E-106 Bilateral ACA H-configuration flow diversion for treatment of AComm aneurysms

ConclusionPlacement of bilateral ACA flow diverters for treatment of AComm aneurysms is a good endovascular option in selected patients. Reduction of flow across the AComm artery may suffice to reduce flow into the aneurysm sac and minimize the risk of aneurysm growth and/or rupture.Abstract E-106 Table 1 Patient Sex Age Aneurysm Rupture Status Largest diameter 1st flow diverter 2nd flow diverter Procedural complication DAPT 6-month follow-up 12-month follow-up 24- 36-month follow-up 1 F 59 Unruptured 3.2 mm 2.5x13 mm FRED X 2.5x13 mm FRED X none ASA 81 mg Plavix 75 mg Pending - - 2 F 54 Ruptured 0.8 mm 2.5x13 mm FRED X 2.5x13 mm FRED X In-device clot formation IA integrilin, then ASA 81 mg Plavix 75 mg Near complete occlusion - - 3 M 79 Unruptured 4.2 mm 3.25x20 mm PED 2.75x14 mm PED none ASA 325 mg Plavix 75 mg Partial occlusion Partial occlusion Partial occlusion 4 M 67 Unruptured 3.4 mm 2.5x16 mm PED 2.5 x 16 mm PED Telescopic PED required due to foreshortening ASA 81 mg Plavix 75 mg Lost to follow-up - - Disclosures A. Kuhn: None. J. Singh: None. S. Sarid: None. K. de Macedo Rodrigues: None. M. Garcia: None. A. Puri: 1; C; Consultant for Medtronic Neurovascular, Stryker NeurovascularBalt, Q’Apel Medical, Cerenovus, Microvention, Imperative Care, Agile, Merit, CereVasc and Arsenal Medical. 2; C; NIH, Microvention, Cerenovus, Medtronic Neurovascular and Stryker Neurovascular. 4; C; InNeuroCo, Agile, Perfuze, Galaxy and NTI.
Source: Journal of NeuroInterventional Surgery - Category: Neurosurgery Authors: Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research