Intracranial Aneurysms in Children: The Role of Stenting and Flow-Diversion
Autor: | Diego A. Herrera, Sergio A. Vargas, Carlos Díaz, Arthur B. Dublin |
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Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Asymptomatic 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine.artery Occlusion Anterior cerebral artery Medicine Radiology Nuclear Medicine and imaging cardiovascular diseases medicine.diagnostic_test Flow diversion business.industry Stent Retrospective cohort study Surgery cardiovascular system Etiology Neurology (clinical) Radiology medicine.symptom business 030217 neurology & neurosurgery Cerebral angiography |
Zdroj: | Journal of Neuroimaging. 26:41-45 |
ISSN: | 1051-2284 |
Popis: | OBJECTIVE To report a single-center experience in the endovascular management of cerebral aneurysms in children with stenting and flow-diversion techniques. METHODS During a 7-year period, 5 male patients with six intracranial aneurysms (IA) were treated by endovascular therapy with stenting or flow-diversion. The average age was 11 years (range 6-18 years). RESULTS The etiology of the aneurysms was vasculopathic in 3 cases (50%), traumatic in 2 patients (33.3%), and idiopathic in 1 case (16.7%). Two-thirds of the aneurysms were giant in size. The aneurysms were most frequently located in the anterior circulation (66.7%). Fifty percent of the aneurysms were treated with stenting and coiling, and 50% were treated with flow-diversion stents alone. After treatment, occlusion was graded as: partial in five aneurysms (88.3%) and complete in 1 case (16.7%). Most cases (83.3%) had a good outcome after the procedure. During follow-up, most aneurysms had progressive occlusion (80%), while the rest were unchanged (20%). Most stents and flow-diverter devices remained patent (80%). However, one Pipeline flow-diverter device in the Anterior cerebral artery (ACA) A2 segment had an asymptomatic occlusion. CONCLUSIONS In this series, device-assisted endovascular techniques were a relatively safe and effective method of treatment of pediatric aneurysms. However, continued follow-up is required after treatment, because there are unsolved issues regarding the durability of flow-diverters and stents. |
Databáze: | OpenAIRE |
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