ArticleAJNR. American journal of neuroradiology2015
Visual outcomes with flow-diverter stents covering the ophthalmic artery for treatment of internal carotid artery aneurysms.
Article in AJNR. American journal of neuroradiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Flow diversion for compressive unruptured internal carotid artery aneurysms with neuro-ophthalmological symptoms: a systematic review and meta-analysis.Journal of neurointerventional surgery · 2023Pooled it
- Treatment of Middle Cerebral Artery Aneurysms with Flow-Diverter Stents: A Systematic Review and Meta-Analysis.AJNR. American journal of neuroradiology · 2017Pooled it
- Delayed transient optic neuritis after flow diverter placement with coil embolization for an asymptomatic paraclinoid internal carotid artery aneurysm: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Mid- and Long-Term Outcomes Following Flow Diversion for Carotid-Ophthalmic Aneurysms: a Single-Centre Experience.Clinical neuroradiology · 2026Article
- Nomogram for predicting new-onset visual symptoms after pipeline embolization device treatment in patients with ophthalmic artery aneurysms: a retrospective, multicenter study for model development and validation.Neurosurgical review · 2025Article
- Long-term ophthalmologic symptoms after treatment of intracranial aneurysms by ophthalmic artery-covering flow diverter.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Article
- Comparison of Tubridge and Pipeline Embolisation Devices in intracranial aneurysms: a multicentre, propensity-matching analysis on the patency of branch vessels.Neurosurgical review · 2025Article
- Oculomotor Palsy after Flow Diverter Treatment for Paraclinoid Aneurysm: Case Report and Literature Review.Journal of neuroendovascular therapy · 2025Article
- Systematic evaluation of neuro-ophthalmic outcomes of the ophthalmic artery covered by flow-diverter.Frontiers in neurology · 2025Review
- How Flow Diverter Selection Can Affect the Flow Changes within a Jailed Ophthalmic Artery: A Computational Fluid Dynamics Study.Asian journal of neurosurgery · 2024Article
- Contralateral approach to giant ruptured and unruptured ophthalmic artery aneurysms: patient series.Journal of neurosurgery. Case lessons · 2024Article
- Retreatment of a recurrent giant aneurysm of the internal carotid artery after treatment with a flow-diverting stent.Journal of cerebrovascular and endovascular neurosurgery · 2023Article
- Plasticity of the adult circle of Willis in response to flow diversion stents.Surgical neurology international · 2023Article
- Supraorbital keyhole approach for paraclinoid aneurysms clipping: A case series with literature review.Surgical neurology international · 2023Review
- Structural changes in the side branches and the circle of Willis following the use of flowdiverting stents.Turkish journal of medical sciences · 2022Article
- Incomplete occlusion and visual symptoms of peri-ophthalmic aneurysm after treatment with a pipeline embolization device: a multi-center cohort study.Acta neurochirurgica · 2022Article
- A novel endovascular treatment for true ophthalmic aneurysms: A case report.Frontiers in ophthalmology · 2022Article
- Endovascular treatment of aneurysms of the paraophthalmic segment of the internal carotid artery: Current status.Frontiers in neurology · 2022Review
- Visual complications after coil embolization of internal carotid artery aneurysms at the ophthalmic segment.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeFlow-diverting stents can be used to treat intracranial aneurysms that are not amenable to treatment with coils. We analyzed ophthalmic consequences due to coverage of the origin of the ophthalmic artery by flow-diverting stents for the treatment of internal carotid artery aneurysms. MATERIALS AND
methodsFrom April 2009 to April 2013, the clinical and angiographic outcomes of all 28 patients treated for aneurysms with flow-diverting stents covering the origin of the ophthalmic artery were prospectively collected. The origin of the ophthalmic artery in relation to the target aneurysm was classified by using a 4-type classification. A complete ophthalmic examination was performed by a single ophthalmologist 48 hours before and 1 week after covering the ophthalmic artery.
resultsOphthalmic artery patency was normal at the end of endovascular treatment in 24/28 cases (85.7%). With extensive ophthalmic examinations, 11 patients (39.3%) showed new ophthalmic complications. Patients with the ophthalmic artery originating from the aneurysm sac were at high risk for retinal emboli (4/5, 80%). Patients with the ophthalmic artery originating from the inner curve of the carotid siphon were at high risk for optic nerve ischemic atrophy (3/4, 75%).
conclusionsThis prospective study shows that covering the ophthalmic artery with a flow-diverting stent is not without potential complications. Ophthalmic complications can occur but are often not diagnosed. The anatomic disposition of the ophthalmic artery in relation to the carotid siphon and aneurysm should be clearly understood because some configurations have a higher risk. When not required, covering of the ophthalmic artery by flow-diverting stents should be avoided.
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