Safety and efficacy of flow re-direction endoluminal device (FRED) in the treatment of cerebral aneurysms: a single center experience

被引：34
|
作者：
Briganti, Francesco [1 ]
Leone, Giuseppe [2 ]
Ugga, Lorenzo [2 ]
Marseglia, Mariano [1 ]
Solari, Domenico [3 ]
Caranci, Ferdinando [2 ]
Mariniello, Giuseppe [3 ]
Maiuri, Francesco [3 ]
Cappabianca, Paolo [3 ]
机构：
[1] Univ Naples Federico II, Dept Adv Biomed Sci, Unit Intervent Neuroradiol, Via S Pansini 5, I-80131 Naples, Italy
[2] Federico II, Dept Adv Biomed Sci, Via S Pansini 5, I-80131 Naples, Italy
[3] Univ Naples Federico II, Div Neurosurg, Dept Neurosci Reprod & Odontostomatol Sci, Via S Pansini 5, I-80131 Naples, Italy
来源：
ACTA NEUROCHIRURGICA | 2016年 / 158卷 / 09期
关键词：
Intracranial aneurysm; Flow diverter devices; FRED; Endovascular treatment; PIPELINE EMBOLIZATION DEVICE; INTRACRANIAL ANEURYSMS; DIVERTOR DEVICES; FOLLOW-UP; INITIAL-EXPERIENCE; ENDOVASCULAR TREATMENT; SILK STENT; METAANALYSIS; MULTICENTER; DIVERSION;
D O I：
10.1007/s00701-016-2875-4
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Experience with the endovascular treatment of cerebral aneurysms by the Flow Re-Direction Endoluminal Device (FRED) is still limited. The aim of this study is to discuss the results and complications of this new flow diverter device (FDD). Between November 2013 and April 2015, 20 patients (15 female and five male) harboring 24 cerebral aneurysms were treated with FRED FDD in a single center. Complete occlusion was obtained in 20/24 aneurysms (83 %) and partial occlusion in four (17 %). Intraprocedural technical complication occurred in one case (4 %) and post-procedural complications in three (12 %). None reported neurological deficits (mRS = 0). All FRED were patent at follow-up. No early or delayed aneurysm rupture, no subarachnoid (SAH) or intraparenchymal hemorrhage (IPH) no ischemic complications and no deaths occurred. Endovascular treatment with FRED FDD is a safe treatment for unruptured cerebral aneurysms, resulting in a high rate of occlusion. The FRED is substantially equivalent to the other known FDDs, which show similar functions and technical profiles.
引用
收藏
页码：1745 / 1755
页数：11
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