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

Research ArticleInterventional

Endothelialization following Flow Diversion for Intracranial Aneurysms: A Systematic Review

K. Ravindran, M.M. Salem, A.Y. Alturki, A.J. Thomas, C.S. Ogilvy and J.M. Moore
American Journal of Neuroradiology February 2019, 40 (2) 295-301; DOI: https://doi.org/10.3174/ajnr.A5955
K. Ravindran
aFrom the Neurosurgical Service, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
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M.M. Salem
aFrom the Neurosurgical Service, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
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A.Y. Alturki
aFrom the Neurosurgical Service, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
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A.J. Thomas
aFrom the Neurosurgical Service, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
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C.S. Ogilvy
aFrom the Neurosurgical Service, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
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J.M. Moore
aFrom the Neurosurgical Service, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
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    Fig 1.

    PRISMA flow chart of articles.

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    Fig 2.

    Endothelialization along the flow-diverting stent. Interplay among the flow-diverting stent, native vessel endothelium, molecular factors at aneurysm dome, and circulating endothelial progenitor cells is depicted in cartoon format. Stromal cell-derived factor 1 (SDF-1) released from the bone marrow binds to the C-X-C chemokine receptor type 4 (CXCR-4) receptor on circulating EPCs and directs homing of these cells to the bone marrow. At the site of flow-diverter placement, circulating EPCs (shown as CD31+ CD34+) are seen along device struts. At the aneurysm dome, several molecules, including matrix metalloproteinase-9 (MMP-9), act to stimulate vascular repair. Ang-1 is furthermore released from the disrupted endothelium, where its prorepair action is mediated by the Tie2 receptor expressed on the vascular endothelium. TGF-β indicates transforming growth factor β. Artist: David Fisher, Dept of Neurosurgery, University of Alabama-Birmingham. Published with permission.

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American Journal of Neuroradiology: 40 (2)
American Journal of Neuroradiology
Vol. 40, Issue 2
1 Feb 2019
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K. Ravindran, M.M. Salem, A.Y. Alturki, A.J. Thomas, C.S. Ogilvy, J.M. Moore
Endothelialization following Flow Diversion for Intracranial Aneurysms: A Systematic Review
American Journal of Neuroradiology Feb 2019, 40 (2) 295-301; DOI: 10.3174/ajnr.A5955

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Endothelialization following Flow Diversion for Intracranial Aneurysms: A Systematic Review
K. Ravindran, M.M. Salem, A.Y. Alturki, A.J. Thomas, C.S. Ogilvy, J.M. Moore
American Journal of Neuroradiology Feb 2019, 40 (2) 295-301; DOI: 10.3174/ajnr.A5955
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  • Evaluation of flow diverters for cerebral aneurysm therapy: recommendations for imaging analyses in clinical studies, endorsed by ESMINT, ESNR, OCIN, SILAN, SNIS, and WFITN
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More in this TOC Section

  • Safety, Efficacy, and Durability of Stent-Assisted Coiling Treatment of M2 (Insular) Segment MCA Aneurysms
  • Endovascular Management of Intracranial Dural AVFs: Transvenous Approach
  • A Meta-analysis of Combined Aspiration Catheter and Stent Retriever versus Stent Retriever Alone for Large-Vessel Occlusion Ischemic Stroke
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