Mid-Term Outcome Following Pipeline Embolization of Unruptured Intracranial Aneurysms
| Author | Kavous Firouznia | en |
| Author | Melina Hosseiny | en |
| Author | Soheil Kooraki | en |
| Author | Amirreza Samani | en |
| Author | Mohammad Soltani | en |
| Author | Amir Hossein Jalali | en |
| Author | Seyed Ehsan Parhizgar | en |
| Author | Hossein Ghanaati | en |
| Orcid | Hossein Ghanaati [0000-0003-4107-9336] | en |
| Issued Date | 2018-01-31 | en |
| Abstract | Background: As an advanced generation of flow diverters (FD), pipeline embolization device (PED) is introduced for endovascular aneurysm occlusion. In the present study, we aimed to present the mid-term results after endovascular treatment of unruptured intracranial aneurysms using PED. Patients and Methods: A total of 20 patients with 20 intracranial wide neck aneurysms were treated with PED between July and October 2010. Patients were followed up 4 to 8 months after the procedure. Digital subtraction angiography (DSA) was carried out to assess stent integrity, displacement, and the presence of residual aneurysm. Results: Out of 20 participants, PED deployment was successful in 19; whereas, intervention failed in one patient due to technical factors in device deployment. No severe acute complications were observed. One patient died after three months as a result of subarachnoid hemorrhage (SAH). Out of the remaining patients, DSA showed complete occlusion of aneurysms in 14 individuals (77.8%), while in four patients (22.2%), residual aneurysm was noted. Stent migration was not observed in any patients. Intra-stent stenosis (25% - 50%) was visualized in only one patient (5.5%). Conclusion: This study showed promising mid-term results for the pipeline embolization device in the treatment of unruptured intracranial aneurysms. Larger studies with longer follow-up duration are warranted. | en |
| DOI | https://doi.org/10.5812/iranjradiol.59703 | en |
| Keyword | Embolization | en |
| Keyword | Aneurysm | en |
| Keyword | Intervention | en |
| Publisher | Brieflands | en |
| Title | Mid-Term Outcome Following Pipeline Embolization of Unruptured Intracranial Aneurysms | en |
| Type | Research Article | en |
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