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Title: | PK Papyrus covered stent to treat traumatic pseudoaneurysm of the internal carotid artery - A technical note and review of the literature. | Authors: | Gauden A.J.;Pendharkar A.;Pulli B. | Monash Health Department(s): | Radiology | Institution: | (Gauden, Pendharkar, Pulli) Department of Neurointerventional Radiology, School of Medicine, Stanford University, California (Gauden) Departments of Neurosurgery and Imaging, Monash Health, Melbourne, VIC, Australia (Gauden) School of Clinical Sciences, Faculty of Medicine Nursing and Health Sciences, Monash University, VIC, Australia |
Issue Date: | 2-Oct-2024 | Copyright year: | 2024 | Publisher: | Churchill Livingstone | Place of publication: | United Kingdom | Publication information: | Journal of Clinical Neuroscience. 129(no pagination), 2024. Article Number: 110852. Date of Publication: November 2024. | Journal: | Journal of Clinical Neuroscience | Abstract: | Intracranial pseudoaneurysms account for approximately 1% of all intracranial aneurysms and are associated with high rebleeding risk and mortality. Traditional treatments of these lesions include microsurgical or endovascular reconstruction and parent vessel sacrifice. Reconstruction of the vessel is challenging due to poor vessel integrity and incomplete wall structure. An alternative endovascular reconstructive treatment includes deployment of a covered stent. Original covered stents such as the Jostent Graftmaster and the Willis stent suffer from stiff constructs that limit deployment in tortuous anatomy. The PK Papyrus covered coronary stent may be a satisfactory treatment alternative for these lesions. We present a case of an enlarging traumatic distal cavernous segment internal carotid artery pseudoaneurysm treated with trans-radial deployment of a PK Papyrus stent at our institution. We propose that the PK Papyrus covered stent may be an alternative reconstructive endovascular treatment for intracranial pseudoaneurysms. Further larger scale prospective case series would provide further support for this management strategy.Copyright © 2024 | DOI: | http://monash.idm.oclc.org/login?url=https://dx.doi.org/10.1016/j.jocn.2024.110852 | PubMed URL: | 39342898 [https://www.ncbi.nlm.nih.gov/pubmed/?term=39342898] | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/52584 | Type: | Article | Subjects: | computed tomographic angiography craniotomy distal radius fracture epidural hematoma face fracture false aneurysm internal carotid artery lung contusion orbit disease osteosynthesis pneumothorax skull fracture traffic accident |
Type of Clinical Study or Trial: | Case series or case report |
Appears in Collections: | Articles |
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