儿童颅内动脉瘤分流支架术:两例病例报告和文献综述。

Akram M Eraky, Christina Feller, Hatem Tolba, Mokshal Porwal, Raphael H Sacho, Hirad Hedayat
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摘要

管道栓塞装置(PED)是一种腔内分流装置,已被批准用于 18 岁或以上患有颈内动脉瘤的成人。不过,它也可以在标签外用于传统血管内治疗方法无法解决的动脉瘤儿科患者。在此,我们介绍了两例儿科动脉瘤完全闭塞且疗效极佳的血流改道手术。事实证明,血流分流是治疗儿童复杂动脉瘤的一种安全的血管内治疗方法。鉴于儿童动脉瘤的罕见性,我们鼓励进行更大规模的多中心试验,以比较血流分流术和其他动脉瘤治疗方案的疗效。
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Flow diverter stenting for intracranial aneurysms in the pediatric population: Two case reports and literature review.

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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