Timing and Spectrum of Neurological Complications After Flow Diverter Implantation for Intracranial Aneurysms
Background and Purpose: The aim of this study was to characterize neurological complications after flow diverter (FD) treatment on a long follow-up cohort and identify predictive factors associated with these complications.Methods: This study was conducted on a monocentric cohort of patients treated...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-04-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2021.590383/full |
| _version_ | 1819295031007117312 |
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| author | Guillaume Charbonnier Jean-Philippe Desilles Simon Escalard Benjamin Maier Gabriele Ciccio Stanislas Smajda Robert Fahed François Delvoye Hocine Redjem Raphaël Blanc Michel Piotin Mikael Mazighi |
| author_facet | Guillaume Charbonnier Jean-Philippe Desilles Simon Escalard Benjamin Maier Gabriele Ciccio Stanislas Smajda Robert Fahed François Delvoye Hocine Redjem Raphaël Blanc Michel Piotin Mikael Mazighi |
| author_sort | Guillaume Charbonnier |
| collection | DOAJ |
| description | Background and Purpose: The aim of this study was to characterize neurological complications after flow diverter (FD) treatment on a long follow-up cohort and identify predictive factors associated with these complications.Methods: This study was conducted on a monocentric cohort of patients treated for intracranial aneurysms by FD.Results: Between September 2008 and July 2018, 413 patients were treated for 514 aneurysms: 18% of the patients presented with at least one neurological complication during a median follow-up of 446 days (IQR 186–1,210). Sixty-one patients presented with ischemic complications, 13 with hemorrhagic ones and 10 with compressive processes. Among 89 neurological complications 64.5% were peri-operative (occurring within the 30 days following the procedure) and 35.5% were delayed after 1 month.Conclusions: Overall, neurological complications after FD implantation were overrepresented by cerebrovascular ischemic events occurring during the peri-operative period, but also in a delayed manner after 1 year. Long-term follow-up is relevant after aneurysm intervention using FD. |
| first_indexed | 2024-12-24T04:35:45Z |
| format | Article |
| id | doaj.art-6c259ecc1545427e94c2446017cf8d75 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-24T04:35:45Z |
| publishDate | 2021-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-6c259ecc1545427e94c2446017cf8d752022-12-21T17:15:12ZengFrontiers Media S.A.Frontiers in Neurology1664-22952021-04-011210.3389/fneur.2021.590383590383Timing and Spectrum of Neurological Complications After Flow Diverter Implantation for Intracranial AneurysmsGuillaume Charbonnier0Jean-Philippe Desilles1Simon Escalard2Benjamin Maier3Gabriele Ciccio4Stanislas Smajda5Robert Fahed6François Delvoye7Hocine Redjem8Raphaël Blanc9Michel Piotin10Mikael Mazighi11Interventional Neuroradiology, Besançon University Hospital, Besancon, FranceInterventional Neuroradiology, Rothschild Foundation Hospital, Paris, FranceInterventional Neuroradiology, Rothschild Foundation Hospital, Paris, FranceInterventional Neuroradiology, Rothschild Foundation Hospital, Paris, FranceInterventional Neuroradiology, Rothschild Foundation Hospital, Paris, FranceInterventional Neuroradiology, Rothschild Foundation Hospital, Paris, FranceInterventional Neuroradiology, Rothschild Foundation Hospital, Paris, FranceInterventional Neuroradiology, Rothschild Foundation Hospital, Paris, FranceInterventional Neuroradiology, Rothschild Foundation Hospital, Paris, FranceInterventional Neuroradiology, Rothschild Foundation Hospital, Paris, FranceInterventional Neuroradiology, Rothschild Foundation Hospital, Paris, FranceInterventional Neuroradiology, Rothschild Foundation Hospital, Paris, FranceBackground and Purpose: The aim of this study was to characterize neurological complications after flow diverter (FD) treatment on a long follow-up cohort and identify predictive factors associated with these complications.Methods: This study was conducted on a monocentric cohort of patients treated for intracranial aneurysms by FD.Results: Between September 2008 and July 2018, 413 patients were treated for 514 aneurysms: 18% of the patients presented with at least one neurological complication during a median follow-up of 446 days (IQR 186–1,210). Sixty-one patients presented with ischemic complications, 13 with hemorrhagic ones and 10 with compressive processes. Among 89 neurological complications 64.5% were peri-operative (occurring within the 30 days following the procedure) and 35.5% were delayed after 1 month.Conclusions: Overall, neurological complications after FD implantation were overrepresented by cerebrovascular ischemic events occurring during the peri-operative period, but also in a delayed manner after 1 year. Long-term follow-up is relevant after aneurysm intervention using FD.https://www.frontiersin.org/articles/10.3389/fneur.2021.590383/fullintracranial aneurysmstentsplatelet aggregation inhibitorsstrokecerebral hemorrhagesubarachnoid hemorrhage |
| spellingShingle | Guillaume Charbonnier Jean-Philippe Desilles Simon Escalard Benjamin Maier Gabriele Ciccio Stanislas Smajda Robert Fahed François Delvoye Hocine Redjem Raphaël Blanc Michel Piotin Mikael Mazighi Timing and Spectrum of Neurological Complications After Flow Diverter Implantation for Intracranial Aneurysms Frontiers in Neurology intracranial aneurysm stents platelet aggregation inhibitors stroke cerebral hemorrhage subarachnoid hemorrhage |
| title | Timing and Spectrum of Neurological Complications After Flow Diverter Implantation for Intracranial Aneurysms |
| title_full | Timing and Spectrum of Neurological Complications After Flow Diverter Implantation for Intracranial Aneurysms |
| title_fullStr | Timing and Spectrum of Neurological Complications After Flow Diverter Implantation for Intracranial Aneurysms |
| title_full_unstemmed | Timing and Spectrum of Neurological Complications After Flow Diverter Implantation for Intracranial Aneurysms |
| title_short | Timing and Spectrum of Neurological Complications After Flow Diverter Implantation for Intracranial Aneurysms |
| title_sort | timing and spectrum of neurological complications after flow diverter implantation for intracranial aneurysms |
| topic | intracranial aneurysm stents platelet aggregation inhibitors stroke cerebral hemorrhage subarachnoid hemorrhage |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2021.590383/full |
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