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Case Reports
Ophthalmic artery occlusion immediately following placement of a flow diverter without clinical sequelae.
- Justin R Mascitelli, Margaret Pain, Fedor Panov, Joshua B Bederson, and Aman B Patel.
- Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, USA.
- Interv Neuroradiol. 2015 Apr 1; 21 (2): 191-5.
AbstractBranch vessel occlusion is a potential consequence following flow diverter placement for intracranial aneurysms, but the frequency and clinical impact has not been completely elucidated. In this case of a 45-year-old woman with a large left internal carotid artery aneurysm, the ophthalmic artery was covered by two flow diverters and was acutely occluded along with the aneurysm. Common carotid injections failed to demonstrate collateral flow to the ophthalmic artery via the external carotid artery. Nonetheless, the patient woke from anesthesia with objectively stable and subjectively improved vision. This case demonstrates that an acute occlusion of the ophthalmic artery without external carotid artery collaterals can be tolerated clinically. © The Author(s) 2015 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.
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