{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T13:36:05Z","timestamp":1783776965949,"version":"3.55.0"},"reference-count":17,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:p>Pipeline Embolization Devices (PEDs) have been shown to be effective for intracranial internal carotid artery (ICA) aneurysms, and are now approved by the FDA specifically for this use. Potential pitfalls, however, have not yet been described in the pediatric neurosurgical literature. The authors report on a 10-year-old boy who presented to the Barrow Neurological Institute after progressive visual decline. He had undergone placement of a total of 7 telescoping PEDs at another facility for a large ICA aneurysm. Residual filling of the aneurysm and significant expansion of intraaneurysmal thrombus with chiasmal compression on admission images were causes for concern. The patient underwent a surgical bailout with a superficial temporal artery\u2013middle cerebral artery bypass, with parent artery occlusion. Postoperative vascular imaging was notable for successful occlusion of the parent vessel, with no evidence of filling of the aneurysm.<\/jats:p>\n<jats:p>Reports on the pitfalls of PEDs in the neurosurgical literature are scarce. To the authors' knowledge this represents the first paper describing a successful open surgical bailout for residual aneurysmal filling and expansion of thrombus after placement of a PED.<\/jats:p>","DOI":"10.3171\/2014.4.peds13213","type":"journal-article","created":{"date-parts":[[2014,5,16]],"date-time":"2014-05-16T14:02:44Z","timestamp":1400248964000},"page":"31-37","source":"Crossref","is-referenced-by-count":29,"title":["Optic chiasm compression from mass effect and thrombus formation following unsuccessful treatment of a giant supraclinoid ICA aneurysm with the Pipeline device: open surgical bailout with STA-MCA bypass and parent vessel occlusion"],"prefix":"10.3171","volume":"14","author":[{"given":"Adib A.","family":"Abla","sequence":"first","affiliation":[{"name":"Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan A.","family":"Zaidi","sequence":"additional","affiliation":[{"name":"Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Webster","family":"Crowley","sequence":"additional","affiliation":[{"name":"Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin W.","family":"Britz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Methodist Hospital, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron G.","family":"McDougall","sequence":"additional","affiliation":[{"name":"Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe C.","family":"Albuquerque","sequence":"additional","affiliation":[{"name":"Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert F.","family":"Spetzler","sequence":"additional","affiliation":[{"name":"Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-peds13213","series-title":"Radiology","doi-asserted-by":"publisher","first-page":"858","DOI":"10.1148\/radiol.13120099","article-title":"Pipeline for uncoilable or failed aneurysms: results from a multicenter clinical trial","volume":"267","author":"Becske","year":"2013"},{"issue":"2 Suppl Operative","key":"b2-peds13213","series-title":"Neurosurgery","first-page":"ons229","article-title":"Delayed migration of a pipeline embolization device","volume":"72","author":"Chalouhi","year":"2013"},{"key":"b3-peds13213","series-title":"World Neurosurg","doi-asserted-by":"publisher","first-page":"403","DOI":"10.1016\/j.wneu.2012.02.038","article-title":"Review of reported complications associated with the Pipeline Embolization Device","volume":"77","author":"Fargen","year":"2012"},{"issue":"3 Suppl Operative","key":"b4-peds13213","series-title":"Neurosurgery","first-page":"onsE313","article-title":"Very late thrombosis of a pipeline embolization device construct: case report","volume":"67","author":"Fiorella","year":"2010"},{"key":"b5-peds13213","series-title":"J Neurointerv Surg","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1136\/jnis.2010.002873","article-title":"Mural destabilization after aneurysm treatment with a flow-diverting device: a report of two cases","volume":"3","author":"Hampton","year":"2011"},{"key":"b6-peds13213","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"1080","DOI":"10.1227\/NEU.0b013e31827060d9","article-title":"Early postmarket results after treatment of intracranial aneurysms with the pipeline embolization device: a U.S. multicenter experience","volume":"71","author":"Kan","year":"2012"},{"key":"b7-peds13213","series-title":"AJNR Am J Neuroradiol","doi-asserted-by":"publisher","first-page":"20","DOI":"10.3174\/ajnr.A2370","article-title":"Intra-aneurysmal thrombosis as a possible cause of delayed aneurysm rupture after flow-diversion treatment","volume":"32","author":"Kulcs\u00e1r","year":"2011"},{"key":"b8-peds13213","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"632","DOI":"10.1227\/01.NEU.0000339109.98070.65","article-title":"Curative endovascular reconstruction of cerebral aneurysms with the pipeline embolization device: the Buenos Aires experience","volume":"64","author":"Lylyk","year":"2009"},{"issue":"2 Suppl Operative","key":"b9-peds13213","series-title":"Neurosurgery","first-page":"onsE245","article-title":"Delayed retraction of the pipeline embolization device and corking failure: pitfalls of pipeline embolization device placement in the setting of a ruptured aneurysm","volume":"72","author":"McTaggart","year":"2013"},{"key":"b10-peds13213","series-title":"AJNR Am J Neuroradiol","doi-asserted-by":"publisher","first-page":"2010","DOI":"10.3174\/ajnr.A3080","article-title":"Effects of flow-diverting device oversizing on hemodynamics alteration in cerebral aneurysms","volume":"33","author":"Mut","year":"2012"},{"key":"b11-peds13213","series-title":"Neuroradiology","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1007\/s00234-013-1169-2","article-title":"Flow diverter effect on cerebral aneurysm hemodynamics: an in vitro comparison of telescoping stents and the Pipeline","volume":"55","author":"Roszelle","year":"2013"},{"issue":"Suppl 3","key":"b12-peds13213","series-title":"J Neurointerv Surg","doi-asserted-by":"publisher","first-page":"iii38","DOI":"10.1136\/neurintsurg-2012-010488","article-title":"Intra-aneurysmal hemodynamic alterations by a self-expandable intracranial stent and flow diversion stent: high intra-aneurysmal pressure remains regardless of flow velocity reduction","volume":"5","author":"Shobayashi","year":"2013"},{"key":"b13-peds13213","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1258","DOI":"10.3171\/2012.2.JNS111942","article-title":"Panacea or problem: flow diverters in the treatment of symptomatic large or giant fusiform vertebrobasilar aneurysms. Clinical article","volume":"116","author":"Siddiqui","year":"2012"},{"key":"b14-peds13213","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"E509","DOI":"10.1227\/NEU.0b013e318258e1f8","article-title":"Complications after treatment with pipeline embolization for giant distal intracranial aneurysms with or without coil embolization","volume":"71","author":"Siddiqui","year":"2012"},{"key":"b15-peds13213","series-title":"AJNR Am J Neuroradiol","doi-asserted-by":"publisher","first-page":"935","DOI":"10.3174\/ajnr.A3547","article-title":"Resolution of mass effect and compression symptoms following endoluminal flow diversion for the treatment of intracranial aneurysms","volume":"34","author":"Szikora","year":"2013"},{"key":"b16-peds13213","series-title":"J Neurointerv Surg","doi-asserted-by":"publisher","first-page":"e24","DOI":"10.1136\/neurintsurg-2011-010129","article-title":"Delayed intraparenchymal hemorrhage following pipeline embolization device treatment for a giant recanalized ophthalmic aneurysm","volume":"4","author":"Velat","year":"2012"},{"issue":"5 Suppl 2","key":"b17-peds13213","series-title":"Neurosurgery","first-page":"301","article-title":"Microsurgical management of incompletely coiled and recurrent aneurysms: trends, techniques, and observations on coil extrusion","volume":"64","author":"Waldron","year":"2009"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/14\/1\/article-p31.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/14\/1\/article-p31.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/14\/1\/article-p31.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T15:59:09Z","timestamp":1681574349000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/14\/1\/article-p31.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[2014,7]]},"references-count":17,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/2014.4.peds13213","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,7]]}}}