Review of current intracranial aneurysm flow diversion technology and clinical use

Sudeepta Dandapat; Alan Mendez-Ruiz; Mario Martínez-Galdámez; Juan Macho; Shahram Derakhshani; Gustavo Foa Torres; Vitor M Pereira; Anil Arat; Ajay K Wakhloo; Santiago Ortega-Gutierrez

doi:10.1136/neurintsurg-2020-015877

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Review of current intracranial aneurysm flow diversion technology and clinical use

Journal article

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Peer reviewed

Review of current intracranial aneurysm flow diversion technology and clinical use

Sudeepta Dandapat, Alan Mendez-Ruiz, Mario Martínez-Galdámez, Juan Macho, Shahram Derakhshani, Gustavo Foa Torres, Vitor M Pereira, Anil Arat, Ajay K Wakhloo and Santiago Ortega-Gutierrez

Journal of neurointerventional surgery, Vol.13(1), pp.54-62

01/2021

DOI: 10.1136/neurintsurg-2020-015877

PMID: 32978269

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Abstract

Endovascular treatment of intracranial aneurysms (IAs) has evolved considerably over the past decades. The technological advances have been driven by the experience that coils fail to completely exclude all IAs from the blood circulation, the need to treat the diseased parent vessel segment leading to the aneurysm formation, and expansion of endovascular therapy to treat more complex IAs. Stents were initially developed to support the placement of coils inside wide neck aneurysms. However, early work on stent-like tubular braided structure led to a more sophisticated construct that then later was coined as a flow diverter (FD) and found its way into clinical application. Although FDs were initially used to treat wide-neck large and giant internal carotid artery aneurysms only amenable to surgical trap with or without a bypass or endovascular vessel sacrifice, its use in other types of IAs and cerebrovascular pathology promptly followed. Lately, we have witnessed an explosion in the application of FDs and subsequently their modifications leading to their ubiquitous use in endovascular therapy. In this review we aim to compile the available FD technology, evaluate the devices’ peculiarities from the authors’ perspective, and analyze the current literature to support initial and expanded indications, recognizing that this may be outdated soon.

Details

Title: Subtitle: Review of current intracranial aneurysm flow diversion technology and clinical use
Creators: Sudeepta Dandapat - University of Iowa
Alan Mendez-Ruiz - University of Iowa
Mario Martínez-Galdámez - Hospital Clínico Universitario de Valladolid
Juan Macho - Department of Diagnostic and Therapeutic Neuroradiology
Shahram Derakhshani - Queen's Hospital
Gustavo Foa Torres - Department of Neuroradiology, Instituto Oulton, Córdoba, Argentina
Vitor M Pereira - University of Toronto
Anil Arat - Hacettepe University Hospital
Ajay K Wakhloo - Tufts University
Santiago Ortega-Gutierrez - University of Iowa
Resource Type: Journal article
Publication Details: Journal of neurointerventional surgery, Vol.13(1), pp.54-62
DOI: 10.1136/neurintsurg-2020-015877
PMID: 32978269
NLM abbreviation: J Neurointerv Surg
ISSN: 1759-8478
eISSN: 1759-8486
Language: English
Date published: 01/2021
Academic Unit: Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
Record Identifier: 9984303011202771

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