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Case Studies | Medical Radiologic Sciences | Bulgaria | Volume 12 Issue 4, April 2023
Discussion on Flow-Diversion of Acutely Ruptured Intracranial Aneurysms: A Single - Center Experience
Sirakova K. [5] | Vladev G. [2]
Abstract: Subarachnoid hemorrhage (SAH) represents a significant clinical challenge, often resulting in severe neurological complications and high mortality rates(1). Neurovascular interventions in SAH patients aim to isolate the ruptured cerebral aneurysm from the circulation, in order to avoid the devastating outcome of re-rupture(2). In the setting of SAH, physicians are limited to using intrasaccular devices such as coils, as the patient lacks the luxury of being on dual-antiplatelet therapy (DAPT) which allows for permanent intra-luminal devices to be used. Even so, flow-diversion has emerged as a promising approach to address the intricacies associated with SAH(3). Flow-diverting devices have gained traction in recent years(4), predominantly due to their ability to promote aneurysm thrombosis and subsequent vessel remodeling. By altering the hemodynamic environment within the aneurysm, these devices facilitate the redirection of blood flow away from the lesion, while preserving the patency of parent and perforating arteries. We will discuss the patient selection method we use in order to optimize its implementation. The objective is to provide a thorough understanding of flow-diversion in the context of SAH management and its potential role in improving patient outcomes.
Keywords: aneurysm, flow diversion, stent, subarahnoid haemorrhage
Edition: Volume 12 Issue 4, April 2023,
Pages: 1133 - 1135