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Hong Kong Med J. 2011 Oct;17(5):398-404.

Pipeline embolisation device for wide-necked internal carotid artery aneurysms in a hospital in Hong Kong: preliminary experience.

Author information

1
Department of Neurosurgery, Kwong Wah Hospital, Kowloon, Hong Kong. ctt405@gmail.com

Abstract

OBJECTIVE:

To review our hospital's experience with the pipeline embolisation device to reconstruct wide-necked intracranial aneurysms.

DESIGN:

Descriptive case series.

SETTING:

A regional neurosurgical centre in Hong Kong.

PATIENTS:

Patients presented with wide-necked intracranial internal carotid artery aneurysms who underwent pipeline embolisation device reconstruction between October 2008 and June 2009.

RESULTS:

There were 13 wide-necked internal carotid artery aneurysms (in nine patients) treated by pipeline embolisation device reconstruction. Eleven aneurysms were de-novo; two were recurrent. The complete occlusion rate was 66% (8/13) at the first angiographic follow-up and 69% (9/13) at the second follow-up. One patient developed in-stent stenosis and in another there was distal migration of the stent. There was no added neurological deficit in any patient.

CONCLUSION:

In our series, the clinical results from using the pipeline embolisation device for the treatment of non-ruptured internal carotid artery aneurysms appeared encouraging. However, larger studies with longer follow-up duration are warranted to assess the complications and durability of the device for reconstructing internal carotid artery aneurysms.

PMID:
21979478
[Indexed for MEDLINE]
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