Format

Send to

Choose Destination
J Cerebrovasc Endovasc Neurosurg. 2015 Mar;17(1):54-8. doi: 10.7461/jcen.2015.17.1.54. Epub 2015 Mar 31.

Ventriculoperitoneal shunt in a patient with ruptured blister aneurysm treated with pipeline embolization device.

Author information

1
Department of Neurosurgery, Rush University Medical Center, Chicago, IL, United States.

Abstract

Cerebral spinal fluid (CSF) diversion is frequently required in patients with aneurysmal subarachnoid hemorrhage who develop subsequent hydrocephalus. Procedures such as external ventricular drain (EVD) and ventriculoperitoneal shunt (VPS) usually carry a very low rate of complications. However, as flow diverting stents such as Pipeline Embolization Device (PED) become more widely available, flow diverters are being used in treatment of some ruptured complex aneurysms. EVD and VPS placement in the setting of dual antiplatelet therapy (DAT) in these patients are associated with a significant risk of intracranial hemorrhage. We describe a management strategy and surgical technique that can minimize hemorrhagic complications associated with VPS in patients on DAT after treatment with flow diverting stents.

KEYWORDS:

Intracranial aneurysm; Stents; Subarachnoid hemorrhage; Ventriculoperitoneal shunt

Supplemental Content

Full text links

Icon for Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons Icon for PubMed Central
Loading ...
Support Center