Ventriculoperitoneal Shunt in a Patient with Ruptured Blister Aneurysm Treated with Pipeline Embolization Device
Journal of Cerebrovascular and Endovascular Neurosurgery
;
: 54-58, 2015.
Article
Dans Anglais
| WPRIM
| ID: wpr-125870
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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Hémorragie meningée
/
Endoprothèses
/
Anévrysme intracrânien
/
Cloque
/
Dérivation ventriculopéritonéale
/
Hémorragies intracrâniennes
/
Hydrocéphalie
/
Anévrysme
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Journal of Cerebrovascular and Endovascular Neurosurgery
Année:
2015
Type:
Article
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