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Verfasst von:Bhogal, Pervinder [VerfasserIn]   i
 Bäzner, Hansjörg [VerfasserIn]   i
Titel:The fate of side branches covered by flow diverters
Titelzusatz:results from 140 patients
Verf.angabe:Pervinder Bhogal, Oliver Ganslandt, Hansjörg Bäzner, Hans Henkes, Marta Aguilar Pérez
E-Jahr:2017
Jahr:July 2017
Umfang:10 S.
Fussnoten:Gesehen am 30.10.2018
Titel Quelle:Enthalten in: World neurosurgery
Ort Quelle:Amsterdam : Elsevier, 2010
Jahr Quelle:2017
Band/Heft Quelle:103(2017), Seite 789-798
ISSN Quelle:1878-8769
Abstract:Background: Flow diverter stents (FDS) are a recognized treatment option for intracranial aneurysms. There remain ongoing concerns regarding the safety of FDS, especially regarding the fate of covered side branches. We report the patency of side branches covered by FDS. Methods: We retrospectively reviewed our database of prospectively collected information for all patients treated with FDS for an unruptured saccular aneurysm of the clinoid, ophthalmic, and terminating segments of the internal carotid artery between September 2009 and July 2016. The aneurysm location, fundus size, and the state of covered branches at last angiography were recorded compared with preoperative angiography. Results: We identified 140 patients, with 147 aneurysms, who met our inclusion criteria. Five patients had bilateral aneurysms. There were 31 male patients in our cohort (21.9%) and the mean average age was 56.2 ± 13.7 years. Sixty-seven aneurysms arose from the communicating, 58 from the ophthalmic, and 22 from the clinoidal segments. At last follow-up (mean, 22.3 months) 116 aneurysms were completely occluded (78.3%). On the most recent angiogram, 7 ophthalmic (5.3%), 20 posterior communicating (42.6%), 0 anterior choroidal (0%), and 2 anterior cerebral arteries (14.3%) were completely occluded. Reduced vessel caliber was seen in 11 ophthalmic (8.3%), 3 posterior communicating (6.4%), 0 anterior choroidal, and 6 anterior cerebral arteries (42.9%). One patient died during follow-up. Conclusions: The side branch occlusion rate was 20% and included ophthalmic, posterior communicating, and anterior cerebral arteries. Consistent with other studies, we did not see occlusion of the anterior choroidal artery.
DOI:doi:10.1016/j.wneu.2017.04.092
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: http://dx.doi.org/10.1016/j.wneu.2017.04.092
 Volltext: http://www.sciencedirect.com/science/article/pii/S1878875017305983
 DOI: https://doi.org/10.1016/j.wneu.2017.04.092
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Aneurysm
 Flow diverter
 Patency
K10plus-PPN:1582412022
Verknüpfungen:→ Zeitschrift

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