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

Mario Martínez-Galdámez; Miguel Schüller-Arteaga; Jorge Galván-Fernández; Vladimir Kalousek; Ezequiel Petra; Boris Pabón; Santiago Ortega-Gutiérrez; Paloma Jiménez-Arribas; Carlos Rodríguez-Arias

doi:10.1177/1591019920961889

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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

Journal article

Open access

Peer reviewed

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

Mario Martínez-Galdámez, Miguel Schüller-Arteaga, Jorge Galván-Fernández, Vladimir Kalousek, Ezequiel Petra, Boris Pabón, Santiago Ortega-Gutiérrez, Paloma Jiménez-Arribas and Carlos Rodríguez-Arias

Interventional neuroradiology, Vol.27(2), pp.230-234

04/2021

DOI: 10.1177/1591019920961889

PMCID: PMC8050534

PMID: 32967502

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8050534View

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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.

Embolization, Therapeutic

Endovascular Procedures

Humans

Intracranial Aneurysm - diagnostic imaging

Intracranial Aneurysm - therapy

Retrospective Studies

Stents

Treatment Outcome

Details

Title: Subtitle: 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
Creators: Mario Martínez-Galdámez - Hospital Clínico Universitario de Valladolid
Miguel Schüller-Arteaga - Hospital Clínico Universitario de Valladolid
Jorge Galván-Fernández - Hospital Clínico Universitario de Valladolid
Vladimir Kalousek - Sisters of Charity Hospital
Ezequiel Petra - Interventional Neuroradiology, Hospital Español de Mendoza, Mendoza, Argentina.
Boris Pabón - Interventional Neuroradiology, Angioteam-Angiosur, Medellín, Colombia.
Santiago Ortega-Gutiérrez - University of Iowa
Paloma Jiménez-Arribas - Hospital Clínico Universitario de Valladolid
Carlos Rodríguez-Arias - Hospital Clínico Universitario de Valladolid
Resource Type: Journal article
Publication Details: Interventional neuroradiology, Vol.27(2), pp.230-234
DOI: 10.1177/1591019920961889
PMID: 32967502
PMCID: PMC8050534
NLM abbreviation: Interv Neuroradiol
ISSN: 1591-0199
eISSN: 2385-2011
Language: English
Date published: 04/2021
Academic Unit: Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
Record Identifier: 9984303021402771

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