Telescoping Tubridge Flow Diverter Treatment in Giant Middle Cerebral Artery Fusiform Aneurysm

Hetai Lai


Giant fusiform aneurysm of the middle cerebral artery is a rare lesion with a high risk of rupture and high mortality, which is more difficult to treat either surgically or endovascularly. We report a case of a giant middle cerebral artery (MCA) M1 segmental fusiform aneurysm treated with the Tubridge Flow Diverter (TFD) telescoping technique alone without coil embolization. The patient had a single TFD implanted initially after the accidental discovery of a giant left MCA fusiform aneurysm, and after 3 months of postoperative shortening of the proximal end of the TFD and no significant healing of the aneurysm, a second TFD was implanted in the second stage by Telescoping technique. the aneurysm healed completely at 6 and 18 months after procedure, with no significant complications during follow-up. 


Flow Diverter; Endovascular Treatment; Middle Cerebral Artery; Fusiform Aneurysm; Tubridige

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