Bailout Strategies and Complications Associated with the Use of Flow-Diverting Stents for Treating Intracranial Aneurysms

Authors

Fawaz Al-Mufti, Department of Neurology and Neurosurgery, Westchester Medical Center at New York Medical College, Valhalla, New York, USA.
Eric R. Cohen, Department of Neurology and Neurosurgery, Westchester Medical Center at New York Medical College, Valhalla, New York, USA.
Krishna Amuluru, Department of Neurointerventional Radiology, University of Pittsburgh-Hamot, Erie, Pennsylvania, USA.
Vikas Patel, Department of Neurology and Neurosurgery, Westchester Medical Center at New York Medical College, Valhalla, New York, USA.
Mohammad El-Ghanem, Department of Neurology and Medical Imaging, University of Arizona College of Medicine-Tucson, Tucson, Arizona, USA.
Rolla Nuoman, Department of Neurology, Rutgers University - New Jersey Medical School, Newark, New Jersey, USA.
Neil Majmundar, Departments of Neurology and Neurosurgery, Rutgers University - Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Neha S. Dangayach, Departments of Neurology and Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Philip M. Meyers, Departments of Radiology and Neurosurgery and Columbia University Medical Center, New York, New York, New York, USA.

Document Type

Article

Abstract

BACKGROUND: Flow-diverting stents (FDS) have revolutionized the endovascular management of unruptured, complex, wide-necked, and giant aneurysms. There is no consensus on management of complications associated with the placement of these devices. This review focuses on the management of complications of FDS for the treatment of intracranial aneurysms. SUMMARY: We performed a systematic, qualitative review using electronic databases MEDLINE and Google Scholar. Complications of FDS placement generally occur during the perioperative period. KEY MESSAGE: Complications associated with FDS may be divided into periprocedural complications, immediate postprocedural complications, and delayed complications. We sought to review these complications and novel management strategies that have been reported in the literature.

Publication Date

2-1-2020

Publication Title

Interventional neurology

ISSN

1664-9737

Volume

8

Issue

1

First Page

38

Last Page

54

PubMed ID

32231694

Digital Object Identifier (DOI)

10.1159/000489016

Recommended Citation

Al-Mufti, Fawaz; Cohen, Eric R.; Amuluru, Krishna; Patel, Vikas; El-Ghanem, Mohammad; Nuoman, Rolla; Majmundar, Neil; Dangayach, Neha S.; and Meyers, Philip M., "Bailout Strategies and Complications Associated with the Use of Flow-Diverting Stents for Treating Intracranial Aneurysms" (2020). Neurosurgery. 2189.
https://scholar.barrowneuro.org/neurosurgery/2189