Flow Diversion of Cerebral Aneurysms: A Comprehensive Guide for Neurointerventionalists
4.5 out of 5
Language | : | English |
File size | : | 30738 KB |
Text-to-Speech | : | Enabled |
Screen Reader | : | Supported |
Enhanced typesetting | : | Enabled |
Print length | : | 478 pages |
Paperback | : | 86 pages |
Item Weight | : | 7.8 ounces |
Cerebral aneurysms are a serious medical condition that affects an estimated 5 million people worldwide. These weakened areas in the brain's arteries can rupture and cause life-threatening bleeding. Traditional treatments for cerebral aneurysms have included surgical clipping and endovascular coiling, but these techniques can be challenging and carry significant risks.
Flow diversion is a relatively new technique that has emerged as a promising alternative to traditional aneurysm treatments. This innovative approach involves placing a small stent in the parent artery that supplies blood to the aneurysm. The stent diverts blood flow away from the aneurysm, causing it to shrink and eventually disappear.
History of Flow Diversion
The concept of flow diversion was first introduced in 1993 by Dr. Guglielmi and colleagues. However, it wasn't until 2005 that the first successful flow diversion procedure was performed by Dr. Casasco and colleagues. Since then, flow diversion has been increasingly adopted by neurointerventionalists around the world.
Principles of Flow Diversion
Flow diversion works by redirecting blood flow away from the aneurysm. This is achieved by placing a stent in the parent artery, which creates a barrier between the aneurysm and the main blood flow.
As blood flows through the stent, it exerts a force on the aneurysm that causes it to collapse. Over time, the aneurysm shrinks and eventually disappears.
Techniques of Flow Diversion
There are two main flow diversion techniques: Pipeline embolization and Silk Road stent placement.
Pipeline Embolization
Pipeline embolization is one of the most common flow diversion techniques. It involves placing a stent with a closed cell design into the parent artery. The closed cell design prevents blood from flowing into the aneurysm, but it allows for blood flow to pass through the normal branches of the parent artery.
Silk Road Stent Placement
Silk Road stent placement is another common flow diversion technique. It involves placing a stent with an open cell design into the parent artery. The open cell design allows for blood to flow into the aneurysm, but it creates a high-velocity jet of blood that impinges on the aneurysm and causes it to collapse.
Clinical Applications of Flow Diversion
Flow diversion is a versatile technique that can be used to treat a variety of cerebral aneurysms. It is particularly effective for treating aneurysms that are difficult to reach or that are not suitable for traditional treatments.
Some of the most common clinical applications of flow diversion include:
- Treatment of unruptured aneurysms
- Treatment of ruptured aneurysms
- Treatment of aneurysms in complex locations
- Treatment of aneurysms with wide necks
- Treatment of aneurysms in patients who are not suitable for surgery
Benefits of Flow Diversion
Flow diversion offers several benefits over traditional aneurysm treatments, including:
- Higher rates of complete aneurysm obliteration
- Lower rates of retreatment
- Reduced risk of complications
- Fewer procedural steps
- Shorter procedure times
Risks of Flow Diversion
Flow diversion is a relatively safe procedure, but it can still be associated with certain risks, including:
- Stroke
- Thromboembolism
- Vasospasm
- Device malposition
- Aneurysm rupture
Flow diversion is a groundbreaking technique that has revolutionized the treatment of cerebral aneurysms. It is a safe and effective alternative to traditional treatments, and it offers promising outcomes for patients with this serious medical condition.
As the field of neurointerventional radiology continues to evolve, flow diversion will likely become even more widely adopted as the preferred treatment for cerebral aneurysms.
4.5 out of 5
Language | : | English |
File size | : | 30738 KB |
Text-to-Speech | : | Enabled |
Screen Reader | : | Supported |
Enhanced typesetting | : | Enabled |
Print length | : | 478 pages |
Paperback | : | 86 pages |
Item Weight | : | 7.8 ounces |
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4.5 out of 5
Language | : | English |
File size | : | 30738 KB |
Text-to-Speech | : | Enabled |
Screen Reader | : | Supported |
Enhanced typesetting | : | Enabled |
Print length | : | 478 pages |
Paperback | : | 86 pages |
Item Weight | : | 7.8 ounces |