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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >The POP (Pull on Pipe) Maneuver: A Technical Note for Rescuing a Prolapsed Pipeline Device
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The POP (Pull on Pipe) Maneuver: A Technical Note for Rescuing a Prolapsed Pipeline Device

机译：POP（拉管）机动：用于拯救脱气管道设备的技术说明

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Background: Flow diverters have revolutionized the treatment of large aneurysms. However, prolapse of the device into the aneurysm is a known complication that may have fatal consequences. Case: We present a case of a 21-year-old male with a giant aneurysm located in the cavernous segment of the right internal carotid artery. After Pipeline Embolization Device (PED) deployment, while retrieving the PED wire, the proximal end of the stent shortened, resulting in prolapse of the device into the aneurysm. We utilized the Pull on Pipe (POP) maneuver, characterized by the deployment of a second PED inside the lumen of the prolapsed device and gentle traction to restore the initial flow diverter into its proper position. The maneuver also allows for the immediate deployment of the second PED to improve proximal purchase and overall construct stability. Conclusion: The POP maneuver is a novel strategy for salvaging herniated flow diverters and establishing a more stable PED construct.
机译：背景：分流器彻底改变了大动脉瘤的治疗方法。然而，该装置脱出动脉瘤是一种已知的并发症，可能会造成致命后果。病例：我们报告一例21岁男性患者，其巨大动脉瘤位于右侧颈内动脉海绵状段。在管道栓塞装置（PED）部署后，在收回PED钢丝的同时，支架的近端缩短，导致装置脱出进入动脉瘤。我们采用了拉管（POP）操作，其特点是在脱垂装置的内腔内部署第二个PED，并轻轻牵引，以将初始流量分流器恢复到其正确位置。该操作还允许立即部署第二个PED，以改善近端购买和整体结构稳定性。结论：POP操作是一种新的策略，可以挽救突出的分流管，并建立更稳定的PED结构。

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