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Efficacy and Safety of Flow Diversion for Paraclinoid Aneurysms: A Matched-Pair Analysis Compared with Standard Endovascular Approaches - AJNR News Digest
October 2012
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 diverters achieved a higher rate of complete obliteration compared to more traditional endovascular methods.  Moreover, with the availability of flow diverters, parent artery occlusion — which has been, for many years, a valid option in the treatment of some of these complex paraclinoid aneurysms — was significantly reduced.

We think these findings are important because, before introducing such an expensive device that is not devoid of serious complications, it is important to know the real advantages.

As our experience with flow diverters continues to increase, and as we are utilizing these devices more and more for other types of aneurysms in various intracranial locations, we will be investigating the efficacy and safety of flow diverters for other sites  as well as the mid-term angiographic and clinical experience.

Read this article at AJNR.org . . .

 

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