Utility of Pipeline embolization device for emergency recanalization of a dissecting carotid tonsillar loop: illustrative cases-Reference-Cited by-同舟云学术

Utility of Pipeline embolization device for emergency recanalization of a dissecting carotid tonsillar loop: illustrative cases

Published:2021-01-25 Issue:4 Volume:1 Page:
ISSN:2694-1902
Container-title:Journal of Neurosurgery: Case Lessons
language:
Short-container-title:

Author:

Akamatsu Yosuke¹²,Gomez-Paz Santiago¹,Moore Justin M.¹,Ogilvy Christopher S.¹,Thomas Ajith J.¹

Affiliation:

1. Neurosurgical Service, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts; and

2. Department of Neurosurgery, Iwate Medical University, Yahaba, Japan

Abstract

BACKGROUNDCervical arterial tortuosity is not uncommon in patients with spontaneous carotid artery dissections (CADs), but the tortuosity often precludes endovascular stent reconstruction. The authors report 2 cases of emergency recanalization of a carotid tonsillar loop dissection using a Pipeline embolization device (PED).OBSERVATIONSTwo patients presented with symptomatic CAD involving tonsillar looping of the cervical internal carotid artery (ICA). Although the tonsillar loop prevented navigation of the carotid and peripheral stent delivery system, a PED was easily navigated and successfully deployed, resulting in successful recanalization of a looped ICA.LESSONSEmergency recanalization of a cervical CAD using a PED is a feasible alternative for treating a cervical CAD associated with tonsillar loops.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

Management Science and Operations Research,Mechanical Engineering,Energy Engineering and Power Technology

Link

https://thejns.org/downloadpdf/journals/j-neurosurg-case-lessons/1/4/article-CASE2064.xml

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2. Acute Cervical Internal Carotid Artery and Middle Cerebral Artery Tandem Occlusion Due to Spontaneous Carotid Tonsillar Loop Dissection: Retrograde Approach, Intracranial Stent-Retriever-Assisted Middle Cerebral Artery Thrombectomy, and Reconstruction of the Dissected Segment by Flow-Diverter Stent Implant, with a Favorable Outcome;The Ischemic Stroke Casebook;2022