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Recurrent Wide-Necked Bifurcation Aneurysm: Treatment Using PulseRider® as an Adjunctive Device

  • Helen Cliffe
  • Tufail Patankar
Chapter

Abstract

A 53-year-old female had an anterior communicating artery (ACOM) aneurysm (Fig. 35.1a) treated electively with balloon-assisted coiling (Fig. 35.1b, c). Six months later, a repeat catheter angiogram showed significant recurrence of the aneurysm (Fig. 35.1d). Treatment options were assessed and the pros and cons discussed in a neurovascular multidisciplinary team meeting. The patient was offered either surgery or endovascular treatment and she opted for the former. However, after failed attempt at surgical management, the endovascular options were re-evaluated, and a PulseRider® (Pulsar Vascular, San Jose, CA, USA) assisted coiling was considered (Figs. 35.2 and 35.3).

Suggested Reading

  1. Gory B, Spiotta AM, Mangiafico S, Consoli A, Biondi A, Pomero E, Killer-Oberpfalzer M, Weber W, Riva R, Labeyrie PE, Turjman F. PulseRider stent-assisted coiling of wide-neck bifurcation aneurysms: periprocedural results in an international series. Am J Neuroradiol. 2016;37(1):130–5.CrossRefGoogle Scholar
  2. Mukherjee S, Chandran A, Gopinathan A, Putharan M, Goddard T, Eldridge PR, Patankar T, Nahser HC. PulseRider-assisted treatment of wide-necked intracranial bifurcation aneurysms: safety and feasibility study. J Neurosurg. 2017;127:61–8.CrossRefGoogle Scholar
  3. Starke RM, Turk A, Ding D, Crowley RW, Liu KC, Chalouhi N, Hasan DM, Dumont AS, Jabbour P, Durst CR, Turner RD. Technology developments in endovascular treatment of intracranial aneurysms. J Neurointerv Surg. 2016;8:135–44.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  • Helen Cliffe
    • 1
  • Tufail Patankar
    • 1
  1. 1.Leeds Teaching Hospitals NHS TrustLeedsUK

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