Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention

Efficacy and Safety of Flow Diversion for Paraclinoid Aneurysms: A Matched-Pair Analysis Compared with Standard Endovascular Approaches

G. Lanzino, E. Crobeddu, H.J. Cloft, R. Hanel and D.F. Kallmes
American Journal of Neuroradiology December 2012, 33 (11) 2158-2161; DOI: https://doi.org/10.3174/ajnr.A3207
G. Lanzino
aFrom the Departments of Neurosurgery (G.L., E.C.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
E. Crobeddu
aFrom the Departments of Neurosurgery (G.L., E.C.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
H.J. Cloft
bRadiology (H.J.C., D.F.K.), Mayo Clinic, Rochester, Minnesota
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
R. Hanel
cDepartment of Neurosurgery (R.H.), Mayo Clinic, Jacksonville, Florida.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
D.F. Kallmes
bRadiology (H.J.C., D.F.K.), Mayo Clinic, Rochester, Minnesota
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

Article Figures & Data

Tables

    • View popup
    Table 1:

    Demographic features of patients

    Control (n = 21)PED (n = 21)P Value
    Age (mean) (yr)58.3 ± 18.651.0 ± 12.8.15
    Female19 (90.5%)18 (85.7%).63
    Hypertension13 (61.9%)9 (42.9%).22
    Diabetes mellitus1 (4.8%)1 (4.8%)1.00
    Previous SAH02 (9.5%).15
    Family history of intracranial aneurysm2 (9.5%)1 (4.8%).55
    Tobacco.11
        Current2 (9.5%)7 (33.3%)
        Prior (<1 yr)4 (19.1%)5 (23.8%)
        No15 (71.4%)9 (42.9%)
    • View popup
    Table 2:

    Main features of aneurysms

    Control (n = 22)PED (n = 22)TotalP Value
    Dome size
        Mean (mm)(13.9 ± 6.7)(14.9 ± 6.3).52
        Range (mm)4–306–26
        Median (mm)1314.5
    Small7 (31.8%)7 (31.8%)14 (31.8%)
    Large12 (54.5%)12 (54.5%)24 (54.5%)
    Giant3 (13.6%)3 (13.6%)6 (13.6%)
    Location
        Carotido-ophthalmic12 (54.5%)12 (54.5%)24 (54.5%)
        Cavernous9 (40.9%)9 (40.9%18 (40.9%)
        Hypophyseal1 (4.5%)1 (4.5%)2 (4.5%)
    • View popup
    Table 3:

    Treatment modality

    ControlPED
    Only coils14 (63.6%)0
    Balloon-assisted7 (31.8%)0
    Stent-assisted2 (9.1%)0
    Iatrogenic occlusion8 (36.4%)0
    • View popup
    Table 4:

    Clinical and technical complications

    ComplicationsControl (n = 4)PED (n= 3)P Value
    Periprocedural technical1.00
        Perforation1 (4.5%)0
        Coil-prolapsing flow-limiting1 (4.5%)0
        Thrombus formation2 (9.1%)a1 (4.5%)
        Catheter-induced vasospasm01 (4.5%)
        In-stent stenosis (balloon use)01 (4.5%)1.00
    Early clinical (No.)32
        GI bleed01 (4.5%)
        Hemodynamic instability1 (4.5%)0
        Transient right weakness (no stroke)1 (4.5%)0
        Groin hematoma01 (4.5%)
        Transient worsening of ophthalmoparesis01 (4.5%)
        Retroperitoneal hematoma1 (4.5%)0
    • Note:—GI indicates gastrointestinal.

    • ↵a Intraoperative thrombolytic use.

    • View popup
    Table 5:

    Degree of obliteration at radiologic follow-up

    ControlPEDOdds Ratio (95% CI)P Value
    Class 110 (45.4%)17 (77.3%)4.1 (1.1–15.1).03
    Class 27 (31.8%)3 (13.6%).22
    Class 35 (22.7%)2 (9.1%).15
    • Note:—CI indicates confidence interval.

    • View popup
    Table 6:

    Degree of occlusiona

    Control (14 Aneurysms)PED (21 Aneurysms)Odds Ratio (95% CI)P Value
    Class 13 (21.4%)16 (76.2%)11.7 (2.3–5).0014
    Class 27 (50.0%)3 (14.3%)0.2 (0.03–0.83).02
    Class 34 (28.6%)2 (9.5%).14
    • Note:—CI indicates confidence interval.

    • ↵a After excluding the 8 patients treated with parent artery sacrifice in the control group and the patient found to have an asymptomatic ICA occlusion in the PED group.

PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 33 (11)
American Journal of Neuroradiology
Vol. 33, Issue 11
1 Dec 2012
  • Table of Contents
  • Index by author
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Efficacy and Safety of Flow Diversion for Paraclinoid Aneurysms: A Matched-Pair Analysis Compared with Standard Endovascular Approaches
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
G. Lanzino, E. Crobeddu, H.J. Cloft, R. Hanel, D.F. Kallmes
Efficacy and Safety of Flow Diversion for Paraclinoid Aneurysms: A Matched-Pair Analysis Compared with Standard Endovascular Approaches
American Journal of Neuroradiology Dec 2012, 33 (11) 2158-2161; DOI: 10.3174/ajnr.A3207

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Efficacy and Safety of Flow Diversion for Paraclinoid Aneurysms: A Matched-Pair Analysis Compared with Standard Endovascular Approaches
G. Lanzino, E. Crobeddu, H.J. Cloft, R. Hanel, D.F. Kallmes
American Journal of Neuroradiology Dec 2012, 33 (11) 2158-2161; DOI: 10.3174/ajnr.A3207
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • Materials and Methods
    • Results
    • Discussion
    • Conclusions
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Flow diversion for compressive unruptured internal carotid artery aneurysms with neuro-ophthalmological symptoms: a systematic review and meta-analysis
  • Flow diversion for compressive unruptured internal carotid artery aneurysms with neuro-ophthalmological symptoms: a systematic review and meta-analysis
  • The Safety and Efficacy of Flow Diversion versus Conventional Endovascular Treatment for Intracranial Aneurysms: A Meta-analysis of Real-world Cohort Studies from the Past 10 Years
  • Recovery from Cranial Nerve Symptoms after Flow Diversion without Coiling for Unruptured Very Large and Giant ICA Aneurysms
  • Balloon-assisted coil embolization and large stent delivery for cerebral aneurysms with a new generation of dual lumen balloons (Copernic 2L)
  • Endovascular treatment of ophthalmic artery aneurysms: ophthalmic artery patency following flow diversion versus coil embolization
  • Current Trends and Results of Endovascular Treatment of Unruptured Intracranial Aneurysms at a Single Institution in the Flow-Diverter Era
  • Endovascular Treatment of Unruptured Paraclinoid Aneurysms: Single-Center Experience with 400 Cases and Literature Review
  • Therapeutic Internal Carotid Artery Occlusion for Large and Giant Aneurysms: A Single Center Cohort of 146 Patients
  • Flow Diversion versus Standard Endovascular Techniques for the Treatment of Unruptured Carotid-Ophthalmic Aneurysms
  • Endovascular coiling versus parent artery occlusion for treatment of cavernous carotid aneurysms: a meta-analysis
  • Surpass Flow Diverter in the Treatment of Intracranial Aneurysms: A Prospective Multicenter Study
  • Flow Diversion Versus Conventional Treatment for Carotid Cavernous Aneurysms
  • A Single Pipeline Embolization Device is Sufficient for Treatment of Intracranial Aneurysms
  • Flow diversion versus traditional aneurysm embolization strategies: analysis of fluoroscopy and procedure times
  • Coiling of Large and Giant Aneurysms: Complications and Long-Term Results of 334 Cases
  • Extending the Indications of Flow Diversion to Small, Unruptured, Saccular Aneurysms of the Anterior Circulation
  • Comparison of Flow Diversion and Coiling in Large Unruptured Intracranial Saccular Aneurysms
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • A Retrospective Study in Tentorial DAVFs
  • Proximal Protection Devices for Carotid Stenting
  • Hydrocoils: an Updated Meta-Analysis
Show more NEUROINTERVENTION

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire