Endovascular treatment of pediatric intracranial aneurysms: a retrospective study of 35 aneurysms

Takemoto, Koichiro; Tateshima, Satoshi; Golshan, Alireza; Gonzalez, Nestor R.; Jahan, Reza; Duckwiler, Gary; Viñuela, Fernando

doi:10.1136/neurintsurg-2013-010852

Cited by 45 publications

(47 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The first evidence of Pipeline embolization device (PED) use in pediatric patients can be inferred from the age range (11‐77 years) of patients treated by Lylyk et al; however, no specific information of treated children could be extracted from that study . Subsequent large studies of brain aneurysms treated with the PED showed some evidence that pediatric patients were treated with that technique, but no concrete data could be obtained for additional analysis . To date, we found four case report publications expressly describing the use of flow‐diverter devices for the treatment of brain aneurysms in children .…”

Section: Discussionmentioning

confidence: 99%

Intracranial Aneurysms in Children: The Role of Stenting and Flow‐Diversion

Vargas

Díaz

Herrera

et al. 2015

Journal of Neuroimaging

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Intracranial Aneurysms in Children: The Role of Stenting and Flow‐Diversion

Vargas

Díaz

Herrera

et al. 2015

Journal of Neuroimaging

View full text Add to dashboard Cite

show abstract

“…The incidence of intracranial aneurysms in childhood is rare, especially in infancy [1, 2], with a reported prevalence ranging from 0,5 to 4,6% among all intracranial aneurysms [3]. Differently from adults they occur more often in boys than in girls (1,4 : 1) [3].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Thrombosis in Giant Aneurysm of the Anterior Communicating Artery Complex in Pediatric Age: Five-Year Follow-Up

Gonçalves

Cristino

Sá

2014

Case Reports in Vascular Medicine

View full text Add to dashboard Cite

Intracranial aneurysms are rare in the pediatric population, especially in infancy, representing less than 1% of all aneurysms. In this age group, they are more frequent at the carotid bifurcation and in the posterior circulation, with a greater number of giant aneurysms and spontaneous aneurysm thrombosis when compared with the adults. They are life-threatening, and, therefore, early investigation, characterization of the lesion, and treatment are essential. The appropriate management depends on the child's condition, aneurysm characteristics, and the experience of a multidisciplinary team. Noninvasive and radiation-free imagiological studies play an important role in the diagnosis and follow-up of these young patients. We present the case of a 3-month-old boy with an intracranial hemorrhage secondary to the rupture of a giant aneurysm of the anterior communicating artery complex, with spontaneous thrombosis, which is a rare situation due to its location. A conservative approach was assumed and noninvasive evolutive imagiological studies revealed a reduction in the thrombosed aneurysm size and no signs of recanalization. The child recovered to his baseline neurological condition and has had no rehemorrhage until 5 years of follow-up.

show abstract

“…Therefore, in areas containing many eloquent perforating arteries, indications for the use of Pipeline should be carefully decided. 7,9) The IntrePED showed a clear higher rate of adverse events when Pipeline was used for acute ruptured aneurysms than for unruptured aneurysms. Although there have been some reports of treatment with Pipeline for dissecting ruptured aneurysms with poor collateral circulation, the use of Pipeline for such aneurysms needs further discussion, including its indications and the timing of therapeutic interventions.…”

Section: Pipeline In Clinical Practicementioning

confidence: 99%