Delayed rupture of intracranial aneurysms treated with flow diverters
10.3760/cma.j.issn.1673-4165.2025.03.012
- VernacularTitle:血流导向装置治疗的颅内动脉瘤的迟发性破裂
- Author:
Jiayu LI
1
;
Yang CHEN
;
Yongqiang WU
;
Geng GUO
Author Information
1. 山西医科大学第一医院神经外科，太原 030001
- Keywords:
Intracranial aneurysm;
Endovascular procedures;
Embolization, therapeutic;
Stents;
Postoperative complications;
Aneurysm, ruptured;
Time factor;
Risk factors
- From:
International Journal of Cerebrovascular Diseases
2025;33(3):229-235
- CountryChina
- Language:Chinese
-
Abstract:
Flow diverter (FD) can significantly improve the occlusion rate and reduce the recurrence rate of intracranial aneurysms, and has become an irreplaceable endovascular treatment option. Delayed aneurysm rupture (DAR) is one of the most serious complications after FD implantation, with a very high mortality rate. It is a major challenge to the safety of FD implantation. The mechanism of DAR is currently not fully understood and may be associated with the changes in hemodynamics after FD implantation, inflammation and mechanical stress within aneurysms, and changes in postoperative coagulation function. This article reviews the research progress on the occurrence mechanism of DAR and outlines future research directions, with the aim of reducing DAR occurrence and optimizing clinical decision-making.
