title: Use of flow diverters in the treatment of unruptured saccular aneurysms of the anterior cerebral artery.
abstract: BACKGROUND
  Few publications have dealt exclusively with the use of flow diverter stents for the treatment of aneurysms of the anterior cerebral artery (ACA).
  
  
  OBJECTIVE
  To determine the efficacy of flow-diverting stents in the treatment of small, unruptured aneurysms of the ACA.
  
  
  METHODS
  We retrospectively reviewed our database of prospectively collected information for all patients treated with flow diversion for an unruptured saccular aneurysm of the ACA between September 2009 and July 2016. The aneurysm fundus size, neck size, number and type of flow-diverting stent (FDS), complications, and follow-up data were recorded.
  
  
  RESULTS
  In total 26 patients, with 27 aneurysms were identified that matched our inclusion criteria (11 male and 15 female). The average age of the patients was 59.3 years (range 27-77 years). All patients, except one, had a single aneurysm affecting the ACA. Fourteen aneurysms were located on the left (51.9%). The average aneurysm fundus size was 2.9 mm (range 2-6 mm). Twenty patients had follow-up angiographic studies. In total, 16 aneurysms were completely excluded, 1 aneurysm showed a very small remnant, and no follow-up angiographic data are available for the remaining patients. One patient had a treatment-related complication.
  
  
  CONCLUSIONS
  Treatment of aneurysms arising from the ACA with flow diverters is technically feasible and carries a high degree of success with low complication rate.
authors: Neuroradiological Clinic, Neurocenter, Klinikum Stuttgart, Stuttgart, Germany.
authors: P
authors: http://orcid.org/0000-0002-5514-5237
authors: P
authors: Bhogal
authors: Neuroradiological Clinic, Neurocenter, Klinikum Stuttgart, Stuttgart, Germany.
authors: R
authors: R
authors: Martinez Moreno
authors: Neurosurgical Clinic, Neurocenter, Klinikum Stuttgart, Stuttgart, Germany.
authors: O
authors: O
authors: Ganslandt
authors: Neurological Clinic, Neurocenter, Klinikum Stuttgart, Stuttgart, Germany.
authors: H
authors: H
authors: Bäzner
authors: Neuroradiological Clinic, Neurocenter, Klinikum Stuttgart, Stuttgart, Germany.|Medical Faculty, University Duisburg-Essen, Duisburg-Essen, Germany.
authors: H
authors: H
authors: Henkes
authors: Neuroradiological Clinic, Neurocenter, Klinikum Stuttgart, Stuttgart, Germany.
authors: M Aguilar
authors: MA
authors: Perez
mesh_terms: D000328:Adult; D000368:Aged; D020771:Anterior Cerebral Artery / Q000000981:diagnostic imaging* / Q000601:surgery*; D002533:Cerebral Angiography; D016208:Databases, Factual; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods; D057510:Endovascular Procedures / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012189:Retrospective Studies; D015607:Stents / Q000009:adverse effects; D016896:Treatment Outcome
keywords: Aneurysm; Stent