Literature Review

Treatment of complex anterior cerebral artery aneurysms with Pipeline flow diversion: mid-term results


The off-label use of flow diverter stents (FD) has been increasing over time, and some complex or recanalized aneurysms are being treated with this technic nowadays.

This multicenter series reports their experience with the Pipeline device for 20 aneurysms of the Acom complex and beyond, including fusiform, saccular and recanalized lesions, none of them judged to be feasibly treated by conventional techniques.
The morphology of the aneurysms and the hemodynamic features of the Acom region were considered to be implicated in the formation, rupture and recanalization of the lesions.