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Predictors of Incomplete Occlusion following Pipeline Embolization of Intracranial Aneurysms: Is It Less Effective in Older Patients?

Predictors of Incomplete Occlusion following Pipeline Embolization of Intracranial Aneurysms: Is... ORIGINAL RESEARCH INTERVENTIONAL Predictors of Incomplete Occlusion following Pipeline Embolization of Intracranial Aneurysms: Is It Less Effective in Older Patients? X N. Adeeb, X J.M. Moore, X M. Wirtz, X C.J. Griessenauer, X P.M. Foreman, X H. Shallwani, X R. Gupta, X A.A. Dmytriw, X R. Motiei-Langroudi, X A. Alturki, X M.R. Harrigan, X A.H. Siddiqui, X E.I. Levy, X A.J. Thomas, and X C.S. Ogilvy ABSTRACT BACKGROUND AND PURPOSE: Flow diversion with the Pipeline Embolization Device (PED) for the treatment of intracranial aneurysms is associated with a high rate of aneurysm occlusion. However, clinical and radiographic predictors of incomplete aneurysm occlusion are poorly defined. In this study, predictors of incomplete occlusion at last angiographic follow-up after PED treatment were assessed. MATERIALS AND METHODS: A retrospective analysis of consecutive aneurysms treated with the PED between 2009 and 2016, at 3 academic institutions in the United States, was performed. Cases with angiographic follow-up were selected to evaluate factors predictive of incomplete aneurysm occlusion at last follow-up. RESULTS: We identified 465 aneurysms treated with the PED; 380 (81.7%) aneurysms (329 procedures; median age, 58 years; female/male ratio,4.8:1)hadangiographicfollow-up,andwereincluded.Completeocclusion(100%)wasachievedin78.2%ofaneurysms.Near-complete (90%–99%) and partial (90%) occlusion were collectively achieved in 21.8% of aneurysms and defined http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

Predictors of Incomplete Occlusion following Pipeline Embolization of Intracranial Aneurysms: Is It Less Effective in Older Patients?

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Publisher
American Journal of Neuroradiology
Copyright
© 2017 by American Journal of Neuroradiology
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.A5375
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL RESEARCH INTERVENTIONAL Predictors of Incomplete Occlusion following Pipeline Embolization of Intracranial Aneurysms: Is It Less Effective in Older Patients? X N. Adeeb, X J.M. Moore, X M. Wirtz, X C.J. Griessenauer, X P.M. Foreman, X H. Shallwani, X R. Gupta, X A.A. Dmytriw, X R. Motiei-Langroudi, X A. Alturki, X M.R. Harrigan, X A.H. Siddiqui, X E.I. Levy, X A.J. Thomas, and X C.S. Ogilvy ABSTRACT BACKGROUND AND PURPOSE: Flow diversion with the Pipeline Embolization Device (PED) for the treatment of intracranial aneurysms is associated with a high rate of aneurysm occlusion. However, clinical and radiographic predictors of incomplete aneurysm occlusion are poorly defined. In this study, predictors of incomplete occlusion at last angiographic follow-up after PED treatment were assessed. MATERIALS AND METHODS: A retrospective analysis of consecutive aneurysms treated with the PED between 2009 and 2016, at 3 academic institutions in the United States, was performed. Cases with angiographic follow-up were selected to evaluate factors predictive of incomplete aneurysm occlusion at last follow-up. RESULTS: We identified 465 aneurysms treated with the PED; 380 (81.7%) aneurysms (329 procedures; median age, 58 years; female/male ratio,4.8:1)hadangiographicfollow-up,andwereincluded.Completeocclusion(100%)wasachievedin78.2%ofaneurysms.Near-complete (90%–99%) and partial (90%) occlusion were collectively achieved in 21.8% of aneurysms and defined

Journal

American Journal of NeuroradiologyAmerican Journal of Neuroradiology

Published: Dec 1, 2017

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