TY - JOUR
T1 - Paraclinoid aneurysms
T2 - Is there a new endovascular standard?
AU - Fang, Shanna
AU - Lanzino, Giuseppe
PY - 2014/4
Y1 - 2014/4
N2 - Objectives: Paraclinoid aneurysms are challenging lesions to treat with traditional surgical and conventional endovascular techniques despite modern improvements in technique and technology. Flow diversion emerged recently as a promising new therapy that overcomes limitations related to the wide-neck and fusiform morphology, and importantly addresses the underlying diseased parent artery from which the aneurysm arises. Methods: We reviewed the current literature regarding the safety and efficacy of flow diversion therapy for treatment of paraclinoid aneurysms. Results: Early results suggest excellent ability for flow diversion to remodel the diseased parent artery and achieve durable complete angiographic occlusion of the aneurysm with acceptable rates of periprocedural risk. Discussion: Flow diversion therapy can achieve durable and high rates of obliteration that surpass traditional methods of management for paraclinoid aneurysms. However, caution is warranted when considering this treatment modality due to several concerning and often-unpredictable complications associated with this technology.
AB - Objectives: Paraclinoid aneurysms are challenging lesions to treat with traditional surgical and conventional endovascular techniques despite modern improvements in technique and technology. Flow diversion emerged recently as a promising new therapy that overcomes limitations related to the wide-neck and fusiform morphology, and importantly addresses the underlying diseased parent artery from which the aneurysm arises. Methods: We reviewed the current literature regarding the safety and efficacy of flow diversion therapy for treatment of paraclinoid aneurysms. Results: Early results suggest excellent ability for flow diversion to remodel the diseased parent artery and achieve durable complete angiographic occlusion of the aneurysm with acceptable rates of periprocedural risk. Discussion: Flow diversion therapy can achieve durable and high rates of obliteration that surpass traditional methods of management for paraclinoid aneurysms. However, caution is warranted when considering this treatment modality due to several concerning and often-unpredictable complications associated with this technology.
KW - Endovascular therapy
KW - Flow diversion device
KW - Paraclinoid aneurysms
UR - http://www.scopus.com/inward/record.url?scp=84896303337&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84896303337&partnerID=8YFLogxK
U2 - 10.1179/1743132814Y.0000000326
DO - 10.1179/1743132814Y.0000000326
M3 - Article
C2 - 24617932
AN - SCOPUS:84896303337
SN - 0161-6412
VL - 36
SP - 314
EP - 322
JO - Neurological research
JF - Neurological research
IS - 4
ER -