J Cerebrovasc Endovasc Neurosurg.
2024 Mar;26(1):58-64. 10.7461/jcen.2023.E2023.04.001.
Flow diverter stenting for intracranial aneurysms in the pediatric population: Two case reports and literature review
- Affiliations
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- 1Department of Neurosurgery, Medical College of Wisconsin, WI, USA
- 2Department of Neurology, Medical College of Wisconsin, Wauwatosa, WI, USA
- 3Department of Neurosurgery, Northwell Health, New York, USA
- KMID: 2554047
- DOI: http://doi.org/10.7461/jcen.2023.E2023.04.001
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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