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Published on: August 11, 2015
Flow diverter stenting for intracranial aneurysms in the pediatric population: Two case reports and literature review
Akram M Eraky1, Christina Feller1, Hatem Tolba2
1Department of Neurosurgery, Medical College of Wisconsin, WI, USA.
Insights
Flow diversion using the Pipeline Embolization Device (PED) offers a safe and effective treatment for pediatric aneurysms when traditional methods fail. This endovascular approach achieved complete aneurysm obliteration in two pediatric cases, demonstrating excellent outcomes.
Area of Science:
- Endovascular neurosurgery
- Pediatric neurosurgery
- Cerebrovascular disease
Background:
- The Pipeline Embolization Device (PED) is FDA-approved for adult internal carotid artery aneurysms.
- Off-label use in pediatric patients with complex aneurysms is an emerging option.
- Traditional endovascular treatments may not resolve all pediatric aneurysms.
Abstract:
The Pipeline Embolization Device (PED) is a flow-diverting intraluminal device that is approved for use in adults 18 years or older with internal carotid artery aneurysms. However, it can also be used off-label in pediatric patients with aneurysms that cannot be resolved with traditional endovascular treatments. Herein, we present two cases of flow diversion in the pediatric population with complete obliteration of the aneurysm and excellent outcomes. Flow diversion has been shown to be a safe endovascular option in treating complex aneurysms in children. Larger-sized, multicenter trials are encouraged to compare outcomes between flow diversion and other aneurysm treatment options given the rarity of pediatric aneurysms.
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