Flow diversion: a disruptive technology coming of age. Lessons learned and challenges for the future

被引:22
作者
Enriquez-Marulanda, Alejandro [1 ]
Young, Michael M. [1 ]
Taussky, Philipp [1 ,2 ]
机构
[1] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Neurosurg Serv, Boston, MA USA
[2] Harvard Med Sch, Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA
关键词
intracranial aneurysm; embolization; flow diversion; stent; vascular disorders; PIPELINE EMBOLIZATION DEVICE; INTERNAL CAROTID-ARTERY; UNRUPTURED INTRACRANIAL ANEURYSMS; POSTERIOR COMMUNICATING ARTERY; SINGLE-CENTER EXPERIENCE; CEREBRAL ANEURYSMS; ENDOVASCULAR TREATMENT; FOLLOW-UP; DIVERTORS; RECONSTRUCTION;
D O I
10.3171/2023.3.JNS221795
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Intracranial aneurysm treatment has been revolutionized over the last decade with the development of flow diversion technology. The use of this technology has evolved rapidly and has proven that cerebrovascular disease treatment remains one of the forefront innovation areas in neurosurgery. The good results on the treatment of internal carotid artery aneurysms up to the communicating segment have motivated the use of flow diversion beyond the circle of Willis and in the posterior circulation. Further advances and innovations of flow-diverting devices are underway and intended to improve the safety and efficacy of this therapy. This review article provides a detailed discussion about the origin, mechanism of action, initial experience, complications, types of devices, and future perspectives of flow diversion technology.
引用
收藏
页码:1317 / 1327
页数:11
相关论文
共 100 条
[21]   Safety and efficacy of the Pipeline Embolization Device in 100 small intracranial aneurysms [J].
Chalouhi, Nohra ;
Zanaty, Mario ;
Whiting, Alex ;
Yang, Steven ;
Tjoumakaris, Stavropoula ;
Hasan, David ;
Starke, Robert M. ;
Hann, Shannon ;
Hammer, Christine ;
Kung, David ;
Rosenwasser, Robert ;
Jabbour, Pascal .
JOURNAL OF NEUROSURGERY, 2015, 122 (06) :1498-1502
[22]   Timing and Spectrum of Neurological Complications After Flow Diverter Implantation for Intracranial Aneurysms [J].
Charbonnier, Guillaume ;
Desilles, Jean-Philippe ;
Escalard, Simon ;
Maier, Benjamin ;
Ciccio, Gabriele ;
Smajda, Stanislas ;
Fahed, Robert ;
Delvoye, Francois ;
Redjem, Hocine ;
Blanc, Raphael ;
Piotin, Michel ;
Mazighi, Mikael .
FRONTIERS IN NEUROLOGY, 2021, 12
[23]   Single Center Experience With Pipeline Stent: Feasibility, Technique, and Complications [J].
Chitale, Rohan ;
Gonzalez, L. Fernando ;
Randazzo, Ciro ;
Dumont, Aaron S. ;
Tjoumakaris, Stavropoula ;
Rosenwasser, Robert ;
Chalouhi, Nohra ;
Gordon, David ;
Jabbour, Pascal .
NEUROSURGERY, 2012, 71 (03) :679-691
[24]   Flow Diversion for Cerebral Aneurysms: A Cautionary Tale [J].
Cloft, H. J. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2011, 32 (01) :26-26
[25]   Pipeline Embolization Device in Aneurysmal Subarachnoid Hemorrhage [J].
Cruz, J. P. ;
O'Kelly, C. ;
Kelly, M. ;
Wong, J. H. ;
Alshaya, W. ;
Martin, A. ;
Spears, J. ;
Marotta, T. R. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2013, 34 (02) :271-276
[26]   Delayed Ipsilateral Parenchymal Hemorrhage Following Flow Diversion for the Treatment of Anterior Circulation Aneurysms [J].
Cruz, J. P. ;
Chow, M. ;
O'Kelly, C. ;
Marotta, B. ;
Spears, J. ;
Montanera, W. ;
Fiorella, D. ;
Marotta, T. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2012, 33 (04) :603-608
[27]   Intracranial aneurysm of the internal carotid artery - Cured by operation [J].
Dandy, WE .
ANNALS OF SURGERY, 1938, 107 :654-659
[28]   Patency of the posterior communicating artery following treatment with the Pipeline Embolization Device [J].
Daou, Badih ;
Valle-Giler, Edison P. ;
Chalouhi, Nohra ;
Starke, Robert M. ;
Tjoumakaris, Stavropoula ;
Hasan, David ;
Rosenwasser, Robert H. ;
Hebert, Ryan ;
Jabbour, Pascal .
JOURNAL OF NEUROSURGERY, 2017, 126 (02) :564-569
[29]   On Flow Diversion: The Changing Landscape of Intracerebral Aneurysm Management [J].
Dmytriw, A. A. ;
Phan, K. ;
Moore, J. M. ;
Pereira, V. M. ;
Krings, T. ;
Thomas, A. J. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2019, 40 (04) :591-600
[30]   Pipeline embolization device for recurrence of previously treated aneurysms [J].
Dornbos, David, III ;
Karras, Constantine L. ;
Wenger, Nicole ;
Priddy, Blake ;
Youssef, Patrick ;
Nimjee, Shahid M. ;
Powers, Ciaran J. .
NEUROSURGICAL FOCUS, 2017, 42 (06)