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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention

Flow Diversion in Ruptured Intracranial Aneurysms: A Meta-Analysis

T.P. Madaelil, C.J. Moran, D.T. Cross and A.P. Kansagra
American Journal of Neuroradiology March 2017, 38 (3) 590-595; DOI: https://doi.org/10.3174/ajnr.A5030
T.P. Madaelil
aFrom the Mallinckrodt Institute of Radiology (T.P.M., C.J.M., D.T.C., A.P.K.)
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C.J. Moran
aFrom the Mallinckrodt Institute of Radiology (T.P.M., C.J.M., D.T.C., A.P.K.)
bDepartment of Neurosurgery (C.J.M., D.T.C., A.P.K.), Washington University School of Medicine, St. Louis, Missouri.
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D.T. Cross III
aFrom the Mallinckrodt Institute of Radiology (T.P.M., C.J.M., D.T.C., A.P.K.)
bDepartment of Neurosurgery (C.J.M., D.T.C., A.P.K.), Washington University School of Medicine, St. Louis, Missouri.
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A.P. Kansagra
aFrom the Mallinckrodt Institute of Radiology (T.P.M., C.J.M., D.T.C., A.P.K.)
bDepartment of Neurosurgery (C.J.M., D.T.C., A.P.K.), Washington University School of Medicine, St. Louis, Missouri.
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    Table 1:

    Angiographic outcomes following flow diversion in ruptured intracranial aneurysmsa

    Angiographic OcclusionFDFD and CoilsTotal
    CompleteIncompleteCompleteIncompleteCompleteIncomplete
    Overall7442379711
    Size
        Aneurysm <7 mm443101544
        Aneurysm >7 mm101125226
    Treatment timing
        Acute treatment383111494
        Delayed treatment50105155
    Clinical score
        Good clinical score472195667
        Poor clinical score8151132
    Location
        Anterior circulation332161493
        Posterior circulation25275327
    Type
        Dissecting18281263
        Fusiform503282
        Blister27171342
        Saccular7173144
        Giant100010
    • ↵a Data are numbers.

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    Table 2:

    Clinical outcomes following flow diversion in ruptured intracranial aneurysmsa

    Clinical OutcomeFDFD and CoilsTotal
    FavorableUnfavorableFavorableUnfavorableFavorableUnfavorable
    Overall771424910123
    Size
        Aneurysm <7 mm51583598
        Aneurysm >7 mm871432210
    Treatment timing
        Acute treatment419844913
        Delayed treatment50102152
    Clinical score
        Good clinical score5191947013
        Poor clinical score7332105
    Location
        Anterior circulation3971435310
        Posterior circulation23584319
    Type
        Dissecting18262244
        Fusiform434184
        Blister28343326
        Saccular11392205
        Giant110112
    • ↵a Data are numbers.

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American Journal of Neuroradiology: 38 (3)
American Journal of Neuroradiology
Vol. 38, Issue 3
1 Mar 2017
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Cite this article
T.P. Madaelil, C.J. Moran, D.T. Cross, A.P. Kansagra
Flow Diversion in Ruptured Intracranial Aneurysms: A Meta-Analysis
American Journal of Neuroradiology Mar 2017, 38 (3) 590-595; DOI: 10.3174/ajnr.A5030

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Flow Diversion in Ruptured Intracranial Aneurysms: A Meta-Analysis
T.P. Madaelil, C.J. Moran, D.T. Cross, A.P. Kansagra
American Journal of Neuroradiology Mar 2017, 38 (3) 590-595; DOI: 10.3174/ajnr.A5030
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  • Flow diversion with hydrophilic polymer coating with prasugrel as single antiplatelet therapy in the treatment of acutely ruptured intracranial aneurysms: a multicenter case series, complication and occlusion rates
  • Evaluation of flow diverters for cerebral aneurysm therapy: recommendations for imaging analyses in clinical studies, endorsed by ESMINT, ESNR, OCIN, SILAN, SNIS, and WFITN
  • Safety and efficacy of coated flow diverters in the treatment of ruptured intracranial aneurysms: a retrospective multicenter study
  • Derivo embolization device for intracranial aneurysms: a Spanish multicenter retrospective study
  • Flow Diversion in the Treatment of Intracranial Aneurysms: A Pragmatic Randomized Care Trial
  • Finnish flow diverter study: 8 years of experience in the treatment of acutely ruptured intracranial aneurysms
  • Antiplatelet Management for Stent-Assisted Coiling and Flow Diversion of Ruptured Intracranial Aneurysms: A DELPHI Consensus Statement
  • Republished: Competitive flow diversion of multiple P1 aneurysms: proposed classification
  • Use of the pCONus HPC as an adjunct to coil occlusion of acutely ruptured aneurysms: early clinical experience using single antiplatelet therapy
  • Competitive flow diversion of multiple P1 aneurysms: proposed classification
  • Flow diversion treatment for acutely ruptured aneurysms
  • Flow diversion beyond the circle of Willis: endovascular aneurysm treatment in peripheral cerebral arteries employing a novel low-profile flow diverting stent
  • Acutely Ruptured Intracranial Aneurysms Treated with Flow-Diverter Stents: A Systematic Review and Meta-Analysis
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