Telescoping flow diverters for a pediatric fusiform distal anterior cerebral artery aneurysm: technical case report.

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Daniel A TonettiBrian T Jankowitz

Abstract

Pediatric intracranial aneurysms are rare, with fusiform aneurysms of the distal anterior circulation even more so. A limited number of prior reports detail the management of this pathology. We report a case of a 15-year-old boy presenting with new-onset headache found to have a 3.1 cm × 1.4 cm × 1.4 cm fusiform partially thrombosed aneurysm of the A2 segment of the left anterior cerebral artery. Subsequent treatment with flow diversion resulted in the placement of five telescoping PEDs (2.5 mm × 20 mm, 2.75 mm × 20 mm, 2.75 mm × 20 mm, 3 mm × 25 mm, and 3 mm × 20 mm) from the left pericallosal artery to the left A1 segment. Catheter-based angiography at 6 months post-placement indicated normal vessel caliber, no residual aneurysm, and no in-stent stenosis. The patient's headache resolved after treatment. Telescoping PEDs are a feasible low-risk treatment option for long-segment fusiform distal ACA aneurysms in children that can have optimal clinical and radiographic outcomes.

References

May 11, 2005·Surgical Neurology·Judy HuangRafael J Tamargo
Nov 29, 2012·Journal of Neurointerventional Surgery·Anthony M BurrowsGiuseppe Lanzino
Sep 11, 2014·Stroke; a Journal of Cerebral Circulation·Raphael H SachoRobert Willinsky
Feb 28, 2015·Pediatric Neurosurgery·Bradley A GrossDarren B Orbach
Jul 7, 2016·Journal of Neurointerventional Surgery·Guilherme DabusRicardo A Hanel
Oct 9, 2018·Surgical Neurology International·Enrico Affonso BarlettaTelmo Augusto Barba Belsuzarri

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Citations

Jan 5, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Zeferino DemartiniLuis Alencar Biurrum Borba
Jun 18, 2021·Frontiers in Neurology·Jinlu Yu, Xianli Lv

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