Treatment of a posterior cerebral artery aneurysm in the context of complex cardio-cerebrovascular variations using the Tubridge flow diverter

We present a case of intracranial aneurysm located in the P1 segment of left posterior cerebral artery in the context of tetralogy of Fallot. Complex variations included right aortic arch with abnormal branching. Also, the bilateral vertebral arteries were absent, with a type I persistent proatlanta...

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Published inJournal of cerebrovascular and endovascular neurosurgery Vol. 26; no. 1; pp. 65 - 70
Main Authors Dmytriw, Adam A., Grewal, Sahibjot, Cancelliere, Nicole M., Patel, Aman B., Pereira, Vitor Mendes, Ren, Xiaolu
Format Journal Article
LanguageEnglish
Published Korea (South) 대한뇌혈관외과학회 01.03.2024
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ISSN2234-8565
2287-3139
DOI10.7461/jcen.2023.E2023.04.009

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Summary:We present a case of intracranial aneurysm located in the P1 segment of left posterior cerebral artery in the context of tetralogy of Fallot. Complex variations included right aortic arch with abnormal branching. Also, the bilateral vertebral arteries were absent, with a type I persistent proatlantal intersegmental artery of the left side. The aneurysm was treated with endovascular intervention with a Tubridge flow diverter and was noted to be completely cured on 6-month follow-up. We discuss the many considerations in this patient including developmental and modern-era treatment.
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https://doi.org/10.7461/jcen.2023.E2023.04.009
ISSN:2234-8565
2287-3139
DOI:10.7461/jcen.2023.E2023.04.009