Treatment of intracranial aneurysms with flow diverters

被引：0

作者：

Simgen, A. ^{[1
]}

机构：

[1] Univ Klinikum Saarlandes, Klin Diagnost & Intervent Neuroradiol, Kirrberger Str 1, D-66424 Homburg, Germany

来源：

RADIOLOGE | 2020年 / 60卷 / 04期

关键词：

Subarachnoid hemorrhage; Stents; Interventional neuroradiology; Vessel reconstruction; Aneurysm rupture; STENT-ASSISTED COILING; PIPELINE EMBOLIZATION; ENDOVASCULAR COILING; CEREBRAL ANEURYSMS; HEMORRHAGIC COMPLICATIONS; ANTIPLATELET THERAPY; DISRUPTING DEVICE; FOLLOW-UP; TRIAL; DIVERSION;

D O I：

10.1007/s00117-020-00662-w

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Clinical issue The clinical picture of a subarachnoid haemorrhage (SAH) is associated with a high morbidity and mortality, due to the associated complications. Therefore, both unruptured and ruptured aneurysms are to be treated based on an individual and interdisciplinary treatment concept. Several endovascular procedures are already available for the treatment of intracranial aneurysms. A more recent concept is the treatment with vessel-reconstructive stents so-called flow diverters. Practical recommendations Due to the continuous development and revision of flow diverters, the initial complication rates have been significantly reduced, which now effectively and efficiently justifies their clinical use. After careful patient selection and risk-benefit assessment, the implantation of a flow diverter can also be considered for the treatment of ruptured aneurysms and is often the only therapy option in such situations.

引用

页码：303 / 309

页数：7

共 60 条

[1] Use of Platelet Function Testing Before Pipeline Embolization Device Placement A Multicenter Cohort Study [J].

Adeeb, Nimer ;

Griessenauer, Christoph J. ;

Foreman, Paul M. ;

Moore, Justin M. ;

Shallwani, Hussain ;

Motiei-Langroudi, Rouzbeh ;

Alturki, Abdulrahman ;

Siddiqui, Adnan H. ;

Levy, Elad I. ;

Harrigan, Mark R. ;

Ogilvy, Christopher S. ;

Thomas, Ajith J. .

STROKE, 2017, 48 (05) :1322-1330

[2] Rescue Therapy for Procedural Complications Associated With Deployment of Flow-Diverting Devices in Cerebral Aneurysms [J].

Al-Mufti, Fawaz ;

Amuluru, Krishna ;

Cohen, Eric R. ;

Patel, Vikas ;

El-Ghanem, Mohammad ;

Wajswol, Ethan ;

Dodson, Vincent ;

Al-Marsoummi, Sarmad ;

Majmundar, Neil ;

Dangayach, Neha S. ;

Nuoman, Rolla ;

Gandhi, Chirag D. .

OPERATIVE NEUROSURGERY, 2018, 15 (06) :624-633

[3] Stent-Assisted Coiling of Wide-Necked Aneurysms in the Setting of Acute Subarachnoid Hemorrhage: Experience in 65 Patients [J].

Amenta, Peter S. ;

Dalyai, Richard T. ;

Kung, David ;

Toporowski, Amy ;

Chandela, Sid ;

Hasan, David ;

Gonzalez, L. Fernando ;

Dumont, Aaron S. ;

Tjoumakaris, Stavropoula I. ;

Rosenwasser, Robert H. ;

Maltenfort, Mitchell G. ;

Jabbour, Pascal M. .

NEUROSURGERY, 2012, 70 (06) :1415-1429

[4] Long-Term Clinical and Angiographic Outcomes Following Pipeline Embolization Device Treatment of Complex Internal Carotid Artery Aneurysms: Five-Year Results of the Pipeline for Uncoilable or Failed Aneurysms Trial [J].

Becske, Tibor ;

Brinjikji, Waleed ;

Potts, Matthew B. ;

Kallmes, David F. ;

Shapiro, Maksim ;

Moran, Christopher J. ;

Levy, Elad I. ;

McDougall, Cameron G. ;

Szikora, Istvan ;

Lanzino, Giuseppe ;

Woo, Henry H. ;

Lopes, Demetrius K. ;

Siddiqui, Adnan H. ;

Albuquerque, Felipe C. ;

Fiorella, David J. ;

Saatci, Isil ;

Cekirge, Saruhan H. ;

Berez, Aaron L. ;

Cher, Daniel J. ;

Berentei, Zsolt ;

Marosfoi, Miklos ;

Nelson, Peter K. .

NEUROSURGERY, 2017, 80 (01) :40-48

[5] The p48MW Flow Diverter-Initial Human Experience [J].

Bhogal, P. ;

Bleise, C. ;

Chudyk, J. ;

Lylyk, I ;

Viso, R. ;

Perez, N. ;

Henkes, H. ;

Lylyk, P. .

CLINICAL NEURORADIOLOGY, 2021, 31 (01) :135-145

[6] The p48_HPC antithrombogenic flow diverter: initial human experience using single antiplatelet therapy [J].

Bhogal, Pervinder ;

Bleise, Carlos ;

Chudyk, Jorge ;

Lylyk, Ivan ;

Perez, Nicolas ;

Henkes, Hans ;

Lylyk, Pedro .

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, 2020, 48 (01)

[7] Acutely Ruptured Intracranial Aneurysms Treated with Flow-Diverter Stents: A Systematic Review and Meta-Analysis [J].

Cagnazzo, F. ;

di Carlo, D. T. ;

Cappucci, M. ;

Lefevre, P. -H. ;

Costalat, V. ;

Perrini, P. .

AMERICAN JOURNAL OF NEURORADIOLOGY, 2018, 39 (09) :1669-1675

[8] Aneurysm Rupture after Endovascular Flow Diversion: the Possible Role of Persistent Flows through the Transition Zone Associated with Device Deformation [J].

Darsaut, T. E. ;

Rayner-Hartley, E. ;

Makoyeva, A. ;

Salazkin, I. ;

Berthelet, F. ;

Raymond, J. .

INTERVENTIONAL NEURORADIOLOGY, 2013, 19 (02) :180-185

[9] Intracranial Aneurysm Expansion Might Cause Neurological Deterioration After Flow Diverter Treatment [J].

de Korte, Antonius M. ;

Aquarius, Rene ;

Meijer, Frederick J. A. ;

Boogaarts, Hieronymus D. ;

de Vries, Joost .

WORLD NEUROSURGERY, 2018, 120 :E802-E810

[10] TreatmentTreatment of Intra- and Extracranial Aneurysms Using the Flow-Redirection Endoluminal Device: Multicenter Experience and Follow-Up Results [J].

Drescher, F. ;

Weber, W. ;

Berlis, A. ;

Rohde, S. ;

Carolus, A. ;

Fischer, S. .

AMERICAN JOURNAL OF NEURORADIOLOGY, 2017, 38 (01) :105-112

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