Incidence and clinical implications of carotid branch occlusion following treatment of internal carotid artery aneurysms with the pipeline embolization device
BACKGROUND: The use of flow diverters such as the pipeline embolization device (PED) for treatment of intracranial aneurysms carries the risk of side branch occlusion. OBJECTIVE: To determine the incidence and clinical outcomes associated with supraclinoid internal carotid artery (ICA) branch occlus...
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2015
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| Online Access: | http://hdl.handle.net/10725/11008 https://doi.org/10.1227/NEU.0000000000000595 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://academic.oup.com/neurosurgery/article/76/2/173/2452153 |
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| _version_ | 1864513487950053376 |
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| author | Vedantam, Aditya |
| author2 | Rao, Vikas Y. Shaltoni, Hashem M. Mawad, Michel E. |
| author2_role | author author author |
| author_facet | Vedantam, Aditya Rao, Vikas Y. Shaltoni, Hashem M. Mawad, Michel E. |
| author_role | author |
| dc.creator.none.fl_str_mv | Vedantam, Aditya Rao, Vikas Y. Shaltoni, Hashem M. Mawad, Michel E. |
| dc.date.none.fl_str_mv | 2015 2019-07-09T08:19:24Z 2019-07-09T08:19:24Z 2019-07-09 |
| dc.identifier.none.fl_str_mv | 1524-4040 http://hdl.handle.net/10725/11008 https://doi.org/10.1227/NEU.0000000000000595 Vedantam, A., Rao, V. Y., Shaltoni, H. M., & Mawad, M. E. (2014). Incidence and clinical implications of carotid branch occlusion following treatment of internal carotid artery aneurysms with the pipeline embolization device. Neurosurgery, 76(2), 173-178. http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://academic.oup.com/neurosurgery/article/76/2/173/2452153 |
| dc.language.none.fl_str_mv | en |
| dc.relation.none.fl_str_mv | Neurosurgery |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | Incidence and clinical implications of carotid branch occlusion following treatment of internal carotid artery aneurysms with the pipeline embolization device |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | BACKGROUND: The use of flow diverters such as the pipeline embolization device (PED) for treatment of intracranial aneurysms carries the risk of side branch occlusion. OBJECTIVE: To determine the incidence and clinical outcomes associated with supraclinoid internal carotid artery (ICA) branch occlusion after deployment of PEDs for ICA aneurysms. METHODS: We reviewed patients who underwent endovascular treatment with PEDs for ICA aneurysms between June 2011 and March 2013. Forty-nine patients (43 women, mean age 56.3 ± 1.8 years, 68 aneurysms) in whom PEDs traversed the origin of supraclinoid ICA branches (ophthalmic [OA], posterior communicating [PcommA], and anterior choroidal artery [AChA]) were selected for this study. Follow-up angiograms (mean follow-up, 12.8 ± 0.8 months) were studied to determine the location of PEDs and the patency of ICA branches. RESULTS: PEDs were placed across the ostia of 49 OAs, 14 PcommAs, and 11 AChAs. Multiple PEDs were deployed in 16 patients. Rate of branch occlusion was 4% (2/49) for the OA, 7.1% (1/14) for the PcommA, and 0% for the AChA. Patients with branch occlusion did not endure new neurological deficits. ICA branch occlusion was not associated with the number of PEDs covering the ostia (P = .76) or the origin of ICA branches from the aneurysm (P = .24). CONCLUSION: The incidence of major supraclinoid ICA branch occlusion after treatment with PEDs was low. These events were not associated with new neurological deficits nor were they related to the number of PEDs deployed or the origin of ICA branches from the aneurysm. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_f263852782a1587b244b2a4dce3d2922 |
| identifier_str_mv | 1524-4040 Vedantam, A., Rao, V. Y., Shaltoni, H. M., & Mawad, M. E. (2014). Incidence and clinical implications of carotid branch occlusion following treatment of internal carotid artery aneurysms with the pipeline embolization device. Neurosurgery, 76(2), 173-178. |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/11008 |
| publishDate | 2015 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | Incidence and clinical implications of carotid branch occlusion following treatment of internal carotid artery aneurysms with the pipeline embolization deviceVedantam, AdityaRao, Vikas Y.Shaltoni, Hashem M.Mawad, Michel E.BACKGROUND: The use of flow diverters such as the pipeline embolization device (PED) for treatment of intracranial aneurysms carries the risk of side branch occlusion. OBJECTIVE: To determine the incidence and clinical outcomes associated with supraclinoid internal carotid artery (ICA) branch occlusion after deployment of PEDs for ICA aneurysms. METHODS: We reviewed patients who underwent endovascular treatment with PEDs for ICA aneurysms between June 2011 and March 2013. Forty-nine patients (43 women, mean age 56.3 ± 1.8 years, 68 aneurysms) in whom PEDs traversed the origin of supraclinoid ICA branches (ophthalmic [OA], posterior communicating [PcommA], and anterior choroidal artery [AChA]) were selected for this study. Follow-up angiograms (mean follow-up, 12.8 ± 0.8 months) were studied to determine the location of PEDs and the patency of ICA branches. RESULTS: PEDs were placed across the ostia of 49 OAs, 14 PcommAs, and 11 AChAs. Multiple PEDs were deployed in 16 patients. Rate of branch occlusion was 4% (2/49) for the OA, 7.1% (1/14) for the PcommA, and 0% for the AChA. Patients with branch occlusion did not endure new neurological deficits. ICA branch occlusion was not associated with the number of PEDs covering the ostia (P = .76) or the origin of ICA branches from the aneurysm (P = .24). CONCLUSION: The incidence of major supraclinoid ICA branch occlusion after treatment with PEDs was low. These events were not associated with new neurological deficits nor were they related to the number of PEDs deployed or the origin of ICA branches from the aneurysm.PublishedN/A2019-07-09T08:19:24Z2019-07-09T08:19:24Z20152019-07-09Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1524-4040http://hdl.handle.net/10725/11008https://doi.org/10.1227/NEU.0000000000000595Vedantam, A., Rao, V. Y., Shaltoni, H. M., & Mawad, M. E. (2014). Incidence and clinical implications of carotid branch occlusion following treatment of internal carotid artery aneurysms with the pipeline embolization device. Neurosurgery, 76(2), 173-178.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://academic.oup.com/neurosurgery/article/76/2/173/2452153enNeurosurgeryinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/110082021-03-19T10:45:20Z |
| spellingShingle | Incidence and clinical implications of carotid branch occlusion following treatment of internal carotid artery aneurysms with the pipeline embolization device Vedantam, Aditya |
| status_str | publishedVersion |
| title | Incidence and clinical implications of carotid branch occlusion following treatment of internal carotid artery aneurysms with the pipeline embolization device |
| title_full | Incidence and clinical implications of carotid branch occlusion following treatment of internal carotid artery aneurysms with the pipeline embolization device |
| title_fullStr | Incidence and clinical implications of carotid branch occlusion following treatment of internal carotid artery aneurysms with the pipeline embolization device |
| title_full_unstemmed | Incidence and clinical implications of carotid branch occlusion following treatment of internal carotid artery aneurysms with the pipeline embolization device |
| title_short | Incidence and clinical implications of carotid branch occlusion following treatment of internal carotid artery aneurysms with the pipeline embolization device |
| title_sort | Incidence and clinical implications of carotid branch occlusion following treatment of internal carotid artery aneurysms with the pipeline embolization device |
| url | http://hdl.handle.net/10725/11008 https://doi.org/10.1227/NEU.0000000000000595 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php https://academic.oup.com/neurosurgery/article/76/2/173/2452153 |