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Quadri-axial Technique to Gain Access for Flow Diverter Deployment

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100 Interesting Case Studies in Neurointervention: Tips and Tricks

Abstract

A 64-year-old lady presented with headaches, facial pain, and left ptosis. Investigation revealed giant left internal carotid artery (ICA) aneurysm (Fig. 25.1). DSA and 3D angiography showed a wide-neck aneurysm. Inadequate flow across anterior and posterior communicating arteries was seen, and the case was planned for flow diverter stent placement (Surpass, Stryker).

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Suggested Reading

  • Hauck EF, et al. Use of the outreach distal access catheter as an intracranial platform facilitates coil embolization of select intracranial aneurysms: technical note. J Neurointerv Surg. 2011;3(2):172–6.

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  • Lin L-M, et al. Pentaxial access platform for ultra-distal intracranial delivery of a large-bore hyperflexible DIC (distal intracranial catheter): A technical note. Neurosurgery. 2016;6:29–34.

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Parthasarathy, R., Gupta, V. (2019). Quadri-axial Technique to Gain Access for Flow Diverter Deployment. In: Gupta, V., Puri, A., Parthasarathy, R. (eds) 100 Interesting Case Studies in Neurointervention: Tips and Tricks. Springer, Singapore. https://doi.org/10.1007/978-981-13-1346-2_25

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  • DOI: https://doi.org/10.1007/978-981-13-1346-2_25

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1345-5

  • Online ISBN: 978-981-13-1346-2

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