ReviewThe neuroradiology journal2020
Delayed rupture of intracranial aneurysms after placement of intra-luminal flow diverter.
Review in The neuroradiology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Clinical Outcome of Pipeline Embolization Device with and without Coils to Treat Intracranial Aneurysm: A Systematic Review and Meta-Analysis.AJNR. American journal of neuroradiology · 2025Pooled it
- Pipeline Embolization device for the treatment of unruptured intracranial saccular aneurysms: a systematic review and meta-analysis of long-term outcomes.Neurosurgical review · 2024Pooled it
- Treatment of carotid cavernous sinus fistulas with flow diverters. A case report and systematic review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022Pooled it
- Evaluating flow modulating treatment response in intracranial aneurysms using black-blood MRI in vitro.Communications medicine · 2026Article
- Delayed Rupture Presenting as Direct Carotid-Cavernous Fistula after Flow Diversion for a Cavernous Internal Carotid Artery Aneurysm with Enlarging Blebs: A Case Report.Journal of neuroendovascular therapy · 2026Article
- Hemorheological changes induced by Flow-diverting stents at the aneurysm neck in cerebral circulation.Neuroradiology · 2025Article
- Adjunctive Coiling in Flow Diverter Treatment Does Not Prevent Delayed Rupture: A Nationwide Survey.Neurointervention · 2025Article
- Hemodynamics in Cerebral Aneurysms and Parent Arteries With Incompletely Expanded Flow Diverter Stents.International journal for numerical methods in biomedical engineering · 2025Article
- Investigating Delayed Rupture of Flow Diverter-Treated Giant Aneurysm Using Simulated Fluid-Structure Interactions.Bioengineering (Basel, Switzerland) · 2025Article
- Complications and long-term outcomes after endovascular treatment of basilar trunk aneurysms.Frontiers in neurology · 2025Article
- Safety and Technical Feasibility of Staged Flow Diverter Placement Following Coil Embolization: A Case Series Including Anatomically Challenging Aneurysms.Journal of neuroendovascular therapy · 2025Article
- Endovascular treatment of traumatic anterior communicating artery-cavernous sinus fistula.The neuroradiology journal · 2024Article
- The Management of Intracranial Aneurysms: Current Trends and Future Directions.Neurology international · 2024Review
- Current state of endovascular treatment of anterior cerebral artery aneurysms.Frontiers in neurology · 2024Review
- Endovascular treatment of unruptured intracranial aneurysms with flow diverters: A retrospective long-term single center analysis.The neuroradiology journal · 2023Article
- Delayed rupture of a large intracranial internal carotid artery aneurysm after flow diverter placement.Surgical neurology international · 2023Article
- Mean arterial pressure-aneurysm neck ratio predicts the rupture risk of intracranial aneurysm by reflecting pressure at the dome.Frontiers in aging neuroscience · 2023Article
- Retrospective analysis of intracranial aneurysms after flow diverter treatment including color-coded imaging (syngo iFlow) as a predictor of aneurysm occlusion.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022Article
- Delayed aneurysm rupture in a patient treated with flow redirection endoluminal device: A case report and literature review.Surgical neurology international · 2022Article
- The evolution of intracranial aneurysm research from 2012 to 2021: Global productivity and publication trends.Frontiers in neurology · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThough flow diverter is a safe and efficient modality, some patients can experience delayed aneurysmal rupture. The mechanism of delayed rupture is still obscure to us.
methodsWe performed a systematic search in the PubMed database for patients with delayed rupture of intracranial aneurysms after flow diverter placement.
resultsA total of 36 articles reporting on 60 patients were included in the final analysis. Of the 49 patients with description of presenting symptoms, six (12.2%) patients were incidentally diagnosed, 39 (87.8%) patients were admitted for aneurysmal rupture or mass effect. Multiple flow diverters were used in 38.3% (18/47) of the patients. Coil assistance was applied in 13.0% (7/54) of the patients. Delayed aneurysmal rupture led to intracranial hemorrhage or carotid-cavernous sinus fistula (CCF) in 76.8% (43/56) and 23.2% (13/56) of the patients, respectively. Of the 55 patients with description of outcome, 14 (25.5%) patients achieved good recovery, one (1.8%) patient was severely disabled, 40 (72.7%) patients died. All of the patients in the CCF group survived and experienced good recovery.
conclusionIncreased intra-aneurysmal pressure, destabilization of the aneurysm wall by intra-aneurysmal thrombus, persistent residual intra-aneurysmal flow, characteristics of the specific aneurysm, and mechanical injury by the flow diverter might conjointly contribute to the final delayed rupture. There has been no established preventive measure to decrease the incidence of delayed rupture yet. The treatment and outcome depend on the presentation of delayed rupture. Patients presenting with aneurysm-related intracranial hemorrhage have a dismal outcome. Those presenting with CCFs usually have a satisfactory recovery.
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