Details regarding all 3 patients with Pipeline Embolization Device–related intracranial hemorrhage
Authors and Year | Sex | Age (yr) | Clinical Score | Treatment Time | Aneurysm Size (mm) | Aneurysm Location | Aneurysm Morphology | Treatment Method | Procedure and Complication Details |
---|---|---|---|---|---|---|---|---|---|
Lin et al,9 2015 | NR | Mid-30s | HH 2 | Acute | 3 | Paraclinoid ICA | Saccular | PED only | Treatment complicated by in-stent thrombosis treated with intra-arterial tPA; patient died of re-hemorrhage on posttreatment day 1 |
McAuliffe et al,10 2012 | F | 56 | WFNS II | Acute | 21 | Superior hypophyseal | Saccular | PED only | Two PEDs deployed with plans for adjuvant coiling; however, in-stent thrombosis was seen and treated with intra-arterial abciximab; patient experienced rerupture on day 8 with vasospasm of ipsilateral M1 segment, treated with balloon angioplasty and 3rd PED; patient died 3 days later |
McAuliffe et al,10 2012 | F | 37 | WFNS V | Acute | 34 | Dorsal paraclinoid ICA | Fusiform | PED only | Two PEDs telescoped across the aneurysms, which re-ruptured immediately after deployment of the second device; active treatment was withdrawn |
Note:—HH indicates Hunt and Hess grade; WFNS, World Federation of Neurosurgical Societies grade.