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Table 2: Details regarding all 3 patients with Pipeline Embolization Device–related intracranial hemorrhage
Authors and Year Sex Age (yr) Clinical Score Treatment Time Aneurysm Size (mm) Aneurysm Location Aneurysm Morphology Treatment Method Procedure and Complication Details
Lin et al,⁹ 2015 NR Mid-30s HH 2 Acute 3 Paraclinoid ICA Saccular PED only Treatment complicated by in-stent thrombosis treated with intra-arterial tPA; patient died of re-hemorrhage on posttreatment day 1
McAuliffe et al,¹⁰ 2012 F 56 WFNS II Acute 21 Superior hypophyseal Saccular PED only Two PEDs deployed with plans for adjuvant coiling; however, in-stent thrombosis was seen and treated with intra-arterial abciximab; patient experienced rerupture on day 8 with vasospasm of ipsilateral M1 segment, treated with balloon angioplasty and 3rd PED; patient died 3 days later
McAuliffe et al,¹⁰ 2012 F 37 WFNS V Acute 34 Dorsal paraclinoid ICA Fusiform PED only Two PEDs telescoped across the aneurysms, which re-ruptured immediately after deployment of the second device; active treatment was withdrawn
Note:—HH indicates Hunt and Hess grade; WFNS, World Federation of Neurosurgical Societies grade.