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Article Dans Une Revue Frontiers in Neurology Année : 2021

Timing and Spectrum of Neurological Complications After Flow Diverter Implantation for Intracranial Aneurysms

Résumé

Background and Purpose: The aim of this study was to characterize neurological complications after flow diverter (FD) treatment on a long follow-up cohort and identify predictive factors associated with these complications. Methods: This study was conducted on a monocentric cohort of patients treated for intracranial aneurysms by FD. Results: Between September 2008 and July 2018, 413 patients were treated for 514 aneurysms: 18% of the patients presented with at least one neurological complication during a median follow-up of 446 days (IQR 186–1,210). Sixty-one patients presented with ischemic complications, 13 with hemorrhagic ones and 10 with compressive processes. Among 89 neurological complications 64.5% were peri-operative (occurring within the 30 days following the procedure) and 35.5% were delayed after 1 month. Conclusions: Overall, neurological complications after FD implantation were overrepresented by cerebrovascular ischemic events occurring during the peri-operative period, but also in a delayed manner after 1 year. Long-term follow-up is relevant after aneurysm intervention using FD.

Domaines

Neurobiologie

Dates et versions

hal-03654541 , version 1 (28-04-2022)

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Citer

Guillaume Charbonnier, Jean-Philippe Desilles, Simon Escalard, Benjamin Maier, Gabriele Ciccio, et al.. Timing and Spectrum of Neurological Complications After Flow Diverter Implantation for Intracranial Aneurysms. Frontiers in Neurology, 2021, 12, ⟨10.3389/fneur.2021.590383⟩. ⟨hal-03654541⟩

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