Comment

Comment by Fritz Sumantri Usman on December 13, 2009 at 4:29am

Dear Doctors, it's nice to see all of you , I 'm Fritz , Neurologist and Interventional Neurologist from Jakarta / INDONESIA .
Hopefully, in future , we can discuss and share our opinion , have a nice day and a great job !!!

Comment by Vasilios Katsaridis on November 15, 2009 at 4:51am

Here are some pics of tha case with the giant carotid aneurysm treaed with 5 Pipeline stents

Follow up is due soon

Vasilis

Comment by Cagin Senturk on November 6, 2009 at 6:07am

Kalimera Vasilis,

I could not make up the relation of the edema in the face and neck region with an inflammation due to an acute thrombosis in the intracranial level where the aneurysm is. May be the edema was not related with the thrombosis. May be there was another systemic reason or venous thrombosis (But then it would not resolve with corticosteroids so fast). It is really interesting.

We always leave the patients with corticosteroids after placing a stent intracranialy if there is not any contraindication to the drug. This really helps to reduce the efects of a possible cerebral edema due to high quantity of the contrast material or inflammation after thrombosis and also helps to prevent the mass effect and nerve irritation specially for the CN3 and CN5.

I studied in Hacettepe University, Ankara, where Saruhan and Isil work. But I live in Spain now for social reasons ( My wife is Spanish). I am working with Alfredo Casasco in Madrid and probably I will stay here for some more years.

My ancestors were from Thessaloniki (Selanik) and Creta (Girit). My parents now live in Izmir (Smyrna). I have a very good friend, a radiologist in Athens, whom I met in the Courses of the European Society of Neuroradiology.
Hope to meet you in Spain, Greece or in Turkiye
Selamlar

Cagin Senturk
Hospital Nuestra Señora del Rosario
Endovascular and Percutaneous Treatment Service
Madrid, Spain

Comment by Vasilios Katsaridis on November 5, 2009 at 5:25pm

Merhaba Cagin

Three weeks ago I did a case with Pipeline. it was a 10 year old boy with facial paresis from a giant petrous carotid aneurysm. I reconstructed the carotid using 5 Pipelines one inside the other and there was significant but not total stagnation at the end. Three days later the boy had severe pain at the region with edema of the face and neck. it subsided a few days later with steroids. I suppose this was the definite thrombosis of the aneurysm. In about a week we plan to have the MRI-MRA follow up.

Are you in training or in a permanent post in Madrid? I have very good friends in Turkey. I am sure you know them: Isil and Saruhan Cekirge, Civan Islak and Naci Kocer.

Last year I organized an endovascular course in Thessaloniki and Isil and Saruhan were supposed to be part of the faculty but they did not make it finally. Civan was there though and we had a great time.

Vasilis

Comment by Cagin Senturk on November 5, 2009 at 8:26am

Hi Vasilis,
Nice to meet you, I just came out before recieving your message from a case where we used a "Pipeline" for a blister like aneurysm.
We already did 4 cases with Pipeline in Madrid. Long term results are still being waited but in two cases (giant aneuyrsms) there was an immediate stagnation within the aneurym sac just after placing the stent.
Thanks for your message

Best regards

cagin

Comment by Vasilios Katsaridis on November 5, 2009 at 2:09am

Hello dear friends.

Has anyone from you had any experience with flow diverters?
I recently did my first case and it the result was relly impressive. I am waiting for the 1 month follow up and I will upload images and maybe a video

Vasilis

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