Escalante Reyna, Son Colin
Neurosurgery, University of the Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Neurosurgery, Neurosurgical Associates of San Antonio, San Antonio, USA.
Cureus. 2024 May 8;16(5):e59880. doi: 10.7759/cureus.59880. eCollection 2024 May.
Intrasaccular flow modification with devices like the Woven EndoBridge (WEB, MicroVention, Inc., Aliso Viejo, California, US) is an increasingly utilized endovascular treatment for bifurcation aneurysms. Among the potential complications of the procedure is branch vessel occlusion. There are no previous publications of rescue stenting for inadvertent branch vessel occlusion with the WEB device. We report two cases of rescue stenting following branch vessel occlusion after cerebral aneurysm embolization with the WEB device. In both cases, rescue stenting with a Neuroform Atlas stent Stryker, Fremont, CA, US) successfully revascularized the occluded vessel and led to good patient outcomes.
使用诸如编织型血管内桥接器(WEB,MicroVention公司,美国加利福尼亚州阿利索维耶荷)等装置进行瘤内血流重塑是一种越来越多地用于治疗分叉部动脉瘤的血管内治疗方法。该手术的潜在并发症之一是分支血管闭塞。此前尚无关于使用WEB装置导致意外分支血管闭塞后进行补救性支架置入术的报道。我们报告了两例在使用WEB装置进行脑动脉瘤栓塞后发生分支血管闭塞并进行补救性支架置入术的病例。在这两例病例中,使用美国加利福尼亚州弗里蒙特市史赛克公司的Neuroform Atlas支架进行补救性支架置入术成功地使闭塞血管再通,并使患者获得了良好的预后。