Treatment of Distal Anterior Circulation Aneurysms With the Pipeline Embolization Device: A US Multicenter Experience

Ning Lin, Giuseppe Lanzino, Demetrius K. Lopes, Adam S. Arthur, Christopher S. Ogilvy, Robert D. Ecker, Travis M Dumont, Raymond D. Turner, M. R. Gooch, Alan S. Boulos, Peter Kan, Kenneth V. Snyder, Elad I. Levy, Adnan H. Siddiqui

Research output: Contribution to journalArticle

40 Scopus citations

Abstract

BACKGROUND:: Utilization of the Pipeline embolization device (PED) to treat distal carotid circulation aneurysms has not been well studied. OBJECTIVE:: To report the collective experience of using PED to treat distal anterior circulation aneurysms. METHODS:: We retrospectively reviewed clinical and radiographic records of all patients who underwent Pipeline embolization of distal anterior circulation aneurysms at 10 US neurosurgical centers between 2011 and 2013. RESULTS:: Twenty-eight patients (mean age 51.7 years; 18 women) with 28 aneurysms were included in the analyses. Fifteen aneurysms were fusiform, 5 dissecting, and 8 saccular. Average aneurysm size was 12.3 mm; 7 were giant. Twenty aneurysms were located along the middle cerebral artery, 6 along the anterior cerebral artery, and 2 along the anterior communicating artery. PED deployment was successful in 27 patients, with coils utilized in 6 cases. Clinical follow-up was available for an average of 10.7 months (range 3-26). Twenty-seven patients had follow-up neurovascular imaging: 21 aneurysms had complete occlusion, 4 had residual neck filling, and 2 had residual dome filling. Periprocedural complications (

Original languageEnglish (US)
JournalNeurosurgery
DOIs
StateAccepted/In press - Nov 16 2015

    Fingerprint

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Lin, N., Lanzino, G., Lopes, D. K., Arthur, A. S., Ogilvy, C. S., Ecker, R. D., Dumont, T. M., Turner, R. D., Gooch, M. R., Boulos, A. S., Kan, P., Snyder, K. V., Levy, E. I., & Siddiqui, A. H. (Accepted/In press). Treatment of Distal Anterior Circulation Aneurysms With the Pipeline Embolization Device: A US Multicenter Experience. Neurosurgery. https://doi.org/10.1227/NEU.0000000000001117