Abstract Details

Title Endovascular Reconstruction of Intracranial Aneurysms with Pipeline in Pediatric Patients

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) P2 - Poster Session 2 (5:30 PM-6:30 PM)

Poster/Presentation
Number 3-054

Objective Endovascular treatment of cerebral aneurysm with Pipeline Embolization Device in pediatric population ( a single center series) .

Background Pediatric intracranial aneurysms tend to differ in etiology, size, and location from their adult counterparts, and they are often less amenable to microsurgical clip reconstruction techniques. Endovascular treatment with detachable coils is an accepted treatment technique for pediatric patients, though high recurrence rates have been reported with coil embolization of large and giant aneurysms in this population. While the Pipeline Embolization Device (PED) is FDA-approved for adult intracranial aneurysms, the use of PEDs in pediatric patients is considered off-label.

Design/Methods We present three cases of pediatric intracranial aneurysms in a 5-year-old male, a 12-year-old male, and a 12-year-old female who presented with symptoms including seizure, headache, and blurred vision. The two male patients were found to have intra-dural vertebral artery secular aneurysms, while the female patient had a para-ophthalmic right internal carotid complex aneurysm.

Results After endovascular reconstruction of the aneurysms with PEDs, follow-up angiography showed complete occlusion of the previous aneurysms with no residual aneurysm filling, in all three cases.

Conclusions

While further investigation is needed, the evidence presented here supports the conclusion that PEDs can be an effective and viable treatment strategy in the pediatric population.

Authors/Disclosures
Peyman Shirani, MD PRESENTER	No disclosure on file
Eytan Raz	No disclosure on file
Ashkan Mowla, MD, FAAN	No disclosure on file
Matthew Gusler, DO (The Ohio State University)	Dr. Gusler has nothing to disclose.
	No disclosure on file

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