luiz Venâncio
authors.initials: LV
authors.lastname: Fonseca
authors.affiliation: Division of Interventional Neuroradiology, Hospital Felício Rocho, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Lucas Eduardo
authors.initials: LE
authors.lastname: Bonadio
authors.affiliation: Division of Interventional Neuroradiology, Hospital Felício Rocho, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Alexandre Cordeiro
authors.initials: AC
authors.lastname: Ulhôa
authors.affiliation: Division of Interventional Neuroradiology, Hospital das Clínicas Faculdade de Medicina, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
authors.forename: Daniel Giansante
authors.initials: DG
authors.lastname: Abud
mesh_terms: D002648:Child; D004621:Embolization, Therapeutic / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D015607:Stents; D016896:Treatment Outcome
keywords: Aneurysm; Child; Embolization; Flow diverter; Trauma