Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
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Flow diverter stenting for intracranial aneurysms in the pediatric population: Two case reports and literature review

  • Akram M Eraky (Department of Neurosurgery, Medical College of Wisconsin) ;
  • Christina Feller (Department of Neurosurgery, Medical College of Wisconsin) ;
  • Hatem Tolba (Department of Neurology, Medical College of Wisconsin) ;
  • Mokshal Porwal (Department of Neurosurgery, Medical College of Wisconsin) ;
  • Raphael H. Sacho (Department of Neurosurgery, Northwell Health) ;
  • Hirad Hedayat (Department of Neurosurgery, Medical College of Wisconsin)
  • Received : 2023.04.14
  • Accepted : 2023.07.12
  • Published : 2024.03.31
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Abstract

The Pipeline Embolization Device (PED) is a flow-diverting intraluminal device that is approved for use in adults 18 years or older with internal carotid artery aneurysms. However, it can also be used off-label in pediatric patients with aneurysms that cannot be resolved with traditional endovascular treatments. Herein, we present two cases of flow diversion in the pediatric population with complete obliteration of the aneurysm and excellent outcomes. Flow diversion has been shown to be a safe endovascular option in treating complex aneurysms in children. Larger-sized, multicenter trials are encouraged to compare outcomes between flow diversion and other aneurysm treatment options given the rarity of pediatric aneurysms.

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References

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