Failure of Flow Diverter Therapy: Predictors and Management Strategies.

Abstract:

:Flow diversion is a safe and effective treatment for many types of brain aneurysms. Even so, there remain some aneurysms that persist despite initial treatment. In studies with the longest follow-up (5 yr), at least 5% of aneurysms persist with this treatment modality. As the cumulative experience and clinical indications for flow diversion continue to expand, the anatomic and functional characteristics that are associated with aneurysm persistence are increasingly described. Identification of these factors preoperatively can help to guide initial treatment decisions, enhance monitoring protocols in the follow-up period, and establish best practices for re-treatment when necessary. Herein, we review published clinical series and provide examples to highlight variables implicated in aneurysm persistence after treatment with flow diversion.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Bonney PA,Connor M,Fujii T,Singh P,Koch MJ,Stapleton CJ,Mack WJ,Walcott BP

doi

10.1093/neuros/nyz305

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

S64-S73

issue

Suppl 1

eissn

0148-396X

issn

1524-4040

pii

5675130

journal_volume

86

pub_type

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