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Advantages and Disadvantages of Flow Diverter Treatment for Cerebral Aneurysms
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- Ishii Akira
- Department of Neurosurgery, Kyoto University Graduate School of Medicine
Bibliographic Information
- Other Title
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- フローダイバーターの功罪
- フローダイバーター ノ コウザイ
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Description
<p> The advantages of flow diverter (FD) treatment include no recanalization after complete occlusion. Multiple prospective clinical trials have shown the high durability of FD treatment. Treatment indications have been further expanded owing to the introduction of novel devices. Of these, Pipeline Flex with Shield technology, an innovative FD coated with an anti-thrombotic polymer, may be another potential breakthrough in the era of FD. Possible new targets of FD treatment include ruptured, dissecting, and blood blister-like aneurysms in the near future.</p><p> However, FD treatment has important consequences, such as the risk of incomplete occlusion following FD treatment. Of the many predictive factors shown in the literature, both high age and an incorporated branch are considered while choosing a treatment in clinical practice. Periprocedural antiplatelet monitoring is important to prevent not only ischemic but also hemorrhagic complications, such as intraparenchymal hemorrhage. A standard protocol for antiplatelet monitoring should be established.</p>
Journal
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- Japanese Journal of Neurosurgery
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Japanese Journal of Neurosurgery 31 (2), 98-106, 2022
The Japanese Congress of Neurological Surgeons
