Failure of Flow Diverter Therapy: Predictors and Management Strategies

被引：25

作者：

Bonney, Phillip A. ^{[1
]}

Connor, Michelle ^{[1
]}

Fujii, Tatsuhiro ^{[1
]}

Singh, Parampreet ^{[1
]}

Koch, Matthew J. ^{[2
,3
]}

Stapleton, Christopher J. ^{[2
,3
]}

Mack, William J. ^{[1
]}

Walcott, Brian P. ^{[4
,5
]}

机构：

[1] Univ Southern Calif, Keck Sch Med, Dept Neurol Surg, Los Angeles, CA 90007 USA

[2] Massachusetts Gen Hosp, Dept Neurol Surg, Boston, MA 02114 USA

[3] Harvard Med Sch, Boston, MA 02115 USA

[4] NorthShore Univ HealthSyst, Dept Neurosurg, 3rd Floor Kellogg, Evanston, IL 60201 USA

[5] Univ Chicago, Pritzker Sch Med, Chicago, IL 60637 USA

来源：

NEUROSURGERY | 2020年 / 86卷

关键词：

Aneurysm; Intracranial aneurysm; Subarachnoid hemorrhage; Cerebral arterial diseases; Endoleak; PIPELINE EMBOLIZATION DEVICE; COMPUTATIONAL HEMODYNAMICS ANALYSIS; CEREBRAL-ARTERY ANEURYSMS; INTRACRANIAL ANEURYSMS; ENDOVASCULAR TREATMENT; CENTER EXPERIENCE; BLOOD-FLOW; DIVERSION; COMPLICATIONS; STENTS;

D O I：

10.1093/neuros/nyz305

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Flow diversion is a safe and effective treatment for many types of brain aneurysms. Even so, there remain some aneurysms that persist despite initial treatment. In studies with the longest follow-up (5 yr), at least 5% of aneurysms persist with this treatment modality. As the cumulative experience and clinical indications for flow diversion continue to expand, the anatomic and functional characteristics that are associated with aneurysm persistence are increasingly described. Identification of these factors preoperatively can help to guide initial treatment decisions, enhance monitoring protocols in the follow-up period, and establish best practices for re-treatment when necessary. Herein, we review published clinical series and provide examples to highlight variables implicated in aneurysm persistence after treatment with flow diversion.

引用

页码：S64 / S73

页数：10

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