Late recurrence of a completely occluded large intracranial aneurysm treated with a Tubridge flow diverter

Xiaoxi Zhang; Nan Lv; Chi Wang; Wei Cao; Jianmin Liu; Qinghai Huang

doi:10.1136/bcr-2016-012268

Late recurrence of a completely occluded large intracranial aneurysm treated with a Tubridge flow diverter

BMJ Case Rep. 2016 Jun 21:2016:bcr2016012268. doi: 10.1136/bcr-2016-012268.

Authors

Xiaoxi Zhang¹, Nan Lv¹, Chi Wang¹, Wei Cao¹, Jianmin Liu¹, Qinghai Huang¹

Affiliation

¹ Department of Neurosurgery, Changhai Hospital, Second Military Medical University, Shanghai, China.

Abstract

We report a rare case of recurrence of a large intracavernous aneurysm after angiography proved complete occlusion. The aneurysm was treated by a combination of a Tubridge flow diverter and coils, and balloon angioplasty, after flow diverter devices deployment for parent vessel stenosis. Six month angiographic follow-up demonstrated complete occlusion. Unfortunately, obvious aneurysm recurrence was confirmed on 2 year angiographic follow-up. The probable mechanism of recurrence was analyzed.

Keywords: Aneurysm; Flow Diverter.

2016 BMJ Publishing Group Ltd.

Publication types

Case Reports

MeSH terms

Aged
Angioplasty, Balloon
Carotid Artery Diseases / diagnostic imaging*
Carotid Artery Diseases / physiopathology
Carotid Artery Diseases / therapy*
Carotid Artery, Internal / pathology*
Cerebral Angiography
Embolization, Therapeutic / instrumentation
Embolization, Therapeutic / methods
Follow-Up Studies
Humans
Intracranial Aneurysm / diagnostic imaging*
Intracranial Aneurysm / physiopathology
Intracranial Aneurysm / therapy*
Middle Aged
Recurrence
Syncope, Vasovagal / diagnostic imaging
Syncope, Vasovagal / etiology
Syncope, Vasovagal / physiopathology