Coiling of a residual internal carotid artery aneurysm via an extracranial-intracranial bypass graft following parent vessel occlusion

Mathew R Guilfoyle; Peter J Kirkpatrick; J Nicholas P Higgins

doi:10.3109/02688697.2011.645914

Coiling of a residual internal carotid artery aneurysm via an extracranial-intracranial bypass graft following parent vessel occlusion

Br J Neurosurg. 2012 Oct;26(5):759-62. doi: 10.3109/02688697.2011.645914. Epub 2012 Jan 21.

Authors

Mathew R Guilfoyle¹, Peter J Kirkpatrick, J Nicholas P Higgins

Affiliation

¹ Department of Neurosurgery, Addenbrooke's Hospital, Cambridge, UK.

PMID: 22264155
DOI: 10.3109/02688697.2011.645914

Abstract

We report the case of a ruptured internal carotid artery (ICA) aneurysm that demonstrated significant persistent filling despite management with a common carotid to middle cerebral artery saphenous vein extracranial-intracranial bypass and subsequent permanent ICA balloon occlusion. The residual aneurysm was successfully embolised with detachable coils using a novel endovascular approach via the bypass graft.

Publication types

Case Reports

MeSH terms

Aged
Balloon Occlusion / methods
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation / methods
Carotid Artery, Common / surgery
Carotid Artery, Internal*
Carotid Artery, Internal, Dissection / surgery
Embolization, Therapeutic / methods
Female
Humans
Intracranial Aneurysm / therapy*
Microsurgery / methods
Radiography
Saphenous Vein / transplantation
Subarachnoid Hemorrhage / diagnostic imaging
Subarachnoid Hemorrhage / etiology