Transcirculation Silk Vista Baby-assisted coiling in half-T configuration for the treatment of posterior communicating artery aneurysms associated with a fetal posterior circulation: An alternative flow diversion strategy |
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Authors: | Mario Martí nez-Gald mez,Miguel Schü ller-Arteaga,Jorge Galv n-Fern ndez,Vladimir Kalousek,Ezequiel Petra,Boris Pab n,Santiago Ortega-Guti rrez,Paloma Jim nez-Arribas,Carlos Rodrí guez-Arias |
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Abstract: | Flow diverter devices have become a routine first-line option for treatment of an increasing population of intracranial aneurysms at many neurovascular centers. Despite the promising results of flow diverter stents on anterior circulation, incomplete occlusion on the presence of fetal posterior circulation has been described on several reports. Here we describe a novel technical alternative to conventional flow diversion approach for this specific subgroup of aneurysms using the low-profile flow diverter, Silk Vista Baby. The device was selectively placed into the fetal type posterior cerebral artery in half-T configuration for the treatment of a posterior communicating aneurysm using a transcirculation approach through the anterior communicating artery. This represents a useful and effective technique and should be considered when encountering the above-described situation. |
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Keywords: | Aneurysm flowdiversion fetal PCA |
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