Flow diversion for complex middle cerebral artery aneurysms

Mario Zanaty; Nohra Chalouhi; Stavropoula I. Tjoumakaris; L. Fernando Gonzalez; Robert Rosenwasser; Pascal Jabbour

doi:10.1007/s00234-014-1339-x

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Flow diversion for complex middle cerebral artery aneurysms

Journal article

Peer reviewed

Flow diversion for complex middle cerebral artery aneurysms

Mario Zanaty, Nohra Chalouhi, Stavropoula I. Tjoumakaris, L. Fernando Gonzalez, Robert Rosenwasser and Pascal Jabbour

Neuroradiology, Vol.56(5), pp.381-387

05/01/2014

DOI: 10.1007/s00234-014-1339-x

PMID: 24535072

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Abstract

This study aims to evaluate the safety and efficacy of flow diversion for treatment of large and complex middle cerebral artery (MCA) aneurysms. We conducted a retrospective review of the clinical charts of all patients who underwent Pipeline Embolization Device (PED) placement for aneurysm at our institution from October 2010 to October 2013. We included ten patients, of which five had large MCA aneurysms and three had giant ones. Fusiform unruptured aneurysms represented seven of all ten aneurysms. Angiographic and clinical follow-up were available for all patients mostly between 7 and 12 months. We had no technical complications, one periprocedural morbidity, and no mortality. On follow-up, we had no hemorrhagic complications, no aneurysms rupture, and only one clinically significant thromboembolic event in a patient who discontinued antiplatelet therapy against medical advice. One patient had completely occluded his diseased vessel but remained asymptomatic. The overall complication rate is 3/10. On follow-up, complete occlusion occurred in seven patients (7/9). PED treatment for large, giant, and bifurcation MCA aneurysms was feasible, with satisfying complete occlusion rate, no mortality, and reasonable morbidity rate.

Clinical Neurology

Life Sciences & Biomedicine

Neuroimaging

Neurosciences & Neurology

Radiology, Nuclear Medicine & Medical Imaging

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Details

Title: Subtitle: Flow diversion for complex middle cerebral artery aneurysms
Creators: Mario Zanaty - Jefferson Hospital for Neuroscience
Nohra Chalouhi - Jefferson Hospital for Neuroscience
Stavropoula I. Tjoumakaris - Jefferson Hospital for Neuroscience
L. Fernando Gonzalez - Jefferson Hospital for Neuroscience
Robert Rosenwasser - Jefferson Hospital for Neuroscience
Pascal Jabbour - Thomas Jefferson University
Resource Type: Journal article
Publication Details: Neuroradiology, Vol.56(5), pp.381-387
DOI: 10.1007/s00234-014-1339-x
PMID: 24535072
NLM abbreviation: Neuroradiology
ISSN: 0028-3940
eISSN: 1432-1920
Publisher: Springer Nature
Number of pages: 7
Language: English
Date published: 05/01/2014
Academic Unit: Iowa Neuroscience Institute; Neurosurgery
Record Identifier: 9984527261202771

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