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- Title
The use of Flow Diverting Stents to Treat Para-Ophthalmic Aneurysms.
- Authors
Bhogal, Pervinder; Hellstern, Victoria; Bäzner, Hansjörg; Ganslandt, Oliver; Henkes, Hans; Aguilar Pérez, Marta
- Abstract
Background and purpose: Few publications have dealt exclusively with the use of flow diverter stents for the treatment of para-ophthalmic aneurysms. We sought to determine the efficacy of flow diverting stents (FDSs) to treat aneurysms in this specific location. Methods: We retrospectively reviewed our database of prospectively collected information for all patients treated with flow diversion for an unruptured saccular para-ophthalmic aneurysm between September 2009 and January 2016. The aneurysm fundus size, neck size, number and type of FDS, complications, and follow-up data were recorded. Results: We identified 74 patients that matched our inclusion criteria. Of these patients, 18 patients were male (24.3%). The average fundus size was 4.8 mm, 11 aneurysms had previous coil occlusions and 63 were treated solely with flow diversion. At an initial angiographic follow-up (mean avg. 3.2 months), 71.8% of the aneurysms were occluded, and at the last follow-up (mean avg. 31.8 months), 88.9% of aneurysms were occluded. One patient suffered permanent morbidity (1.36%) secondary to interruption of the antiplatelet medication and another died (1.36%) secondary to in-stent thrombosis that was also due to an interruption in the antiplatelet medication. Conclusion: Treatment of saccular para-ophthalmic aneurysms with FDS is feasible and carries a high degree of technical success with low complication rates and excellent rates of aneurysm exclusion.
- Subjects
INTRACRANIAL aneurysm surgery; SURGICAL stents; MEDICAL databases
- Publication
Frontiers in Neurology, 2017, p1
- ISSN
1664-2295
- Publication type
Article
- DOI
10.3389/fneur.2017.00381