Dept of Imaging & Interventional Radiology, INHS Asvini, Colaba, Mumbai, India.
Consultant Interventional Neuroradiology, Department of Imaging & Interventional Radiology, Kokilaben Dhirubai Ambani Hospital, Mumbai, India.
J Clin Neurosci. 2019 Nov;69:166-169. doi: 10.1016/j.jocn.2019.07.079. Epub 2019 Aug 23.
This retrospective study was aimed at assessing our results of endovascular management using the FRED junior flow diverter in cerebral aneurysms at or distal to the circle of Willis. 12 patients with 15 small cerebral vessel aneurysms at or distal to the circle of Willis underwent endovascular treatment using the FRED junior flow diverter at two tertiary care centres in Mumbai, India. 12 of the 15 aneurysms were unruptured, one was treated in an acutely ruptured setting, while two, which had presented with SAH were initially treated with balloon assisted coiling and later treated in a staged manner with a flow diverter. Technical success was 100% in all 15 deployments. Deployments were made across angles ranging from 45° to 180°. There was no stroke/TIA/death in any of the cases, which were unruptured. The O'Kelly-Marotta (OKM) staging was used to analyze angiographic follow up (at least one post procedure angiogram) which was available in 8 patients (10 aneurysms). OKM D & C was seen in 80% of the aneurysms on follow up angiograms. The treatment of small vessel cerebral aneurysms at or distal to the Circle of Willis using a dedicated flow diverter (FRED Jr.) is both technically feasible and highly efficacious.
这项回顾性研究旨在评估我们在 Willis 环或其远端的小型脑动脉血管动脉瘤中使用 FRED junior 血流导向装置进行血管内治疗的结果。在印度孟买的两个三级护理中心，使用 FRED junior 血流导向装置对 12 名患者的 15 个小型脑动脉血管动脉瘤进行了血管内治疗。这 15 个动脉瘤中有 12 个未破裂，1 个在急性破裂时进行了治疗，而另外 2 个因蛛网膜下腔出血而就诊的患者最初采用球囊辅助弹簧圈治疗，随后分期采用血流导向装置治疗。在所有 15 个装置的部署中，技术成功率达到 100%。部署跨越 45°至 180°的角度。在未破裂的病例中，没有发生卒中/TIA/死亡。使用 O'Kelly-Marotta（OKM）分期分析了 8 例患者（10 个动脉瘤）至少有一次术后血管造影的血管造影随访。在随访血管造影中，80%的动脉瘤可见 OKM D & C。在 Willis 环或其远端的小型脑动脉血管动脉瘤中使用专用的血流导向装置（FRED Jr.）进行治疗，在技术上是可行的，并且非常有效。
