ArticleBrain sciences2021
Limitations of Flow Diverters in Posterior Communicating Artery Aneurysms.
Article in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Comparative outcomes of surpass streamline and evolve flow diverters in intracranial aneurysms: a comprehensive systematic review and meta-analysis of location, size, and morphology.Neurosurgical review · 2026Pooled it
- A Case of Fetal-Type Posterior Communicating Artery Aneurysm Suffered from Thromboembolic and Perforator Occlusion after Flow Diverter Therapy.Asian journal of neurosurgery · 2026Article
- Impact of branch arteries on efficacy of endoluminal flow diverters: Insights from posterior communicating artery aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026Review
- Efficacy and Limitations of Stent-Free Coil Embolization for Internal Carotid-Posterior Communicating Artery Aneurysms, Primarily Based on the Double-Catheter Technique: A Study Reflecting Current Endovascular Practice.Journal of neuroendovascular therapy · 2026Article
- Flow Diversion in Fetal-Type Posterior Communicating Artery Aneurysms: Anatomical Challenges and Treatment Strategy.Journal of neuroendovascular therapy · 2026Review
- Overlapping Flow Diverter with Coiling for Fetal-type Posterior Communicating Artery Aneurysms with Triple Antithrombotic Therapy: A Case Series.NMC case report journal · 2026Article
- Retrograde Woven EndoBridge Deployment for a Posterior Communicating Artery Aneurysm after Failed Flow Diverter Treatment: A Case Report.Neurointervention · 2025Article
- The efficacy of intentional compressed placement of flow diverter stent for improvement of operative results against internal carotid artery and posterior communicating artery bifurcation aneurysms: patient series.Journal of neurosurgery. Case lessons · 2025Article
- Fetal-type posterior communicating artery increases hemodynamic stress in posterior communicating artery bifurcation aneurysms: a CFD-based analysis.Neuroradiology · 2025Article
- The aneurysm occlusion and recurrence of posterior communicating artery aneurysms following the treatment with the pipeline embolization device.Neurosurgical review · 2024Article
- How does the recurrence-related morphology characteristics of the Pcom aneurysms correlated with hemodynamics?Frontiers in neurology · 2023Article
- Double-Balloon-Assisted Coiling for Wide-Necked Posterior Communicating Artery Aneurysms with a Fetal-Type Variant of the Posterior Cerebral Artery: A Case Series.Neurointervention · 2022Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTreatment of intracranial aneurysms with flow diverters (FDs) showed promising results. However, a subset of patients treated for posterior communicating artery (PComA) aneurysms has variable occlusion rates. Especially the fetal type-associated PComA aneurysms seemed to respond differently to treatment. We analyze our series of fetal type PComA aneurysms treated with a FD. The literature on this subject is reviewed.
methodsData from patients treated with FD for all PComA aneurysms at the RadboudUMC Nijmegen were retrospectively analysed. Primary end-point was complete aneurysm occlusion at six months. Secondary end-points were clinical outcome, treatment safety, and results of secondary treatment after non-closure. The results for the fetal PComA aneurysms were compared to the literature.
resultsNineteen consecutive patients harboring 21 PComA aneurysms were treated. Three aneurysms had ipsilateral fetal type PCA (14.3%). Overall, none of the fetal type PcomA aneurysm showed complete occlusion versus 77.8% of the others (
conclusionsFD treatment for PComA aneurysm with fetal type circulation seemed to be less effective compared to other types of PComA aneurysms. Flow characteristics at the PComA bifurcation are thought to be causative Alternative strategies should be considered as first line treatment.
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