Flow diversion for treatment of intracranial aneurysms: Mechanism and implications

被引:17
|
作者
Chua, Melissa M. J. [2 ]
Silveira, Luke [2 ]
Moore, Justin [2 ,3 ]
Pereira, Vitor M. [1 ]
Thomas, Ajith J. [3 ]
Dmytriw, Adam A. [1 ,3 ]
机构
[1] Univ Toronto, Dept Med Imaging, 263 McCaul St, Toronto, ON M5T 1W7, Canada
[2] Boston Univ, Sch Med, Boston, MA 02118 USA
[3] Harvard Med Sch, Neurosurg Serv, Beth Israel Deaconess Med Ctr, Boston, MA 02115 USA
关键词
PIPELINE EMBOLIZATION DEVICE; CAROTID-ARTERY ANEURYSMS; SIDE BRANCHES; ENDOVASCULAR TREATMENT; DIVERTOR TREATMENT; OPHTHALMIC ARTERY; IN-VITRO; STENT; HEMODYNAMICS; OCCLUSION;
D O I
10.1002/ana.25484
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Flow diverters are new generation stents that have recently garnered a large amount of interest for use in treatment of intracranial aneurysms. Flow diverters reduce blood flow into the aneurysm, with redirection along the path of the parent vessel. Flow stagnation into the aneurysm and neck coverage with subsequent endothelialization are the important synergistic mechanisms by which the therapy acts. Several studies have examined the mechanisms by which flow diverters subsequently lead to aneurysm occlusion. This review aims to provide a general overview of the flow diverters and their mechanism of action and potential implications. ANN NEUROL 2019;85:793-800.
引用
收藏
页码:793 / 800
页数:8
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