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How would you treat a giant unruptured intra-cavernous internal carotid artery (ICA) aneurysm in a patient suffering from severe right trigeminal nevralgia? Join Prof. Jacques Moret in this pre-recorded case report from the 2018 edition of LINNC Seminar Asia – a giant ICA aneurysm with almost no neck, tight arteriosclerotic narrowing and little crossflow.
The procedure unfolds step-by-step: from the initial imaging to the complexity in stabilizing the wire after the ease of navigating into the distal part of the aneurysm. See, after stabilization, the technique used for scaffolding, angioplasty to ensure optimal opposition and flow diversion. Follow the exchange maneuvers as Prof. Moret and his team deliver a Leo Stent and then two Silk flow diverter stents.
Learn tips and tricks for choosing and manipulating devices from why you need to go “as distal as possible” or understanding the value of employing a long stent.
Finally, see how slow flow due to narrowing and stenosis led to the decision to “crack the plaque” using a Monorail balloon dilatation Tsunami Gold system – a non-compliant coronary dilatation balloon and why the team recommends keeping the sheath in until the control angiogram a day after a complex intervention.
And the result? Learn why Prof. Moret says you better tell your patient “If you don’t follow the DAPT therapy, you die!”