---
_id: '398'
abstract:
- lang: eng
text: 'Objective: To report long-term results after Pipeline Embolization Device
(PED) implantation, characterize complex and standard aneurysms comprehensively,
and introduce a modified flow disruption scale. Methods: We retrospectively reviewed
a consecutive series of 40 patients harboring 59 aneurysms treated with 54 PEDs.
Aneurysm complexity was assessed using our proposed classification. Immediate
angiographic results were analyzed using previously published grading scales and
our novel flow disruption scale. Results: According to our new definition, 46
(78%) aneurysms were classified as complex. Most PED interventions were performed
in the paraophthalmic and cavernous internal carotid artery segments. Excellent
neurologic outcome (modified Rankin Scale 0 and 1) was observed in 94% of patients.
Our data showed low permanent procedure-related mortality (0%) and morbidity (3%)
rates. Long-term angiographic follow-up showed complete occlusion in 81% and near-total
obliteration in a further 14%. Complete obliteration after deployment of a single
PED was achieved in all standard aneurysms with 1-year follow-up. Our new scale
was an independent predictor of aneurysm occlusion in a multivariable analysis.
All aneurysms with a high flow disruption grade showed complete occlusion at follow-up
regardless of PED number or aneurysm complexity. Conclusions: Treatment with the
PED should be recognized as a primary management strategy for a highly selected
cohort with predominantly complex intracranial aneurysms. We further show that
a priori assessment of aneurysm complexity and our new postinterventional angiographic
flow disruption scale predict occlusion probability and may help to determine
the adequate number of per-aneurysm devices.'
article_processing_charge: No
author:
- first_name: Philippe
full_name: Dodier, Philippe
last_name: Dodier
- first_name: Josa
full_name: Frischer, Josa
last_name: Frischer
- first_name: Wei
full_name: Wang, Wei
last_name: Wang
- first_name: Thomas
full_name: Auzinger, Thomas
id: 4718F954-F248-11E8-B48F-1D18A9856A87
last_name: Auzinger
orcid: 0000-0002-1546-3265
- first_name: Ammar
full_name: Mallouhi, Ammar
last_name: Mallouhi
- first_name: Wolfgang
full_name: Serles, Wolfgang
last_name: Serles
- first_name: Andreas
full_name: Gruber, Andreas
last_name: Gruber
- first_name: Engelbert
full_name: Knosp, Engelbert
last_name: Knosp
- first_name: Gerhard
full_name: Bavinzski, Gerhard
last_name: Bavinzski
citation:
ama: Dodier P, Frischer J, Wang W, et al. Immediate flow disruption as a prognostic
factor after flow diverter treatment long term experience with the pipeline embolization
device. World Neurosurgery. 2018;13:e568-e578. doi:10.1016/j.wneu.2018.02.096
apa: Dodier, P., Frischer, J., Wang, W., Auzinger, T., Mallouhi, A., Serles, W.,
… Bavinzski, G. (2018). Immediate flow disruption as a prognostic factor after
flow diverter treatment long term experience with the pipeline embolization device.
World Neurosurgery. Elsevier. https://doi.org/10.1016/j.wneu.2018.02.096
chicago: Dodier, Philippe, Josa Frischer, Wei Wang, Thomas Auzinger, Ammar Mallouhi,
Wolfgang Serles, Andreas Gruber, Engelbert Knosp, and Gerhard Bavinzski. “Immediate
Flow Disruption as a Prognostic Factor after Flow Diverter Treatment Long Term
Experience with the Pipeline Embolization Device.” World Neurosurgery.
Elsevier, 2018. https://doi.org/10.1016/j.wneu.2018.02.096.
ieee: P. Dodier et al., “Immediate flow disruption as a prognostic factor
after flow diverter treatment long term experience with the pipeline embolization
device,” World Neurosurgery, vol. 13. Elsevier, pp. e568–e578, 2018.
ista: Dodier P, Frischer J, Wang W, Auzinger T, Mallouhi A, Serles W, Gruber A,
Knosp E, Bavinzski G. 2018. Immediate flow disruption as a prognostic factor after
flow diverter treatment long term experience with the pipeline embolization device.
World Neurosurgery. 13, e568–e578.
mla: Dodier, Philippe, et al. “Immediate Flow Disruption as a Prognostic Factor
after Flow Diverter Treatment Long Term Experience with the Pipeline Embolization
Device.” World Neurosurgery, vol. 13, Elsevier, 2018, pp. e568–78, doi:10.1016/j.wneu.2018.02.096.
short: P. Dodier, J. Frischer, W. Wang, T. Auzinger, A. Mallouhi, W. Serles, A.
Gruber, E. Knosp, G. Bavinzski, World Neurosurgery 13 (2018) e568–e578.
date_created: 2018-12-11T11:46:15Z
date_published: 2018-05-01T00:00:00Z
date_updated: 2023-09-11T14:12:33Z
day: '01'
department:
- _id: BeBi
doi: 10.1016/j.wneu.2018.02.096
external_id:
isi:
- '000432942700070'
intvolume: ' 13'
isi: 1
language:
- iso: eng
month: '05'
oa_version: None
page: e568-e578
publication: World Neurosurgery
publication_status: published
publisher: Elsevier
publist_id: '7431'
quality_controlled: '1'
scopus_import: '1'
status: public
title: Immediate flow disruption as a prognostic factor after flow diverter treatment
long term experience with the pipeline embolization device
type: journal_article
user_id: c635000d-4b10-11ee-a964-aac5a93f6ac1
volume: 13
year: '2018'
...