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Flow Diversion for Middle Cerebral Artery Aneurysms: An International Cohort Study.

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收录情况： ◇ SCIE

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机构： [1]Division of Diagnostic & Therapeutic Neuroradiology, Department of Radiology, St. Michael’s Hospital (Unity Health), University of Toronto, Toronto, Ontario, Canada [2]Département de Radiologie, Radio-oncologie et Médecine Nucléaire, Centre Hospitalier de l’Université de Montréal, Université de Montréal, Montréal, Québec, Canada [3]Departments of Neurosurgery & Interventional Neuroradiology, LSU Shreveport School of Medicine, Shreveport, Louisiana, USA [4]Neuroendovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA [5]Department of Neurology, University of Cincinnati, Cincinnati, Ohio, USA [6]Departments of Radiology & Neurological Surgery,Mayo Clinic, Rochester,Minnesota, USA [7]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China [8]Department of Neurosurgery, University of Utah, Salt Lake City, Utah, USA [9]Departments of Radiology and Neurosurgery, NYU Langone Health, New York, New York, USA [10]Department of Neurosurgery, Queen Elizabeth II Health Science Centre, DalhousieMedical School, Halifax, Nova Scotia, Canada [11]Department of Neurosurgery, National Neuroscience Institute, King Fahad Medical City, Riyadh, Saudi Arabia [12]Department of Neurosurgery, Geisinger, Danville, Pennsylvania, USA [13]Research Institute of Neurointervention, Paracelsus Medical University, Salzburg, Austria [14]Department of Neurosurgery, Christian Doppler Klinik, Paracelsus Medical University, Salzburg, Austria [15]Department of Neurosurgery, University of Pennsylvania, Penn Medicine, Philadelphia, Pennsylvania, USA [16]Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA [17]Department of Neurosurgery, University of Texas Medical Branch, Houston, Texas, USA

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关键词： Intracranial aneurysm Middle cerebral artery Endovascular Flow diversion Pipeline

摘要：

Open surgery has traditionally been preferred for the management of bifurcation middle cerebral artery (MCA) aneurysms. Flow diverting stents present a novel endovascular strategy for aneurysm treatment.To add to the limited literature describing the outcomes and complications in the use of flow diverters for the treatment of these complex aneurysms.This is a multicenter retrospective review of MCA bifurcation aneurysms undergoing flow diversion. We assessed post-treatment radiological outcomes and both thromboembolic and hemorrhagic complications.We reviewed the outcomes of 54 aneurysms treated with flow diversion. Four (7.4%) of the aneurysms had a history of rupture (3 remote and 1 acute). Fourteen (25.9%) of the aneurysms already underwent either open surgery or coiling prior to flow diversion. A total of 36 out of the 45 aneurysms (80%) with available follow-up data had adequate aneurysm occlusion with a median follow-up time of 12 mo. There were no hemorrhagic complications but 16.7% (9/54) had thromboembolic complications.Flow diverting stents may be a viable option for the endovascular treatment of complex bifurcation MCA aneurysms. However, compared to published series on the open surgical treatment of this subset of aneurysms, flow diversion has inferior outcomes and are associated with a higher rate of complications.© Congress of Neurological Surgeons 2021.

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出版当年[2020]版：

大类 | 2 区

医学

小类 | 1 区外科 2 区临床神经病学

最新[2023]版：

大类 | 2 区

医学

小类 | 2 区临床神经病学 2 区外科

JCR分区：

出版当年[2019]版：

Q1 CLINICAL NEUROLOGY Q1 SURGERY

最新[2023]版：

Q1 CLINICAL NEUROLOGY Q1 SURGERY

影响因子： 3.9 最新[2023版] 4.1 最新五年平均 4.853 出版当年[2019版] 5.047 出版当年五年平均 4.605 出版前一年[2018版] 4.654 出版后一年[2020版]

第一作者：

第一作者机构： [1]Division of Diagnostic & Therapeutic Neuroradiology, Department of Radiology, St. Michael’s Hospital (Unity Health), University of Toronto, Toronto, Ontario, Canada [2]Département de Radiologie, Radio-oncologie et Médecine Nucléaire, Centre Hospitalier de l’Université de Montréal, Université de Montréal, Montréal, Québec, Canada

通讯作者：

通讯机构： [1]Division of Diagnostic & Therapeutic Neuroradiology, Department of Radiology, St. Michael’s Hospital (Unity Health), University of Toronto, Toronto, Ontario, Canada [4]Neuroendovascular Program, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA [*1]Neuroendovascular Program, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA.

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Flow Diversion for Middle Cerebral Artery Aneurysms: An International Cohort Study.

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