Treatment of a dissecting XXXX with angioplasty and the pipeline embolisation device.

@entity1 @entity510 @entity7244 @entity439 @entity5487 @entity850 @entity438
A 49-year-old @entity1 was admitted with Hunt and Hess grade 1 @entity510 . @entity438 of the @entity7244 (VA) distal to the left posterior @entity5487 (PICA) was found and treated using parent vessel occlusion with coils. The PICA was preserved. Angiography at three time points during her hospitalisation showed a normal right VA. Eight months later, angiography demonstrated a new 14 mm right VA dissecting @entity439 with 90% outflow @entity850 and recurrence of the left VA @entity439 distal to the coils. A Marksman microcatheter would not traverse the @entity850 despite the use of two intraluminal wires. Following Gateway balloon (1.5 mm * 9 mm) angioplasty, the Marksman passed easily. The pipeline embolisation device (PED) was successfully deployed across the @entity439 and 11 coils placed through a trapped microcatheter. The @entity1 was discharged home 2 days later. Eighteen-month follow-up has revealed complete resolution of both @entity439 .
