Rajah Gary, Narayanan Sandra, Rangel-Castilla Leonardo
Department of Neurosurgery, Wayne State University School of Medicine, Detroit, Michigan.
Neurosurg Focus. 2017 Jun;42(6):E2. doi: 10.3171/2017.3.FOCUS16427.
Flow diversion has become a well-accepted option for the treatment of cerebral aneurysms. Given the significant treatment effect of flow diverters, numerous options have emerged since the initial Pipeline embolization device studies. In this review, the authors describe the available flow diverters, both endoluminal and intrasaccular, addressing nuances of device design and function and presenting data on complications and outcomes, where available. They also discuss possible future directions of flow diversion.
血流导向已成为治疗脑动脉瘤广泛接受的一种选择。鉴于血流导向装置显著的治疗效果，自最初的Pipeline栓塞装置研究以来，出现了众多选择。在本综述中，作者描述了现有的血流导向装置，包括腔内和瘤内装置，阐述了装置设计和功能的细微差别，并在可行的情况下展示了并发症和治疗结果的数据。他们还讨论了血流导向未来可能的发展方向。
