Aneurysms with persistent patency after treatment with the pipeline embolization device

Peter Kan, Visish M. Srinivasan, Nnenna Mbabuike, Rabih G. Tawk, Vin Shen Ban, Babu G. Welch, Maxim Mokin, Bartley D. Mitchell, Ajit Puri, Mandy J. Binning, Edward Duckworth

Research output: Contribution to journalArticle

Abstract

The Pipeline Embolization Device (PED) was approved for the treatment of intracranial aneurysms from the petrous to the superior hypophyseal segment of the internal carotid artery. However, since its approval, its use for treatment of intracranial aneurysms in other locations and non-sidewall aneurysms has grown tremendously. The authors report on a cohort of 15 patients with 16 cerebral aneurysms that incorporated an end vessel with no significant distal collaterals, which were treated with the PED. The cohort includes 7 posterior communicating artery aneurysms, 5 ophthalmic artery aneurysms, 1 superior cerebellar artery aneurysm, 1 anterior inferior cerebellar artery aneurysm, and 2 middle cerebral artery aneurysms. None of the aneurysms achieved significant occlusion at the last follow-up evaluation (mean 24 months). Based on these observations, the authors do not recommend the use of flow diverters for the treatment of this subset of cerebral aneurysms.

Original languageEnglish (US)
Pages (from-to)1894-1898
Number of pages5
JournalJournal of neurosurgery
Volume126
Issue number6
DOIs
StatePublished - Jun 2017
Externally publishedYes

Keywords

  • Aneurysm
  • Failure
  • Flow diversion
  • Interventional neurosurgery
  • Pipeline embolization device
  • Vascular disorders

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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  • Cite this

    Kan, P., Srinivasan, V. M., Mbabuike, N., Tawk, R. G., Ban, V. S., Welch, B. G., Mokin, M., Mitchell, B. D., Puri, A., Binning, M. J., & Duckworth, E. (2017). Aneurysms with persistent patency after treatment with the pipeline embolization device. Journal of neurosurgery, 126(6), 1894-1898. https://doi.org/10.3171/2016.6.JNS16402