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Published on: August 11, 2015
Periprocedural management of ruptured blister aneurysms treated with pipeline flow diversion
Jessa E Hoffman1, Brent Morel1, Blake Wittenberg1
1Department of Neurosurgery, University of Colorado School of Medicine, Aurora, Colorado, United States.
Background:
Blister aneurysms are high-risk intracranial vascular lesions. Definitive treatment of these lesions has been challenging. Severe disability or mortality rates are as high as 55% when these lesions are treated with open surgery. Recent data show that flow diversion is a safe and effective alternative treatment for blister aneurysms. Rerupture of the functionally unsecured lesion remains a concern as flow diversion does not immediately exclude the aneurysm from the circulation.
Methods:
A retrospective review was performed of any patients with ruptured blister aneurysms treated with a pipeline embolization device between 2010 and 2020 at the University of Colorado.
Results:
In this paper, we present the results of the intensive care management of ruptured intracranial blister aneurysms after flow-diverting stent placement.
Conclusion:
Despite the need for dual antiplatelet therapy and the delayed occlusion of blister aneurysms treated with flow diversion, we did not find an increase in periprocedural complications.
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