Author: DIESTRO Jose Danielo B
Find out how Dr. Jose Danilo B. Diestro (St. Michael’s Hospital, University of Toronto, Department of Medical Imaging Toronto, Canada) treated a 61-year-old male patient suffering from a ruptured middle cerebral artery aneurysm.
CASE PRESENTATION
INITIAL NEUROIMAGING: 07-2019
ENDOVASCULAR REPAIR: 07-2019
PRE AND POST REPAIR IMAGING
RECURRENCE: JULY TO OCTOBER 2019
ENDOVASCULAR REPAIR: 2-2020
eCLIPS DEVICE
eCLIPS + COILS: BILATERAL GROIN ACCESS
ENDOVASCULAR REPAIR PLAN
Coil the residual portion of the aneurysm by crossing the eCLIPS leaf with the Headway 17
eCLIPS POSITIONING
COILING THROUGH eCLIPS
PRE AND POST REPAIR IMAGING
MRI one day after recoiling: 3mm remnant
PHYSIOLOGIC REMODELING
CLINICAL OUTCOMES
POINTS FOR DISCUSSION
ENDOVASCULAR FIRST FOR RUPTURED MCAs
ONGOING TRIALS: EESIS
Acute treatment of a ruptured cerebral aneurysm with a flow-diverter stent
Ruptured bilateral spontaneous intradural vertebral artery dissection treated by flow-diverter with a special caution of the fish-mouth phenomena
Embolization of VBJ fenestration aneurysm
Transvenous approach for the treatment of direct carotid cavernous fistula following flow diverter embolization of cavernous carotid aneurysm
Acute treatment of V4 aneurysm with flow diverter by retrograde approach