Endovascular flow diversion therapy for an actively hemorrhaging aneurysm after intraoperative rupture

摘要: We report a 56-year-old woman who had an unruptured posterior communicating artery aneurysm. Given the size and location of aneurysm, as well her history smoking age, she received endovascular treatment with pipeline embolization device (PED; ev3 Endovascular, Plymouth, MN, USA), complicated by intraoperative rupture (IOR). Flow diversion therapy PED has become increasingly popular method aneurysmal parent vessel remodeling. While its on-label approval is for large aneurysms internal carotid artery, success in off-label scenarios been reported, including ruptured aneurysms. IOR complicates aneurysm can cause devastating morbidity or mortality, necessitating acute hemorrhaging This patient illustrates feasibility treating stand-alone flow using PED.