Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Clinical Neuroradiology
Published in: Clinical Neuroradiology 2/2015

01-06-2015 | Correspondence

Early Fatal Hemorrhage After Endovascular Treatment of a Giant Aneurysm with Flow Diverter Device and Coils

Authors: F. Briganti, MD, G. Leone, MD, M. Napoli, MD, W. Lauriola, MD, F. Florio, MD, F. Maiuri, MD

Published in: Clinical Neuroradiology | Issue 2/2015

Login to get access

Excerpt

Flow Diverter Devices (FDD) are important tools for treating intracranial aneurysms [1‐3]. Preliminary results suggest a favorable outcome, but there is not negligible risk of early and delayed rupture, especially for large and giant aneurysms [4, 6‐11]. This complication significantly limits the efficacy of this technique. Several recent studies [7, 8] recommend use of coils in addition to the FDD to prevent delayed aneurysm rupture. We present a case of early fatal hemorrhage (< 24 h) after endovascular treatment of a giant supraclinoid carotid-ophthalmic aneurysm treated with FDD and coils. …
Literature
1.
Arrese I, Sarabia R, Pintado R, Delgado-Rodriguez M. Flow-diverter devices for intracranial aneurysms: systematic review and meta-analysis. Neurosurgery. 2013;73:193–9. (discussion 199–200).PubMedCrossRef
2.
Brinjikji W, Murad MH, Lanzino G, Cloft HJ, Kallmes DF. Endovascular treatment of intracranial aneurysms with flow diverters: a meta-analysis. Stroke. 2013;44:442–7.PubMedCrossRef
3.
Briganti F, Napoli M, Tortora F, Solari D, Bergui M, Boccardi E, Cagliari E, Castellan L, et al. Italian multicenter experience with flow-diverter devices for intracranial unruptured aneurysm treatment with periprocedural complications -a retrospective data analysis. Neuroradiology. 2012;54:1145–52.PubMedCrossRef
4.
5.
Greving JP, Wermer MJ, Brown RD Jr, Morita A, Juvela S, Yonekura M, Ishibashi T, Torner JC, Nakayama T, Rinkel GJ, Algra A. Development of the PHASES score for prediction of risk of rupture of intracranial aneurysms: a pooled analysis of six prospective cohort studies. Lancet Neurol. 2014;13:59–66.PubMedCrossRef
6.
Berge J, Tourdias T, Moreau JF, Barreau X, Dousset V. Perianeurysmal brain inflammation after flow-diversion treatment. AJNR Am J Neuroradiol. 2011;32:1930–4.PubMedCrossRef
7.
Kulcsar Z, Houdart E, Bonafe A, Parker G, Millar J, Goddard AJ, Renowden S, Gal G, Turowski B, Mitchell K, Gray F, Rodriguez M, van den Berg R, Gruber A, Desal H, Wanke I, Rufenacht DA. Intra-aneurysmal thrombosis as a possible cause of delayed aneurysm rupture after flow-diversion treatment. AJNR Am J Neuroradiol. 2011;32:20–5.PubMedCrossRef
8.
Siddiqui AH, Kan P, Abla AA, Hopkins LN, Levy EI. Complications after treatment with pipeline embolization for giant distal intracranial aneurysms with or without coil embolization. Neurosurgery. 2012;71:509–13.CrossRef
9.
McAuliffe W, Wycoco V, Rice H, Phatouros C, Singh TJ, Wenderoth J. Immediate and midterm results following treatment of recently ruptured intracranial aneurysms with the Pipeline embolization device. AJNR Am J Neuroradiol. 2012;33:487–93.PubMedCrossRef
10.
O’Kelly CJ, Spears J, Chow M, Wong J, Boulton M, Weill A, Willinsky RA, Kelly M, Marotta TR. Canadian experience with the pipeline embolization devices for repair of unruptured intracranial aneurysms. AJNR Am J Neuroradiol. 2013;34:381–7.PubMedCrossRef
11.
Turowski B, Macht S, Kulcsár Z, Hänggi D, Stummer W. Early fatal hemorrhage after endovascular cerebral aneurysm treatment with a flow diverter (SILK-Stent): do we need to rethink our concepts? Neuroradiology. 2011;53:37–41.PubMedCrossRef
12.
Cebral JR, Mut F, Raschi M, Scrivano E, Ceratto R, Lylyk P, Putman CM. Aneurysm rupture following treatment with flow-diverting stents: computational hemodynamics analysis of treatment. AJNR Am J Neuroradiol. 2011;32:27–33.PubMedCrossRef
13.
Chow M, McDougall C, O’Kelly C, Ashforth R, Johnson E, Fiorella D. Delayed spontaneous rupture of a posterior inferior cerebellar artery aneurism following treatment with flow diversion: a clinicopathologic study. AJNR Am J Neuroradiol. 2012;33:E46–51.PubMedCrossRef
Metadata
Title
Early Fatal Hemorrhage After Endovascular Treatment of a Giant Aneurysm with Flow Diverter Device and Coils
Authors
F. Briganti, MD
G. Leone, MD
M. Napoli, MD
W. Lauriola, MD
F. Florio, MD
F. Maiuri, MD
Publication date
01-06-2015
Publisher
Springer Berlin Heidelberg
Published in
Clinical Neuroradiology / Issue 2/2015
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-014-0310-x

Other articles of this Issue 2/2015

Clinical Neuroradiology 2/2015 Go to the issue

Original Article

Peri-interventional Subarachnoid Hemorrhage During Mechanical Thrombectomy with stent retrievers in Acute Stroke: A Retrospective Case-Control Study

Correspondence

ALK Positive Anaplastic Large Cell Lymphoma With Pure Leptomeningeal Involvement: Unique Case Report and Review of the Literature

Review Article

Cavernous Sinus: A Comprehensive Review of its Anatomy, Pathologic Conditions, and Imaging Features

Editorial

Editorial

Original Article

Posterior Reversible Encephalopathy Syndrome: The Spectrum of MR Imaging Patterns

Correspondence

A Case of Giant Thrombosed Persistent Primitive Trigeminal Artery Aneurysm Presenting with Trigeminal Neuralgia and Successfully Treated by a Covered Stent: Case Report and Review of Literature