Infectious intracranial aneurysms in the pediatric population: endovascular treatment with Onyx

Christopher S Eddleman1, Daniel Surdell, Arthur DiPatri

  • 1Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA. eddleman@md.northwestern.edu

Insights

Liquid embolics like Onyx offer a safe and effective endovascular treatment for pediatric infectious intracranial aneurysms. Combining Onyx with coils can tailor therapy for successful aneurysm exclusion.

Area of Science:

  • Neurology
  • Interventional Radiology
  • Pediatric Neurosurgery

Background:

  • Infectious intracranial aneurysms (IIAs) pose significant treatment challenges in pediatric patients.
  • Traditional treatment options for pediatric IIAs have limitations.
  • Advancements in endovascular techniques provide new therapeutic avenues.

Observation:

  • This study reviews the use of Onyx, a liquid embolic agent, for treating pediatric IIAs.
  • The endovascular approach involved embolizing ruptured IIAs with Onyx, either alone or with platinum coils.
  • The safety and efficacy of this endovascular strategy were evaluated.

Findings:

  • Endovascular therapy using liquid embolics, specifically Onyx, is a safe and effective treatment for pediatric IIAs.
  • The combination of Onyx with platinum coils allows for tailored treatment strategies to achieve aneurysm exclusion.
  • The study demonstrated good results in excluding infectious aneurysms using these endovascular modalities.

Implications:

  • Liquid embolic agents represent a viable and effective treatment option for pediatric infectious intracranial aneurysms.
  • Tailored endovascular approaches can achieve successful exclusion of these complex aneurysms.
  • Further research is warranted to determine the long-term outcomes of this endovascular treatment in pediatric populations.
Abstract

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