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01-05-2017 | Case Report

Pipeline embolization device for the treatment of a traumatic intracranial aneurysm in a child

Authors: Felipe Padovani Trivelato, Marco Túlio Salles Rezende, Luiz Venâncio Fonseca, Lucas Eduardo Bonadio, Alexandre Cordeiro Ulhôa, Daniel Giansante Abud

Published in: Child's Nervous System | Issue 5/2017

Abstract

Introduction

Traumatic intracranial aneurysms in children are rare and may occur as the result of closed or penetrating head trauma. Their natural history seems to be more aggressive. Most traumatic aneurysms have complex shape, tending to have a large neck or even a fusiform morphology.

Case report

We present a case of a traumatic carotid artery aneurysm in a 9-year-old girl that was successfully treated with pipeline embolization device.

Discussion

Due to its dissecting nature, wall friability and lack of a substantial neck can make surgical clipping and selective coiling difficult and risky. Although endovascular parent artery occlusion is the best approach in the acute phase, in some situations it is not possible or very risky. In such scenario the use of flow diverter devices would be an alternative approach. Additionally, we discuss the potential advantages and risks of flow diverter deployment inside a developing vessel.

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Title: Pipeline embolization device for the treatment of a traumatic intracranial aneurysm in a child
Authors: Felipe Padovani Trivelato
Marco Túlio Salles Rezende
Luiz Venâncio Fonseca
Lucas Eduardo Bonadio
Alexandre Cordeiro Ulhôa
Daniel Giansante Abud
Publication date: 01-05-2017
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 5/2017
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-016-3334-5

At a glance: The STEP trials

Springer Medicine

Pipeline embolization device for the treatment of a traumatic intracranial aneurysm in a child

Abstract

Introduction

Case report

Discussion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Case report

Discussion

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