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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleNeurointervention

Flow Diversion versus Standard Endovascular Techniques for the Treatment of Unruptured Carotid-Ophthalmic Aneurysms

F. Di Maria, S. Pistocchi, F. Clarençon, B. Bartolini, R. Blanc, A. Biondi, H. Redjem, J. Chiras, N. Sourour and M. Piotin
American Journal of Neuroradiology December 2015, 36 (12) 2325-2330; DOI: https://doi.org/10.3174/ajnr.A4437
F. Di Maria
aFrom the Department of Neuroradiology (F.D.M., F.C., H.R., J.C., N.S.), Groupe Hospitalier Pitié-Salpêtrière, Paris, France
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S. Pistocchi
bDepartment of Neuroradiology (S.P., B.B., R.B., H.R., M.P.), Fondation Ophtalmologique Adolphe de Rothschild, Paris, France
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F. Clarençon
aFrom the Department of Neuroradiology (F.D.M., F.C., H.R., J.C., N.S.), Groupe Hospitalier Pitié-Salpêtrière, Paris, France
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  • ORCID record for F. Clarençon
B. Bartolini
bDepartment of Neuroradiology (S.P., B.B., R.B., H.R., M.P.), Fondation Ophtalmologique Adolphe de Rothschild, Paris, France
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R. Blanc
bDepartment of Neuroradiology (S.P., B.B., R.B., H.R., M.P.), Fondation Ophtalmologique Adolphe de Rothschild, Paris, France
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A. Biondi
cDepartment of Neuroradiology (A.B.), Centre Hospitalier J. Minjoz, Besançon, France.
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  • ORCID record for A. Biondi
H. Redjem
aFrom the Department of Neuroradiology (F.D.M., F.C., H.R., J.C., N.S.), Groupe Hospitalier Pitié-Salpêtrière, Paris, France
bDepartment of Neuroradiology (S.P., B.B., R.B., H.R., M.P.), Fondation Ophtalmologique Adolphe de Rothschild, Paris, France
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J. Chiras
aFrom the Department of Neuroradiology (F.D.M., F.C., H.R., J.C., N.S.), Groupe Hospitalier Pitié-Salpêtrière, Paris, France
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N. Sourour
aFrom the Department of Neuroradiology (F.D.M., F.C., H.R., J.C., N.S.), Groupe Hospitalier Pitié-Salpêtrière, Paris, France
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M. Piotin
bDepartment of Neuroradiology (S.P., B.B., R.B., H.R., M.P.), Fondation Ophtalmologique Adolphe de Rothschild, Paris, France
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    Table 1:

    Baseline characteristics for the 2 study groups

    Coil-Based Technique (n = 61)FD (n = 77)P Value
    Mean age (yr)49.2 ± 13.949.7 ± 11.8.79
    Male patients10 (16.4%)17 (22.1%).52
    Female patients51 (83.6%)60 (77.9%)
    An. size (mm) (mean)6.7 ± 3.68.7 ± 6.3.03
    D/N ratio1.8 ± 0.631.9 ± 1.05.46
    • Note:—An. indicates aneurysm; FD, flow diverter; D/N, dome/neck.

    • View popup
    Table 2:

    Comparison of rates of aneurysmal occlusion according to follow-up intervals for coil-based techniques and flow-diversion groups

    ≤6 Months7–12 Months>12 MonthsLatest Follow-Up
    Coiling group17/26 (65.4%)16/28 (57.1%)23/50 (46%)27/55 (49,1%)
    Flow diverter21/39 (53.8%)16/22 (72.2%)35/41 (85.3%)50/67 (74.6%)
    P value.44.37.00015a.0047a
    • ↵a Significant.

    • View popup
    Table 3:

    Comparison of rates of aneurysmal occlusion according to follow-up intervals for the stent-assisted coiling subgroup and flow-diversion group

    ≤6 Months7–12 Months>12 MonthsLatest Follow-Up
    Stent-coil9/11 (81.8%)11/17 (64.7%)14/24 (58.3%)16/24 (66.7%)
    Flow diverter21/39 (53.8%)16/22 (72.2%)35/41 (85.3%)50/67 (74.6%)
    P value.16.73.019a.59
    • ↵a Significant.

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American Journal of Neuroradiology: 36 (12)
American Journal of Neuroradiology
Vol. 36, Issue 12
1 Dec 2015
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F. Di Maria, S. Pistocchi, F. Clarençon, B. Bartolini, R. Blanc, A. Biondi, H. Redjem, J. Chiras, N. Sourour, M. Piotin
Flow Diversion versus Standard Endovascular Techniques for the Treatment of Unruptured Carotid-Ophthalmic Aneurysms
American Journal of Neuroradiology Dec 2015, 36 (12) 2325-2330; DOI: 10.3174/ajnr.A4437

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Flow Diversion versus Standard Endovascular Techniques for the Treatment of Unruptured Carotid-Ophthalmic Aneurysms
F. Di Maria, S. Pistocchi, F. Clarençon, B. Bartolini, R. Blanc, A. Biondi, H. Redjem, J. Chiras, N. Sourour, M. Piotin
American Journal of Neuroradiology Dec 2015, 36 (12) 2325-2330; DOI: 10.3174/ajnr.A4437
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  • Flow-diverting stents for the treatment of unruptured distal anterior cerebral artery aneurysms: analysis of the CRETA Registry
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  • How Flow Reduction Influences the Intracranial Aneurysm Occlusion: A Prospective 4D Phase-Contrast MRI Study
  • Long-term visual outcome in patients treated by flow diversion for carotid-ophthalmic aneurysms
  • Flow Diversion in Ruptured Intracranial Aneurysms: A Meta-Analysis
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