فهرست نشریات علمی دسترسی آزاد ایران

Background: Flow diverter (FD) devices have emerged as a promising option for treating intracranial aneurysms, particularly those that are complex or wide-necked. Although their efficacy in achieving aneurysm occlusion is well established, real-world data on complication rates remain limited. Objectives: The objective of this study was to describe the incidence and characteristics of complications following FD treatment of intracranial aneurysms in a single-center, real-world cohort. Results: The mean patient age was 49.4 ± 12.8 years (range: 18 - 82), and 70.4% were female. Aneurysm types included saccular (79.3%), dissecting (13.8%), fusiform with wide neck (3.4%), and pseudoaneurysm (3.4%). Adjunctive coiling was used in 55.2% of procedures, with an average of 2.6 ± 2 coils per procedure. The overall complication rate was 13.8% (4/29; 95% CI: 3.9 - 31.7%) including stent migration, in-stent thrombosis, intracerebral hemorrhage, and complete carotid artery thrombosis. The mortality rate was 10.3% (3/29; 95% CI: 2.2 - 27.4%). One patient experienced permanent visual loss. Complete aneurysm occlusion was achieved in 82.8% of cases during follow-up. Due to the small number of patients treated with non-flow re-direction endoluminal device (FRED) devices, no subgroup comparisons were performed. Conclusion: These findings highlight the importance of close procedural monitoring and underscore the need for larger, prospective studies to further assess FD-related complications and long-term outcomes. Further studies with larger populations and longer follow-up periods are necessary to compare the efficacy and safety of different FDs.