Treatment of Cavernous Sinus Aneurysms with Flow Diversion: Results in 44 Patients

• DOI: 10.3174/ajnr.a3826
• Publication Date: 2013-12-20T05:34:55Z
• Authors: R. C. Puffer; M. Piano; G. Lanzino; L. Valvassori; D. F. Kallmes; L. Quilici; H. J. Cloft; E. Boccardi
• Keywords: Flow diverter; Perforation; Groin

<h3>BACKGROUND AND PURPOSE:</h3> Aneurysms of the cavernous segment ICA are difficult to treat with standard endovascular techniques, and sacrifice achieves a high rate occlusion but carries an elevated level surgical complications risk de novo aneurysm formation. We report rates treatment-related data in 44 patients sinus aneurysms treated flow diversion. <h3>MATERIALS METHODS:</h3> Patients diversion were selected from prospectively maintained base 2009 present. Demographic information, treatment indications, number/type diverters placed, outcome, (technical or clinical), clinical/imaging follow-up analyzed. <h3>RESULTS:</h3> identified (37 females, 7 males) who had diverter placed for (mean age, 57.2; mean size, 20.9 mm). The number devices per patient was 2.2. At final angiographic (mean, 10.9 months), 71% complete occlusion, those incomplete 40% minimal remnants (&lt;3 In symptomatic patients, resolution significant improvement symptoms noted 90% at follow-up. Technical (which included, among others, vessel perforation 4 groin hematoma 2, asymptomatic carotid 1) occurred approximately 36% did not result any clinical sequelae immediately <h3>CONCLUSIONS:</h3> Our series flow-diversion treatments achieved markedly greater than coiling, safety profile that compares favorably sacrifice.