Brain Circulation

CASE REPORT
Year
: 2021  |  Volume : 7  |  Issue : 2  |  Page : 118--123

Transradial access for anterior circulation deployment of pipeline embolization device: A case report, literature review, and technical note


Cassidy D Werner, Mansour Mathkour, Tyler A Scullen, Erin P McCormack, Joseph D Lockwood, Peter S Amenta 
 Department of Neurosurgery, Tulane Medical Center, New Orleans, LA, USA

Correspondence Address:
Peter S Amenta
Department of Neurosurgery, Tulane Medical Center, 1415 Tulane Ave, New Orleans, LA 70112
USA

Common femoral artery (CFA) transfemoral access (TFA) has been the traditional route for neuroendovascular intervention with flow diversion including the pipeline embolization device (PED) for the treatment of wide-necked aneurysms. Successful deployment requires significant catheter support, thus making alternative access challenging. A 56-year-old-female presented with subarachnoid hemorrhage secondary to a large ruptured posterior communicating artery (PCOM) aneurysm as well as found to have an unruptured left superior cerebellar artery (SCA) aneurysm. Endovascular embolization of PCOM aneurysm via TFA was complicated by a right CFA pseudoaneurysm. The SCA aneurysm was treated 8 weeks later via left TFA with consequent development of a left CFA pseudoaneurysm. Contrasted magnetic resonance angiography revealed recurrence at the neck of the PCOM aneurysm at 4-month follow-up, treated via transradial access (TRA) PED flow diversion to avoid additional groin complications. Anatomic, procedural, and clinical considerations for TRA anterior circulation flow diversion using the PED are reviewed.


How to cite this article:
Werner CD, Mathkour M, Scullen TA, McCormack EP, Lockwood JD, Amenta PS. Transradial access for anterior circulation deployment of pipeline embolization device: A case report, literature review, and technical note.Brain Circ 2021;7:118-123


How to cite this URL:
Werner CD, Mathkour M, Scullen TA, McCormack EP, Lockwood JD, Amenta PS. Transradial access for anterior circulation deployment of pipeline embolization device: A case report, literature review, and technical note. Brain Circ [serial online] 2021 [cited 2022 Aug 15 ];7:118-123
Available from: http://www.braincirculation.org/article.asp?issn=2394-8108;year=2021;volume=7;issue=2;spage=118;epage=123;aulast=Werner;type=0