Flow diversion for acutely ruptured intracranial aneurysms: A single-center retrospective analysis of 30 consecutive cases

• DOI: 10.4103/bc.bc_132_24
• Publication Date: 2025-04-08T20:01:39Z
• Authors: Arevik Abramyan; Mena Samaan; Kaustav Chattopad...; Siddhant Kumarapuram; Srihari Sundararajan; Hai Sun; Emad Nourollah-Zadeh; Sudipta Roychowdhury; Gaurav Gupta
• Keywords: Single Center; Center (category theory)

Abstract OBJECTIVES: When presented with acutely ruptured aneurysms, neurosurgeons may elect to use flow diverters (FDs). However, the limited evidence concerning their safety and potential thromboembolic hemorrhagic complications, is extremely infrequent often quite limited. In this study, we evaluated treatment-related as well clinical radiological outcomes, in patients treated FD stents for intracranial aneurysms. MATERIALS AND METHODS: We conducted a retrospective review of FDs within 15 days postsubarachnoid hemorrhage from 2012 2024. Patient demographics, aneurysm characteristics, procedural specifics, along imaging follow-ups were assessed. RESULTS: The study included 30 mean age 55.6 years. Most aneurysms located anterior circulation either small or medium-sized. Morphologically, saccular (43.3%), blister-like (40%), fusiform/dissecting (16.7%). time rupture onset treatment was 4.4 days. release successfully achieved all cases. Posttreatment rebleeding occurred 10% patients, ischemic complications 6.7%, mortality 6.6%, an overall 13.3%. At discharge, 70% favorable functional outcome. available follow-up period 26 months, complete occlusion observed 57.1% at 1 month 100% those (40%) after year. CONCLUSIONS: Flow diversion demonstrates promising although careful patient selection alternative consideration are essential. Future prospective, multicenter studies needed validate preliminary findings optimize protocols high-risk population.