October 2012

Introduction

Welcome to the AJNR News Digest

AJNR Editor-in-ChiefMauricio Castillo

The next generation of devices to treat intracranial aneurysms, flow diverters, is receiving considerable attention in the literature and clinical practice. As such, we decided that recent articles published in AJNR would serve as an excellent launching pad for our new electronic AJNR News Digest. This monthly e-publication will highlight … more »

Interventional

Delayed Ipsilateral Parenchymal Hemorrhage Following Flow Diversion for the Treatment of Anterior Circulation Aneurysms

Tom Marotta

As more and more experience has been accumulated with flow diversion, we have begun to see unexpected complications, leading to permanent morbidity and mortality. The ipsilateral parenchymal hemorrhage was one of those complications, and we have been unable to fully understand it. We felt that it was important to make the interventional neuroradiology community aware … more »

Interventional

Treatment of Intracranial Aneurysms Using the Pipeline Flow-Diverter Embolization Device: A Single-Center Experience with Long-Term Follow-Up Results

Isil Saatci

Flow diverters are the recent hot topic in the endovascular treatment of cerebral aneurysms. They enable the treatment of so-called “unfavorable” aneurysms, especially sidewall aneurysms with wide necks, large or giant aneurysms with mass effect, fusiform aneurysms, blister aneurysms, dissecting aneurysms, or recurrent aneurysms. But, moreover, as we anticipated based on the positive … more »

Interventional

Flow Diverters for Unruptured Internal Carotid Artery Aneurysms: Dangerous and Not Yet an Alternative for Conventional Endovascular Techniques

Willem Jan van Rooij

Menno Sluzewski and I initiated and published many clinical research projects from our prospective database of over 2000 aneurysms treated with endovascular techniques since 1994, concentrating on results and safety of endovascular treatment of intracranial aneurysms. Our special focus was long-term and very long-term imaging and clinical follow-up after coiling and ICA occlusion.

I am an … more »

Interventional

Efficacy and Safety of Flow Diversion for Paraclinoid Aneurysms: A Matched-Pair Analysis Compared with Standard Endovascular Approaches

Giueseppe Lanzino

We chose to research this topic because, despite numerous single-center and multi-center publications regarding flow diversion, no study to date had compared flow diversion with more traditional endovascular methods for aneurysms with similar characteristics.  Therefore, the advantages of flow diversion were not known, because a head-to-head comparison did not exist.

Our study showed that flow … more »

Interventional

Safety of the Pipeline Embolization Device in Treatment of Posterior Circulation Aneurysms

Timothy J. Phillips

Flow-diverting devices have changed the landscape of brain aneurysm treatment significantly in a very short time. We need to know more about the use of these devices in the posterior circulation.

Flow-diverting devices are a useful tool for managing posterior circulation aneurysms that are not effectively treatable with other techniques. Our research provides … more »