Flow Diversion for Treatment of Growing A2 Aneurysm in a Child

Case Report and Review of Flow Diversion for Intracranial Aneurysms in Pediatric Patients

Jay Ashok Vachhani, Christopher Michael Nickele, Lucas Elijovich, Paul Klimo, Adam Arthur

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background Intracranial flow diversion has gained increasing popularity since the approval of the Pipeline Embolization Device (PED). Although it is only approved for use in adult patients, the PED has been used to treat aneurysms in pediatric patients. We present the first reported case of the use of a PED in a pediatric patient to treat an unusual fusiform distal anterior cerebral artery aneurysm. Case Description A 12-year-old girl presented with new onset seizures and was found to have a distal left anterior cerebral artery aneurysm. Initially, this was managed conservatively, but follow-up imaging performed 4 months after presentation demonstrated enlargement of the aneurysm. The patient underwent endovascular embolization of her aneurysm with PED. This was successfully performed and the patient recovered from the procedure with no neurologic deficits. Conclusions Follow-up digital subtraction angiography and magnetic resonance angiography at 6 and 12 months, respectively, showed complete occlusion of the aneurysm. We also reviewed the literature on flow diversion for treatment of pediatric intracranial aneurysms.

Original languageEnglish (US)
Pages (from-to)607.e13-607.e17
JournalWorld Neurosurgery
Volume96
DOIs
StatePublished - Dec 1 2016

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Intracranial Aneurysm
varespladib methyl
Aneurysm
Pediatrics
Equipment and Supplies
Therapeutics
Digital Subtraction Angiography
compound A 12
Magnetic Resonance Angiography
Neurologic Manifestations
Seizures

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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Flow Diversion for Treatment of Growing A2 Aneurysm in a Child : Case Report and Review of Flow Diversion for Intracranial Aneurysms in Pediatric Patients. / Vachhani, Jay Ashok; Nickele, Christopher Michael; Elijovich, Lucas; Klimo, Paul; Arthur, Adam.

In: World Neurosurgery, Vol. 96, 01.12.2016, p. 607.e13-607.e17.

Research output: Contribution to journalArticle

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AB - Background Intracranial flow diversion has gained increasing popularity since the approval of the Pipeline Embolization Device (PED). Although it is only approved for use in adult patients, the PED has been used to treat aneurysms in pediatric patients. We present the first reported case of the use of a PED in a pediatric patient to treat an unusual fusiform distal anterior cerebral artery aneurysm. Case Description A 12-year-old girl presented with new onset seizures and was found to have a distal left anterior cerebral artery aneurysm. Initially, this was managed conservatively, but follow-up imaging performed 4 months after presentation demonstrated enlargement of the aneurysm. The patient underwent endovascular embolization of her aneurysm with PED. This was successfully performed and the patient recovered from the procedure with no neurologic deficits. Conclusions Follow-up digital subtraction angiography and magnetic resonance angiography at 6 and 12 months, respectively, showed complete occlusion of the aneurysm. We also reviewed the literature on flow diversion for treatment of pediatric intracranial aneurysms.

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