• Neuroradiology · Jan 2014

    Case Reports

    First demonstration of resolution of an infundibulum by direct treatment of the arterial wall with Pipeline flow-diverting stent.

    • M M Kameda-Smith, J C Du Plessis, and J J Bhattacharya.
    • Institute for Neurological Sciences, Southern General Hospital, 1345 Govan Rd, G51 4TF, Glasgow, UK, michellekamedasmith@gmail.com.
    • Neuroradiology. 2014 Jan 1; 56 (1): 35-9.

    IntroductionInfundibula are symmetrical funnel-shaped widening, measuring more than 3 mm at its base with the branch artery arising from its apex. The pathological significance of this entity remains controversial. Although a relatively common appearance in otherwise normal angiograms, they have occasionally been described to progress into saccular aneurysms or directly rupture.Methods/ResultsWe describe the first case of a disappearing infundibulum after a flow diverting stent was deployed across the infundibulum during the treatment of an adjacent aneurysm.ConclusionsWe concur in the view that infundibula are at least pre-pathological lesions that may in certain circumstances require consideration for treatment. Our case for the first time offers a potential treatment option for such situations.

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