ArticleSurgical neurology international2025
Visual symptoms after flow-diverter stenting of internal carotid artery aneurysms: A retrospective cohort study.
Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- 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
- Prediction of Distal Dural Ring Location in Internal Carotid Paraclinoid Aneurysms Using the Tuberculum Sellae-Anterior Clinoid Process Line.Journal of clinical medicine · 2025Article
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4 authors.
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Abstract
Background: Visual field defect and visual impairment are important but poorly characterized complications after flow-diverter (FD) stent placement for internal carotid artery (ICA) aneurysms. Methods: We retrospectively analyzed 31 consecutive patients with 32 ICA aneurysms treated by FD stent implantation between October 2015 and April 2021. Aneurysms were classified into two groups those with visual symptoms before and after FD stenting (symptomatic group) and those without (asymptomatic group). We analyzed patients' background characteristics, treatment details, and imaging findings. Results: Visual symptoms were present in 25% (8/32) of aneurysms and worsened after treatment in 9.4% (3/32). Aneurysm enlargement was more common in the symptomatic group than the asymptomatic group (50% vs. 4.1%; odds ratio 23.0, 95% confidence interval [CI] 2.0-262.6, Conclusion: In this single-center retrospective cohort, visual symptoms after FD stenting were relatively common but were usually reversible. Aneurysm enlargement and early loss of ophthalmic-artery flow identify patients at higher visual risk. Early steroid therapy and, when necessary, further endovascular treatment may mitigate visual deterioration.
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