Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • ASNR Foundation Special Collection
    • Most Impactful AJNR Articles
    • Photon-Counting CT
    • Spinal CSF Leak Articles (Jan 2020-June 2024)
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • ASNR Foundation Special Collection
    • Most Impactful AJNR Articles
    • Photon-Counting CT
    • Spinal CSF Leak Articles (Jan 2020-June 2024)
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR is seeking candidates for the AJNR Podcast Editor. Read the position description.

Research ArticleInterventional

Aneurysm Remnants after Flow Diversion: Clinical and Angiographic Outcomes

T.P. Madaelil, J.A. Grossberg, B.M. Howard, C.M. Cawley, J. Dion, R.G. Nogueira, D.C. Haussen and F.C. Tong
American Journal of Neuroradiology April 2019, 40 (4) 694-698; DOI: https://doi.org/10.3174/ajnr.A6010
T.P. Madaelil
aFrom the Departments of Neurointerventional Radiology and Neurosurgery (T.P.M., J.A.G., B.M.H., C.M.C., F.C.T.), Emory University School of Medicine, Atlanta, Georgia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for T.P. Madaelil
J.A. Grossberg
aFrom the Departments of Neurointerventional Radiology and Neurosurgery (T.P.M., J.A.G., B.M.H., C.M.C., F.C.T.), Emory University School of Medicine, Atlanta, Georgia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for J.A. Grossberg
B.M. Howard
aFrom the Departments of Neurointerventional Radiology and Neurosurgery (T.P.M., J.A.G., B.M.H., C.M.C., F.C.T.), Emory University School of Medicine, Atlanta, Georgia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for B.M. Howard
C.M. Cawley
aFrom the Departments of Neurointerventional Radiology and Neurosurgery (T.P.M., J.A.G., B.M.H., C.M.C., F.C.T.), Emory University School of Medicine, Atlanta, Georgia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for C.M. Cawley
J. Dion
cMicroVention (J.D.), Aliso Viejo, California.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for J. Dion
R.G. Nogueira
bMarcus Stroke and Neuroscience Center (R.G.N., D.C.H.), Departments of Neurology and Neurosurgery, Grady Memorial Hospital, Atlanta, Georgia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for R.G. Nogueira
D.C. Haussen
bMarcus Stroke and Neuroscience Center (R.G.N., D.C.H.), Departments of Neurology and Neurosurgery, Grady Memorial Hospital, Atlanta, Georgia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for D.C. Haussen
F.C. Tong
aFrom the Departments of Neurointerventional Radiology and Neurosurgery (T.P.M., J.A.G., B.M.H., C.M.C., F.C.T.), Emory University School of Medicine, Atlanta, Georgia
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for F.C. Tong
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Fig 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 1.

    Occlusion status on late-surveillance follow-up imaging.

  • Fig 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Fig 2.

    Aneurysm persistence after flow diversion. A 67-year-old woman who had a previously ruptured right posterior communicating artery aneurysm with evidence of recanalization on the 6-month follow-up angiogram. She was treated with flow diversion for the neck recurrence. A 6-month follow-up DSA (lateral x-ray) after flow diversion demonstrates class C OKM grade (continued filling at the neck of the aneurysm) (white arrow). At last clinical and angiographic follow-ups at 3 years, there is no evidence of aneurysm rerupture or progression of the neck remnant on MRA (white arrow).

Tables

  • Figures
    • View popup
    Table 1:

    Basic clinical and imaging demographics

    DemographicsCount (% or IQR as Appropriate)
    Interventions296
    Aneurysms294
    Patients283
    Median age (yr)55 (IQR, 47–65)
    Female sex246 (86.9%)
    Follow-up imaging at 6 mo237 (83.7%)
    MRA + DSA at 6 mo86 (36.3%)
    MRA at 6 mo32 (13.5%)
    DSA at 6 mo119 (50.2%)
    • View popup
    Table 2:

    Characteristics of aneurysm remnants after flow diversion

    CharacteristicsCount (% or IQR)
    Anterior circulation21 (84%)
    Posterior circulation4 (16%)
    Neck remnant15 (60%)
    Sac remnant10 (40%)
    Branch vessel arising from aneurysm neck19 (76%)
    Median size of remnant (mm)3 (2–4)
    Overlapping devices1 (4%)
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 40 (4)
American Journal of Neuroradiology
Vol. 40, Issue 4
1 Apr 2019
  • Table of Contents
  • Index by author
  • Complete Issue (PDF)
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Aneurysm Remnants after Flow Diversion: Clinical and Angiographic Outcomes
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
T.P. Madaelil, J.A. Grossberg, B.M. Howard, C.M. Cawley, J. Dion, R.G. Nogueira, D.C. Haussen, F.C. Tong
Aneurysm Remnants after Flow Diversion: Clinical and Angiographic Outcomes
American Journal of Neuroradiology Apr 2019, 40 (4) 694-698; DOI: 10.3174/ajnr.A6010

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Aneurysm Remnants after Flow Diversion: Clinical and Angiographic Outcomes
T.P. Madaelil, J.A. Grossberg, B.M. Howard, C.M. Cawley, J. Dion, R.G. Nogueira, D.C. Haussen, F.C. Tong
American Journal of Neuroradiology Apr 2019, 40 (4) 694-698; DOI: 10.3174/ajnr.A6010
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • Materials and Methods
    • Results
    • Discussion
    • Conclusions
    • Acknowledgments
    • Footnotes
    • REFERENCES
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Brain aneurysm and parent vessel remodeling after flow diversion treatment: a proposed modification for Cekirge-Saatci classification (mCSC)
  • Endoluminal flow diverting stents for middle cerebral artery bifurcation aneurysms: multicenter cohort
  • Neck Location on the Outer Convexity is a Predictor of Incomplete Occlusion in Treatment with the Pipeline Embolization Device: Clinical and Angiographic Outcomes
  • Large Neck and Strong Ostium Inflow as the Potential Causes for Delayed Occlusion of Unruptured Sidewall Intracranial Aneurysms Treated by Flow Diverter
  • Crossref (14)
  • Google Scholar

This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • ‘Plug and pipe’ strategy for treatment of ruptured intracranial aneurysms
    Brian M Howard, Jason M Frerich, Thomas P Madaelil, Jacques E Dion, Frank C Tong, C Michael Cawley, Jonathan A Grossberg
    Journal of NeuroInterventional Surgery 2019 11 1
  • Predictors of aneurysm occlusion following treatment with the WEB device: systematic review and case series
    Fadi Al Saiegh, Lohit Velagapudi, Omaditya Khanna, Ahmad Sweid, Nikolaos Mouchtouris, Michael P. Baldassari, Thana Theofanis, Rizwan Tahir, Victoria Schunemann, Carrie Andrews, Lucas Philipp, Nohra Chalouhi, Stavropoula I. Tjoumakaris, David Hasan, M. Reid Gooch, Nabeel A. Herial, Robert H. Rosenwasser, Pascal Jabbour
    Neurosurgical Review 2022 45 2
  • Endoluminal flow diverting stents for middle cerebral artery bifurcation aneurysms: multicenter cohort
    Mohamed M Salem, Mirhojjat Khorasanizadeh, Sovann V Lay, Leonardo Renieri, Anna L Kuhn, Ahmad Sweid, Francesco Massari, Justin M Moore, Stavropoula I. Tjoumakaris, Pascal Jabbour, Ajit S Puri, Christopher S Ogilvy, Brian T Jankowitz, Jan-Karl Burkhardt, Peter Kan, Nicola Limbucci, Christophe Cognard, Ajith J Thomas
    Journal of NeuroInterventional Surgery 2022 14 11
  • Large Neck and Strong Ostium Inflow as the Potential Causes for Delayed Occlusion of Unruptured Sidewall Intracranial Aneurysms Treated by Flow Diverter
    T. Su, P. Reymond, O. Brina, P. Bouillot, P. Machi, B.M.A. Delattre, L. Jin, K.O. Lövblad, M.I. Vargas
    American Journal of Neuroradiology 2020 41 3
  • Neck Location on the Outer Convexity is a Predictor of Incomplete Occlusion in Treatment with the Pipeline Embolization Device: Clinical and Angiographic Outcomes
    T. Sunohara, H. Imamura, M. Goto, R. Fukumitsu, S. Matsumoto, N. Fukui, Y. Oomura, T. Akiyama, T. Fukuda, K. Go, S. Kajiura, M. Shigeyasu, K. Asakura, R. Horii, C. Sakai, N. Sakai
    American Journal of Neuroradiology 2021 42 1
  • Pipeline Embolization Device for the Treatment of Ruptured Intracerebral Aneurysms: A Multicenter Retrospective Study
    Weiying Zhong, Hong Kuang, Ping Zhang, Xinjian Yang, Bin Luo, Aisha Maimaitili, Yuanli Zhao, Donglei Song, Sheng Guan, Hongqi Zhang, Yang Wang, Donghai Wang, Wandong Su, Yunyan Wang
    Frontiers in Neurology 2021 12
  • Usefulness of 3D T1-SPACE in Combination With 3D-TOF MRA for Follow-Up Evaluation of Intracranial Aneurysms Treated With Pipeline Embolization Devices
    Qiuji Shao, Qiaowei Wu, Qiang Li, Tianxiao Li, Li Li, Kaitao Chang, Meiyun Wang
    Frontiers in Neurology 2020 11
  • Pipeline flow diversion with adjunctive coil embolization for internal carotid artery aneurysms following an intradural component: results in 46 consecutive aneurysms from a Japanese single-center experience
    Tomoaki Akiyama, Hirotoshi Imamura, Masanori Goto, Ryu Fukumitsu, Tadashi Sunohara, Shirabe Matsumoto, Nobuyuki Fukui, Yoshihiro Omura, Tatsumaru Fukuda, Koichi Go, Shinji Kajiura, Masashi Shigeyasu, Kento Asakura, Ryo Horii, Yuji Naramoto, Rikuo Nishii, Yasuhiro Yamamoto, Chiaki Sakai, Nobuyuki Sakai
    Neurosurgical Review 2022 45 3
  • A Review of Current Flow Diverters
    Kiyofumi Yamada, Hirotoshi Imamura, Saya Ozaki, Akihiro Niwa, Yuji Kushi, Naoto Yamada, Taichi Ikedo, Eika Hamano, Hisae Mori, Koji Iihara, Shinichi Yoshimura, Hiroharu Kataoka
    Journal of Neuroendovascular Therapy 2024 18 3
  • Brain aneurysm and parent vessel remodeling after flow diversion treatment: a proposed modification for Cekirge-Saatci classification (mCSC)
    Ricardo A Hanel, Gustavo M Cortez, Demetrius Klee Lopes, Isil Saatci, H Saruhan Cekirge
    Journal of NeuroInterventional Surgery 2023 15 2

More in this TOC Section

  • SAVE vs. Solumbra Techniques for Thrombectomy
  • Contrast-Induced Encephalopathy after NeuroIR
  • CT Perfusion&Reperfusion in Acute Ischemic Stroke
Show more Interventional

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

Special Collections

  • AJNR Awards
  • ASNR Foundation Special Collection
  • Most Impactful AJNR Articles
  • Photon-Counting CT
  • Spinal CSF Leak Articles (Jan 2020-June 2024)

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire