Circulation remodeling after flow diversion of an anterior communicating artery aneurysm: A case report

Anterior communicating artery aneurysms are the most common intracranial aneurysm and have a high risk of rupture which can lead to morbidity and mortality. Traditionally, intracranial aneurysms were treated by clipping with neurosurgical access. However, certain patients may prefer less invasive ap...

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Bibliographic Details
Published in:Journal of cerebrovascular and endovascular neurosurgery 2023, 25(3), , pp.311-315
Main Authors: Withers, James, Regenhardt, Robert W, Dmytriw, Adam A, Vranic, Justin E, Marciano, Rudolph, Rabinov, James D
Format: Article
Language:English
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Case Report
신경외과학
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Summary:Anterior communicating artery aneurysms are the most common intracranial aneurysm and have a high risk of rupture which can lead to morbidity and mortality. Traditionally, intracranial aneurysms were treated by clipping with neurosurgical access. However, certain patients may prefer less invasive approaches or not represent open surgical candidates. Flow diverters, including flow-redirection endoluminal devices (FRED), are new-generation stents that are placed endovascularly by transfemoral or transradial access. Recent studies have demonstrated that FRED is both safe and effective, with complete occlusion of aneurysms in over 90% of patients. This case highlights an interesting phenomenon of post-flow diversion circulatory remodeling, where flow diverter treatment can alter the circle of Willis anatomy and physiology.
ISSN:2234-8565
2287-3139
DOI:10.7461/jcen.2022.E2022.07.009