Journal of Neuroradiology ( IF 3.0 ) Pub Date : 2019-06-20 , DOI: 10.1016/j.neurad.2019.06.002 Krishna Amuluru 1 , Fawaz Al-Mufti 2 , Charles Edward Romero 3
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Background and purpose
Reports on flow diversion treatment of aneurysms beyond the Circle of Willis are limited, with few series dedicated to anterior communicating artery region aneurysms. The purpose of this study is to evaluate the safety and effectiveness of the pipeline embolization device in the treatment of anterior communicating artery region aneurysms.
Materials and methods
The neuro-interventional database of a single institution was retrospectively reviewed for anterior communicating artery aneurysms treated with the pipeline embolization device between November 2016 and December 2018. Data on clinical presentation, aneurysm location, type, vessel size, procedural complications, clinical and imaging follow-up were analyzed.
Results
Ten patients with 11 anterior communicating artery aneurysms were included. Procedural success was achieved in 9/10 patients (90%). Flow diversion with the pipeline embolization device yielded occlusion in 100% of patients at 6.5 months. Symptomatic ischemic complications occurred in 2/10 patients (20%); only one of who had permanent symptoms. Hemorrhagic groin complications were encountered in 2/10 patients (20%). There were no deaths and no cerebral hemorrhagic complications.
Conclusions
Flow diversion therapy may provide a feasible solution for anterior communicating artery region aneurysms that are not amenable to traditional surgical or endovascular modalities.
中文翻译：
前交通动脉区动脉瘤的分流治疗
背景和目的
关于威利斯环以外动脉瘤的分流治疗的报道有限，很少有专门针对前交通动脉区动脉瘤的系列报道。本研究的目的是评估管道栓塞装置治疗前交通动脉区动脉瘤的安全性和有效性。
材料和方法
回顾性分析2016年11月至2018年12月使用管道栓塞装置治疗前交通动脉瘤的单一机构神经介入数据库。 临床表现、动脉瘤位置、类型、血管大小、手术并发症、临床和影像学数据如下-up 进行了分析。
结果
包括 10 名患有 11 个前交通动脉瘤的患者。9/10 患者 (90%) 获得了手术成功。在 6.5 个月时，使用管道栓塞装置进行分流使 100% 的患者发生闭塞。2/10 患者（20%）出现症状性缺血并发症；只有一个人有永久性症状。2/10 患者 (20%) 出现腹股沟出血并发症。无死亡病例，无脑出血并发症。
结论
血流分流治疗可能为无法接受传统手术或血管内治疗的前交通动脉区动脉瘤提供可行的解决方案。
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