Management of giant internal carotid aneurysm by extracranial-intracranial bypass and flow diverter stent

Kaliyev A. Makhambetov Y. Medetov Y. Kulmirzayev M. Dusembayev S. Nurimanov C. Kunakbayev B. Akshulakov S.
2023 Taylor and Francis Ltd.

British Journal of Neurosurgery
2023 #37 Issue 6 1893 - 1897 pp.

Flow diverter stents have become the standard approach to managing intracranial aneurysms; however, in some cases of complex, wide-necked aneurysms, poor outcomes due to stent occlusion have been reported. We report the case of a giant internal carotid artery aneurysm treated by high-flow extracranial-intracranial (EC-IC) bypass with flow diverter deployment. Seven months post-operatively, radiographic imaging demonstrated occlusion of the stent and parent artery, with further ischemic events prevented by collateral flow from the high flow bypass. This case demonstrates the continued utility of EC-IC bypass in the endovascular era, especially as a rescue tool in cases of delayed stent occlusion.

flow diverter stent , Giant aneurysm , high flow bypass , internal carotid artery

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Department of Vascular and Functional Neurosurgery, Nur-Sultan, Kazakhstan

Department of Vascular and Functional Neurosurgery

10 лет помогаем публиковать статьи Международный издатель

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