J Cerebrovasc Endovasc Neurosurg.  2024 Mar;26(1):58-64. 10.7461/jcen.2023.E2023.04.001.

Flow diverter stenting for intracranial aneurysms in the pediatric population: Two case reports and literature review

• Eraky AM
• Feller C
• Tolba H
• Porwal M
• Sacho RH
• Hedayat H

• KMID: 2554047
• DOI: http://doi.org/10.7461/jcen.2023.E2023.04.001

Abstract

The Pipeline Embolization Device (PED) is a flow-diverting intraluminal device that is approved for use in adults 18 years or older with internal carotid artery aneurysms. However, it can also be used off-label in pediatric patients with aneurysms that cannot be resolved with traditional endovascular treatments. Herein, we present two cases of flow diversion in the pediatric population with complete obliteration of the aneurysm and excellent outcomes. Flow diversion has been shown to be a safe endovascular option in treating complex aneurysms in children. Larger-sized, multicenter trials are encouraged to compare outcomes between flow diversion and other aneurysm treatment options given the rarity of pediatric aneurysms.

Keyword

Pediatrics; Flow diversion; Intracranial aneurysms; Neurosurgery; Pipeline Embolization Device

Figure

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  Fig. 1. A 3D reconstruction angiogram reveals a dysplastic, fusiform, multilobular aneurysm measuring 11 mm×9 mm. 3D, threedimensional

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  Fig. 2. Six-month follow-up angiogram shows complete resolution of the left terminal ICA aneurysm and non-flow-limiting tapering stenosis of the left supraclinoid carotid. ICA, internal carotid artery

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  Fig. 3. A 3D reconstruction angiogram reveals a dysplastic segment of the left-sided supraclinoid ICA with a broad-based, saccular 6.2 mm aneurysm. 3D, three-dimensional; ICA, internal carotid artery

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  Fig. 4. Six-month follow-up angiogram shows complete thrombosis of the left ICA aneurysm. ICA, internal carotid artery

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