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Aneurysmal recurrence after successful flow-diversion embolization.

Authors :
Akbik, Feras
Saad, Hassan
Grossberg, Jonathan A
Tong, Frank C
Cawley, C Michael
Howard, Brian M
Source :
Interventional Neuroradiology. Apr2024, Vol. 30 Issue 2, p297-301. 5p.
Publication Year :
2024

Abstract

Aneurysmal recurrence after successful flow-diversion embolization is exceptionally rare. The rarity of recurrence has called into question the yield of interval surveillance imaging. Here we report the case of a recurrent intracranial aneurysm despite complete angiographic resolution after flow-diversion therapy with a Pipeline embolization device (PED). Given the absence of poor wall apposition, endoleak, and device migration, how this aneurysm recurred remains unclear, particularly given the recurrence was at a timepoint at which complete reendothelialization of the device would be expected. The patient ultimately underwent interval treatment with a second device placed across the neck of the aneurysm. Although rare, reports of aneurysmal recurrences support the use of interval non-invasive imaging surveillance to ensure successful embolization in this patient population. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
15910199
Volume :
30
Issue :
2
Database :
Academic Search Index
Journal :
Interventional Neuroradiology
Publication Type :
Academic Journal
Accession number :
177242063
Full Text :
https://doi.org/10.1177/15910199221105175