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Are Flow Diverting Stents a Treatment Option in Acutely Ruptured Complex A1-A2 Junction Aneurysms?

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References

  1. Berge J, Biondi A, Machi P, Brunel H, Pierot L, Gabrillargues J, Kadziolka K, Barreau X, Dousset V, Bonafe A. Flow-diverter silk stent for the treatment of intracranial aneurysms: 1-year follow-up in a multicenter study. AJNR Am J Neuroradiol. 2012;33:1150–5.

    Article  CAS  PubMed  Google Scholar 

  2. Brinjikji W, Murad MH, Lanzino G, Cloft HJ, Kallmes DF. Endovascular treatment of intracranial aneurysms with flow diverters: a meta-analysis. Stroke. 2013;44:442–7.

    Article  PubMed  Google Scholar 

  3. Sadasivan C, Cesar L, Seong J, Rakian A, Hao Q, Tio FO, Wakhloo AK, Lieber BB. An original flow diversion device for the treatment of intracranial aneurysms: evaluation in the rabbit elastase-induced model. Stroke. 2009;40:952–8.

    Article  PubMed  PubMed Central  Google Scholar 

  4. McAuliffe W, Wenderoth JD. Immediate and midterm results following treatment of recently ruptured intracranial aneurysms with the Pipeline embolization device. AJNR Am J Neuroradiol. 2012;33:487–93.

    Article  CAS  PubMed  Google Scholar 

  5. Lubicz B, Collignon L, Raphaeli G, De Witte O. Pipeline flow-diverter stent for endovascular treatment of intracranial aneurysms: preliminary experience in 20 patients with 27 aneurysms. World Neurosurg. 2011;76:114–9.

    Article  PubMed  Google Scholar 

  6. Chalouhi N, Tjoumakaris S, Starke RM, Gonzalez LF, Randazzo C, Hasan D, McMahon JF, Singhal S, Moukarzel LA, Dumont AS, Rosenwasser R, Jabbour P. Comparison of flow diversion and coiling in large unruptured intracranial saccular aneurysms. Stroke. 2013;44:2150–4.

    Article  PubMed  Google Scholar 

  7. Becske T, Kallmes DF, Saatci I, McDougall CG, Szikora I, Lanzino G, Moran CJ, Woo HH, Lopes DK, Berez AL, Cher DJ, Siddiqui AH, Levy EI, Albuquerque FC, Fiorella DJ, Berentei Z, Marosfoi M, Cekirge SH, Nelson PK. Pipeline for uncoilable or failed aneurysms: results from a multicenter clinical trial. Radiology. 2013;267:858–68.

    Article  PubMed  Google Scholar 

  8. Martinez-Galdamez M, Linfante I, Lin E, Dabus G. E-056 pipeline endovascular device for the treatment of intracranial aneurysm at the level of the circle of willis and beyond: multicenter experience. J Neurointerv Surg. 2014;6(Suppl. 1):A64.

    Article  Google Scholar 

  9. Chalouhi N, Starke RM, Yang S, Bovenzi CD, Tjoumakaris S, Hasan D, Gonzalez LF, Rosenwasser R, Jabbour P. Extending the indications of flow diversion to small, unruptured, saccular aneurysms of the anterior circulation. Stroke. 2014;45:54–8.

    Article  PubMed  Google Scholar 

  10. Struffert T, Saake M, Ott S, Engelhorn T, Golitz P, Kloska S, Doelken M, Doerfler A. Intravenous flat detector CT angiography for non-invasive visualisation of intracranial flow diverter: technical feasibility. Eur Radiol. 2011;21:1797–801.

    Article  PubMed  Google Scholar 

  11. Saake M, Breuer L, Goelitz P, Ott S, Struffert T, Doerfler A. Flat detector computed tomography angiography with intravenous contrast application: feasibility for visualization of cerebral arterial vasculature. J Neuroimaging. 2013;23:414–20.

    Article  PubMed  Google Scholar 

  12. Struffert T, Hauer M, Banckwitz R, Kohler C, Royalty K, Doerfler A. Effective dose to patient measurements in flat-detector and multislice computed tomography: a comparison of applications in neuroradiology. Eur Radiol. 2014;24:1257–65.

    Article  PubMed  Google Scholar 

  13. Strother CM, Bender F, Deuerling-Zheng Y, Royalty K, Pulfer KA, Baumgart J, Zellerhoff M, Aagaard-Kienitz B, Niemann DB, Lindstrom ML. Parametric color coding of digital subtraction angiography. AJNR Am J Neuroradiol. 2010;31:919–24.

    Article  CAS  PubMed  Google Scholar 

  14. Golitz P, Struffert T, Lucking H, Rosch J, Knossalla F, Ganslandt O, Deuerling-Zheng Y, Doerfler A. Parametric color coding of digital subtraction angiography in the evaluation of carotid cavernous fistulas. Clin Neuroradiol. 2013;23:113–20.

    Article  CAS  PubMed  Google Scholar 

  15. Struffert T, Deuerling-Zheng Y, Engelhorn T, Kloska S, Golitz P, Bozzato A, Kapsreiter M, Strother CM, Doerfler A. Monitoring of balloon test occlusion of the internal carotid artery by parametric color coding and perfusion imaging within the angio suite: first results. Clin Neuroradiol. 2013;23:285–92.

    Article  CAS  PubMed  Google Scholar 

  16. Struffert T, Ott S, Kowarschik M, Bender F, Adamek E, Engelhorn T, Golitz P, Lang S, Strother CM, Doerfler A. Measurement of quantifiable parameters by time-density curves in the elastase-induced aneurysm model: first results in the comparison of a flow diverter and a conventional aneurysm stent. Eur Radiol. 2013;23:521–7.

    Article  PubMed  Google Scholar 

  17. Andreou A, Ioannidis I, Mitsos A. Endovascular treatment of peripheral intracranial aneurysms. AJNR Am J Neuroradiol. 2007;28:355–61.

    CAS  PubMed  Google Scholar 

  18. de Barros Faria M, Castro RN, Lundquist J, Scrivano E, Ceratto R, Ferrario A, Lylyk P. The role of the pipeline embolization device for the treatment of dissecting intracranial aneurysms. AJNR Am J Neuroradiol. 2011;32:2192–5.

    Article  Google Scholar 

  19. Pistocchi S, Blanc R, Bartolini B, Piotin M. Flow diverters at and beyond the level of the circle of willis for the treatment of intracranial aneurysms. Stroke. 2012;43:1032–8.

    Article  PubMed  Google Scholar 

  20. Yu SC, Kwok CK, Cheng PW, Chan KY, Lau SS, Lui WM, Leung KM, Lee R, Cheng HK, Cheung YL, Chan CM, Wong GK, Hui JW, Wong YC, Tan CB, Poon WL, Pang KY, Wong AK, Fung KH. Intracranial aneurysms: midterm outcome of pipeline embolization device—a prospective study in 143 patients with 178 aneurysms. Radiology. 2012;265:893–901.

    Article  PubMed  Google Scholar 

  21. Lubicz B, Collignon L, Raphaeli G, Pruvo JP, Bruneau M, De Witte O, Leclerc X. Flow-diverter stent for the endovascular treatment of intracranial aneurysms: a prospective study in 29 patients with 34 aneurysms. Stroke. 2010;41:2247–53.

    Article  PubMed  Google Scholar 

  22. Zanaty M, Chalouhi N, Tjoumakaris SI, Gonzalez LF, Rosenwasser R, Jabbour P. Flow diversion for complex middle cerebral artery aneurysms. Neuroradiology. 2014;56:381–7.

    Article  PubMed  Google Scholar 

  23. Chalouhi N, Zanaty M, Whiting A, Tjoumakaris S, Hasan D, Ajiboye N, Hann S, Rosenwasser RH, Jabbour P. Treatment of ruptured intracranial aneurysms with the pipeline embolization device. Neurosurgery. 2014;76:165–72.

    Article  Google Scholar 

  24. Yavuz K, Geyik S, Saatci I, Cekirge HS. Endovascular treatment of middle cerebral artery aneurysms with flow modification with the use of the pipeline embolization device. AJNR Am J Neuroradiol. 2014;35:529–35.

    Article  CAS  PubMed  Google Scholar 

  25. Brinjikji W, Cloft HJ, Fiorella D, Lanzino G, Kallmes DF. Estimating the proportion of intracranial aneurysms likely to be amenable to treatment with the pipeline embolization device. J Neurointerv Surg. 2013;5:45–8.

    Article  PubMed  Google Scholar 

  26. Lin N, Brouillard AM, Keigher KM, Lopes DK, Binning MJ, Liebman KM, Veznedaroglu E, Magarik JA, Mocco J, Duckworth EA, Arthur AS, Ringer AJ, Snyder KV, Levy EI, Siddiqui AH. Utilization of Pipeline embolization device for treatment of ruptured intracranial aneurysms: US multicenter experience. J Neurointerv Surg. 2014 Sep 17. doi:10.1136/neurintsurg-2014-011320.

  27. Cruz JP, O’Kelly C, Kelly M, Wong JH, Alshaya W, Martin A, Spears J, Marotta TR. Pipeline embolization device in aneurysmal subarachnoid hemorrhage. AJNR Am J Neuroradiol. 2013;34:271–6.

    Article  CAS  PubMed  Google Scholar 

  28. Tahtinen OI, Vanninen RL, Manninen HI, Rautio R, Haapanen A, Niskakangas T, Rinne J, Keski-Nisula L. Wide-necked intracranial aneurysms: treatment with stent-assisted coil embolization during acute (< 72 h) subarachnoid hemorrhage—experience in 61 consecutive patients. Radiology. 2009;253:199–208.

    Article  PubMed  Google Scholar 

  29. Moon K, Albuquerque FC, Ducruet AF, Crowley RW, McDougall CG. Balloon remodeling of complex anterior communicating artery aneurysms: technical considerations and complications. J Neurointerv Surg. 2015;7:418-24.

  30. Chalouhi N, McMahon JF, Moukarzel LA, Starke RM, Jabbour P, Dumont AS, Tjoumakaris S, Gingold EL, Rosenwasser R, Gonzalez LF. Flow diversion versus traditional aneurysm embolization strategies: analysis of fluoroscopy and procedure times. J Neurointerv Surg. 2013;6:291–5.

    Article  PubMed  Google Scholar 

  31. van Rooij WJ, Sluzewski M. Perforator infarction after placement of a pipeline flow-diverting stent for an unruptured A1 aneurysm. AJNR Am J Neuroradiol. 2010;31:E43–4.

    Article  PubMed  Google Scholar 

  32. Aydin K, Arat A, Sencer S, Hakyemez B, Barburoglu M, Sencer A, Izgi N. Treatment of ruptured blood blister-like aneurysms with flow diverter SILK stents. J Neurointerv Surg. 2015;7:202-9.

  33. Kulcsar Z, Wetzel SG, Augsburger L, Gruber A, Wanke I, Rufenacht DA. Effect of flow diversion treatment on very small ruptured aneurysms. Neurosurgery. 2010;67:789–93.

    Article  PubMed  Google Scholar 

  34. Rouchaud A, Saleme S, Gory B, Ayoub D, Mounayer C. Endovascular exclusion of the anterior communicating artery with flow-diverter stents as an emergency treatment for blister-like intracranial aneurysms. A case report. Interv Neuroradiol. 2013;19:471–8.

    PubMed  Google Scholar 

  35. Nerva JD, Morton RP, Levitt MR, Osbun JW, Ferreira MJ, Ghodke BV, Kim LJ. Pipeline Embolization Device as primary treatment for blister aneurysms and iatrogenic pseudoaneurysms of the internal carotid artery. J Neurointerv Surg. 2015;7:210-6.

  36. Faught RW, Satti SR, Hurst RW, Pukenas BA, Smith MJ. Heterogeneous practice patterns regarding antiplatelet medications for neuroendovascular stenting in the USA: a multicenter survey. J Neurointerv Surg. 2014;6:774-9.

  37. Katsaridis V, Papagiannaki C, Violaris C. Embolization of acutely ruptured and unruptured wide-necked cerebral aneurysms using the neuroform2 stent without pretreatment with antiplatelets: a single center experience. AJNR Am J Neuroradiol. 2006;27:1123–8.

    CAS  PubMed  Google Scholar 

  38. Amenta PS, Dalyai RT, Kung D, Toporowski A, Chandela S, Hasan D, Gonzalez LF, Dumont AS, Tjoumakaris SI, Rosenwasser RH, Maltenfort MG, Jabbour PM. Stent-assisted coiling of wide-necked aneurysms in the setting of acute subarachnoid hemorrhage: experience in 65 patients. Neurosurgery. 2012;70:1415–29.

    Article  PubMed  Google Scholar 

  39. Kung DK, Policeni BA, Capuano AW, Rossen JD, Jabbour PM, Torner JC, Howard MA, Hasan D. Risk of ventriculostomy-related hemorrhage in patients with acutely ruptured aneurysms treated using stent-assisted coiling. J Neurosurg. 2011;114:1021–7.

    Article  PubMed  Google Scholar 

  40. Mahaney KB, Chalouhi N, Viljoen S, Smietana J, Kung DK, Jabbour P, Bulsara KR, Howard M, Hasan DM. Risk of hemorrhagic complication associated with ventriculoperitoneal shunt placement in aneurysmal subarachnoid hemorrhage patients on dual antiplatelet therapy. J Neurosurg. 2013;119:937–42.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neuroradiology, University of Erlangen-Nuremberg, Schwabachanlage 6, 91054, Erlangen, Germany

    J. Rösch MD, P. Gölitz PhD, T. Struffert PhD & A. Doerfler PhD

  2. Department of Neurology, University of Erlangen-Nuremberg, Schwabachanlage 6, 91054, Erlangen, Germany

    M. Köhrmann PhD

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  1. J. Rösch MD
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  2. P. Gölitz PhD
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Correspondence to J. Rösch MD.

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Rösch, J., Gölitz, P., Struffert, T. et al. Are Flow Diverting Stents a Treatment Option in Acutely Ruptured Complex A1-A2 Junction Aneurysms?. Clin Neuroradiol 26, 109–115 (2016). https://doi.org/10.1007/s00062-015-0407-x

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  • DOI: https://doi.org/10.1007/s00062-015-0407-x

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