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Erschienen in: Clinical Neuroradiology 1/2016

24.05.2015 | Correspondence

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

verfasst von: J. Rösch, MD, P. Gölitz, PhD, T. Struffert, PhD, M. Köhrmann, PhD, A. Doerfler, PhD

Erschienen in: Clinical Neuroradiology | Ausgabe 1/2016

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Excerpt

Acutely ruptured complex aneurysms of the anterior cerebral artery (ACA) not eligible for simple coil embolization remain a therapeutic challenge, either by endovascular or surgical methods. Flow diverting stents (FDSs) allow parent artery reconstruction without the need of aneurysm-catheterization or parent vessel occlusion [1, 2]. By forming high-coverage mesh along the aneurysm, blood flow into the sac or fusiform part is restricted, and subsequently aneurysm thrombosis induced [3]. Up to now, the use of FDSs in A1-A2 junction aneurysms is rare. …
Literatur
1.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
2.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
3.
Zurück zum Zitat 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.CrossRefPubMedPubMedCentral 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.CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
5.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
6.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
7.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
8.
Zurück zum Zitat 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.CrossRef 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.CrossRef
9.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
10.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
11.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
12.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
13.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
14.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
15.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
16.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
17.
Zurück zum Zitat Andreou A, Ioannidis I, Mitsos A. Endovascular treatment of peripheral intracranial aneurysms. AJNR Am J Neuroradiol. 2007;28:355–61.PubMed Andreou A, Ioannidis I, Mitsos A. Endovascular treatment of peripheral intracranial aneurysms. AJNR Am J Neuroradiol. 2007;28:355–61.PubMed
18.
Zurück zum Zitat 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.CrossRef 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.CrossRef
19.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
20.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
21.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
22.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
23.
Zurück zum Zitat 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.CrossRef 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.CrossRef
24.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
25.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
26.
Zurück zum Zitat 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. 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.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
28.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
29.
Zurück zum Zitat 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. 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.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
31.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
32.
Zurück zum Zitat 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. 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.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
34.
Zurück zum Zitat 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 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
35.
Zurück zum Zitat 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. 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.
Zurück zum Zitat 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. 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.
Zurück zum Zitat 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.PubMed 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.PubMed
38.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
39.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
40.
Zurück zum Zitat 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.CrossRefPubMed 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.CrossRefPubMed
Metadaten
Titel
Are Flow Diverting Stents a Treatment Option in Acutely Ruptured Complex A1-A2 Junction Aneurysms?
verfasst von
J. Rösch, MD
P. Gölitz, PhD
T. Struffert, PhD
M. Köhrmann, PhD
A. Doerfler, PhD
Publikationsdatum
24.05.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Clinical Neuroradiology / Ausgabe 1/2016
Print ISSN: 1869-1439
Elektronische ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-015-0407-x

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