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KMID : 1001920140550010032
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Journal of Korean Neurosurgical Society
2014 Volume.55 No. 1 p.32 ~ p.35
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Treatment for Giant Fusiform Aneurysm Located in the Cavernous Segment of the Internal Carotid Artery Using the Pipeline Embolization Device
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Oh Se-Yang
Kim Myeong-Jin
Kim Bum-Soo
Shin Yong-Sam
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Abstract
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The pipeline embolization device (PED) is a new endovascular device for treatment of complex, fusiform and wide-neck intracranial aneurysms. The main mechanism of this stent is to divert the flow in the parent artery with reduction of inflow in the aneurysm leading to thrombosis. We treated a 40-year-old woman who had left facial pain and orbit discomfort. Angiography showed a giant fusiform aneurysm located in the cavernous segment of the left internal carotid artery. A PED was successfully deployed across the aneurysm. The procedure and post-procedural course were uneventful. After 3 months, angiography showed complete obliteration of the aneurysm with good patency of the branching vessels originating from the deployed segment. The patient’s symptoms improved completely without complications.
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KEYWORD
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Pipeline embolization device, Fusiform aneurysm
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