Middle ear aneurysm treated with an innovative, vessel-preserving, aneurysm-occluding stent

Authors

  • Elisa Fuller BSc,

    1. Division of Neuroradiology, Department of Medical Imaging , University of Toronto, Toronto, Ontario, Canada
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  • Thomas R. Marotta MD,

    1. Division of Neuroradiology, Department of Medical Imaging , University of Toronto, Toronto, Ontario, Canada
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  • Joseph M. Chen MD,

    1. Department of Otolaryngology–Head and Neck Surgery , University of Toronto, Toronto, Ontario, Canada
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  • Robert A. Willinsky MD,

    1. Division of Neuroradiology, Department of Medical Imaging , University of Toronto, Toronto, Ontario, Canada
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  • Aditya Bharatha MD,

    1. Division of Neuroradiology, Department of Medical Imaging , University of Toronto, Toronto, Ontario, Canada
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  • Cian O'Kelly MD,

    1. Division of Neuroradiology, Department of Medical Imaging , University of Toronto, Toronto, Ontario, Canada
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  • Jordan B. Hochman MD,

    1. Department of Otolaryngology–Head and Neck Surgery , University of Toronto, Toronto, Ontario, Canada
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  • Peter Howard MD,

    1. Division of Neuroradiology, Department of Medical Imaging , University of Toronto, Toronto, Ontario, Canada
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  • Nikolaus E. Wolter MD,

    1. Department of Otolaryngology–Head and Neck Surgery , University of Toronto, Toronto, Ontario, Canada
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  • Sean P. Symons MPH, MD

    Corresponding author
    1. Division of Neuroradiology, Department of Medical Imaging , University of Toronto, Toronto, Ontario, Canada
    2. Department of Otolaryngology–Head and Neck Surgery , University of Toronto, Toronto, Ontario, Canada
    • Head, Division of Neuroradiology, Department of Medical Imaging, Sunnybrook Health Sciences Centre; Assistant Professor, Departments of Medical Imaging and Otolaryngology–Head and Neck Surgery, University of Toronto; Associate Scientist, Sunnybrook Research Institute, 2075 Bayview Avenue, AG31D, Toronto, Ontario, Canada M4N 3M5
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  • The authors have no funding, financial relationships, or conflicts of interest to disclose.

Abstract

Middle ear aneurysms are rare and difficult to treat. An innovative, parent vessel-preserving, aneurysm occlusion stent is a treatment alternative. It redirects blood flow away from the aneurysm, resulting in stasis within, and ultimate aneurysm thrombosis. Concurrent coiling is not needed with this stent, eliminating the risk of coils extruding or migrating, or acting as a nidus for infection in the middle ear. We review a successful treatment using this device. Laryngoscope, 2010

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