ENDOVASCULAR TREATMENT OF INTRACRANIAL ANEURYSMS BY FLOW–DIVERTER IN A RESOURCE LIMITED SETUP :A CASE SERIES

Dr. SudhirSuggala; Dr. Manoharsha Gannena; Dr.R S K Karthik Nerusu

Volume : X, Issue : II, February - 2020

ENDOVASCULAR TREATMENT OF INTRACRANIAL ANEURYSMS BY FLOW–DIVERTER IN A RESOURCE LIMITED SETUP :A CASE SERIES

Dr. Sudhirsuggala, Dr. Manoharsha Gannena, Dr. R S K Karthik Nerusu

Abstract :

OBJECTIVE Endovascular coil embolization has become an effective treatment modality for most intracranial aneurysms 1. However, complex aneurysms including large and giant aneurysms, fusiform shaped aneurysms, wide necked aneurysm, or small aneurysm that are unsuitable for coil embolization are still a formidable challenge. Flow diverters (FD) have been developed to treat intracranial aneurysms. These devices are placed in the artery and take advantage of changing the hemodynamics at the aneurysm/parent vessel interface leading to gradual thrombosis of the aneurysm occurring over time while preserving perforators and side anches in most cases. Flow diverters have allowed treatment of previously untreatable wide neck and giant aneurysms. It is a novel concept that is applied in the treatment of these complex intracranial aneurysms. METHODS: We review the results and important features of five aneurysms in four patients who underwent endovascular treatment by using the flow diverter device. DISCUSSION: We suggest that treatment with flow diverters is a safe and effective treatment modality in a resource limited set up with a cath lab fulfilling essential requirements for flow diverter placement.