caa a22 4500 606214720 CHVBK 20210128101055.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s00701-015-2593-3 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2593-3 Rescue microsurgery with bypass and stent removal following Pipeline treatment of a giant internal carotid artery terminus aneurysm [Elektronische Daten] [Christian Bowers, Philip Taussky, Min Park, Jayson Neil, William Couldwell] We report the microsurgical rescue and removal of a Pipeline stent embolization of a giant internal carotid artery terminus aneurysm. After the initial placement of a Pipeline Embolization Device (PED), it migrated proximally to the cavernous carotid with the distal end free in the middle of the aneurysm, resulting in only partial aneurysm neck coverage. The patient underwent microsurgical rescue with trapping, bypass, and opening of the aneurysm with PED removal. The vessel remained patent in the proximal segment previously covered by the Pipeline stent. Microsurgical rescue for definitive aneurysm treatment with PED removal can be safe and effective for aneurysms unsuccessfully treated with PED. Springer-Verlag Wien, 2015 Pipeline Embolization Device nationallicence Giant cerebral aneurysm nationallicence Rescue microsurgery nationallicence Open vascular surgery nationallicence Endovascular treatment nationallicence Bowers Christian Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, 84132, Salt Lake City, Utah, USA aut Taussky Philip Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, 84132, Salt Lake City, Utah, USA aut Park Min Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, 84132, Salt Lake City, Utah, USA aut Neil Jayson Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, 84132, Salt Lake City, Utah, USA aut Couldwell William Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, 84132, Salt Lake City, Utah, USA aut Acta Neurochirurgica Springer Vienna 157/12(2015-12-01), 2071-2075 0001-6268 157:12<2071 2015 157 701 https://doi.org/10.1007/s00701-015-2593-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2593-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bowers Christian Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, 84132, Salt Lake City, Utah, USA aut NATIONALLICENCE 700 1- Taussky Philip Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, 84132, Salt Lake City, Utah, USA aut NATIONALLICENCE 700 1- Park Min Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, 84132, Salt Lake City, Utah, USA aut NATIONALLICENCE 700 1- Neil Jayson Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, 84132, Salt Lake City, Utah, USA aut NATIONALLICENCE 700 1- Couldwell William Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, 84132, Salt Lake City, Utah, USA aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/12(2015-12-01), 2071-2075 0001-6268 157:12<2071 2015 157 701