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ORIGINAL RESEARCH INTERVENTIONAL Treatment of Ruptured Blister-Like Aneurysms with the FRED Flow Diverter: A Multicenter Experience M.A. Möhlenbruch, F. Seker, E. Özlük, O. Kizilkilic, E. Broussalis, M. Killer-Oberpfalzer, C.J. Griessenauer, M. Bendszus, and N. Kocer ABSTRACT BACKGROUND AND PURPOSE: Treatment of ruptured blister-like aneurysms is technically challenging. This study aimed at analyz- ing the safety and efficacy of the Flow-Redirection Endoluminal Device (FRED) in the treatment of ruptured blister-like aneurysms. MATERIALS AND METHODS: In a retrospective multicenter study, all patients treated with the FRED due to a ruptured intracranial blis- ter-like aneurysm between January 2013 and May 2019 were analyzed. The primary end points for clinical safety were mRS 0–2at 6months after treatment and the absence of major ipsilateral stroke or death. The primary end points for efficacy were the absence of rebleeding after treatment and complete angiographic occlusion according to the O’Kelly-Marotta classification at 6 months after treatment. RESULTS: In total, 30 patients with 30 ruptured blister-like aneurysms were treated. Immediate complete aneurysm obliteration (O’Kelly-Marotta classification D) with the FRED was achieved in 10 patients (33%). Of the 26 patients with follow-up, complete obliteration was achieved in 21 patients (80%) after 6 months and in 24 patients (92%)
American Journal of Neuroradiology – American Journal of Neuroradiology
Published: Dec 1, 2020
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