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ORIGINAL RESEARCH INTERVENTIONAL Ostium Ratio and Neck Ratio Could Predict the Outcome of Sidewall Intracranial Aneurysms Treated with Flow Diverters X N. Paliwal, X V.M. Tutino, X H. Shallwani, X J.S. Beecher, X R.J. Damiano, X H.J. Shakir, X G.S. Atwal, X V.S. Fennell, X S.K. Natarajan, X E.I. Levy, X A.H. Siddiqui, X J.M. Davies, and X H. Meng ABSTRACT BACKGROUND AND PURPOSE: Incompletely occluded flow diverter treated aneurysms remain at risk of rupture and thromboembolic complications. Our aim was to identify the potential for incomplete occlusion of intracranial aneurysms treated by flow diverters. We investigated whether aneurysm ostium size in relation to parent artery size affects angiographic outcomes of flow diverter–treated sidewall aneurysms. MATERIALS AND METHODS: Flow diverter–treated sidewall aneurysms were divided into “occluded” and “residual” (incomplete occlu- sion) groups based on 6-month angiographic follow-up. We calculated the ostium ratio, a new parameter defined as the aneurysm ostium surface area versus the circumferential surface area of the parent artery. We also calculated the neck ratio, defined as clinical aneurysm neck diameter versus parent artery diameter from pretreatment 2D DSA, as a 2D surrogate. We compared the performance of these ratios with existing aneurysm morphometrics (size, neck diameter,
American Journal of Neuroradiology – American Journal of Neuroradiology
Published: Feb 1, 2019
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