Safety and efficacy of flow-diverter stents in endovascular treatment of intracranial aneurysm: Interest of the prospective DIVERSION observational study

pCONus Device for the Endovascular Treatment of Wide-Neck Middle Cerebral Artery Aneurysms

“…20 The use of flow diverters is relatively limited in cases of bifurcation aneurysms because preservation of the bifurcation branches is unpredictable. 21 However, no clinical complication was recently reported after treatment of 5 large and 3 giant MCA aneurysms, whereas other authors reported a 16% (4/25) rate of morbidity after treatment of 25 MCA aneurysms with the Pipeline Embolization Device (Covidien). 23 In the past, the TriSpan (Boston Scientific, Natick, Massachusetts) had been specifically developed for the treatment of wideneck aneurysms.…”

Hydrogel versus Bare Platinum Coils in Patients with Large or Recurrent Aneurysms Prone to Recurrence after Endovascular Treatment: A Randomized Controlled Trial

“…[33][34][35][36] The PRET trial had several limitations. Operators could not be blinded to coil type.…”

Endovascular Treatment of Intracranial Aneurysms with the WEB Device: A Systematic Review of Clinical Outcomes

“…3 However, coiling of large and wide-neck intracranial aneurysms is associated with low initial complete obliteration, a high incidence of recanalization (up to 20% at 12 months), and a 10% rate of retreatment. 4 Promising technologies like flowdiverter stents have the potential to overcome some of the limitations of standard coiling for sidewall aneurysms, [5][6][7] but the management of large wide-neck bifurcation aneurysms remains challenging. Balloon and stent-assisted techniques have widened the indications for endovascular treatment of aneurysms with a wide neck and/or unfavorable anatomy that were otherwise unsuitable for coiling.…”