Reactive in-stent stenosis of a pipeline embolization device in a child: A case report

We present an 11-year-old girl with dizziness of 6 days duration on account of which she was admitted at our institution. Physical as well as neurological examinations did not yield much. Diagnoses: Cerebral angiography revealed a right cavernous segment giant aneurysm. Interventions: We initially implanted Pipeline embolization devices (PLEDs) (ev3, Irvine, California, USA) across the neck of the aneurysm which resulted into ISS 6 months after the operation. Outcomes: We also attempted balloon angioplasty which failed during our second operation. She was finally treated with Neuroform stent (Stryker Neurovascular, USA) with no further complication and two years follow-up revealed no ISS. Lessons subsections as per style: A combination of multiple kinds of flow diverting devices could reduce the incidence of ISS in selected patients with complex aneurysms. Minimal trauma caused by PLED at aneurysm site could also reduce incidence of ISS.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research