Experience with FRED junior flow diverter in treatment of cerebral aneurysms at or distal to the circle of Willis
| Autor: | Manish Shrivastava, Rajeev Sivasankar, Uday S Limaye |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Balloon assisted coiling Technical success India 03 medical and health sciences 0302 clinical medicine Physiology (medical) medicine.artery medicine Humans cardiovascular diseases Endovascular treatment Stroke Flow diverter Aged Retrospective Studies business.industry Endovascular Procedures Intracranial Aneurysm General Medicine Middle Aged medicine.disease Surgery Blood Vessel Prosthesis Treatment Outcome Neurology 030220 oncology & carcinogenesis cardiovascular system Circle of Willis Female Neurology (clinical) Cerebral vessel Small vessel business 030217 neurology & neurosurgery |
| Zdroj: | Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 69 |
| ISSN: | 1532-2653 |
| Popis: | This retrospective study was aimed at assessing our results of endovascular management using the FRED junior flow diverter in cerebral aneurysms at or distal to the circle of Willis. 12 patients with 15 small cerebral vessel aneurysms at or distal to the circle of Willis underwent endovascular treatment using the FRED junior flow diverter at two tertiary care centres in Mumbai, India. 12 of the 15 aneurysms were unruptured, one was treated in an acutely ruptured setting, while two, which had presented with SAH were initially treated with balloon assisted coiling and later treated in a staged manner with a flow diverter. Technical success was 100% in all 15 deployments. Deployments were made across angles ranging from 45° to 180°. There was no stroke/TIA/death in any of the cases, which were unruptured. The O'Kelly-Marotta (OKM) staging was used to analyze angiographic follow up (at least one post procedure angiogram) which was available in 8 patients (10 aneurysms). OKM D & C was seen in 80% of the aneurysms on follow up angiograms. The treatment of small vessel cerebral aneurysms at or distal to the Circle of Willis using a dedicated flow diverter (FRED Jr.) is both technically feasible and highly efficacious. |
| Databáze: | OpenAIRE |
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