{"id":"e08f84b8-37e6-4388-906e-d9306ed7b52f","slug":"periprocedural-management-of-ruptured-blister-aneurysms-treated-with-pipeline-flow-diversion","title":"Periprocedural management of ruptured blister aneurysms treated with pipeline flow diversion","authors":["Jessa E. Hoffman","Brent Morel","Blake Wittenberg","David Kumpe","Joshua Seinfeld","Zach Folzenlogen","David Case","Robert Neumann","Luis Cava","Robert Breeze","Laura Wiley","Christopher Roark"],"abstract":"Background: Blister aneurysms are high-risk intracranial vascular lesions. Definitive treatment of these lesions has been challenging. Severe disability or mortality rates are as high as 55% when these lesions are treated with open surgery. Recent data show that flow diversion is a safe and effective alternative treatment for blister aneurysms. Rerupture of the functionally unsecured lesion remains a concern as flow diversion does not immediately exclude the aneurysm from the circulation. Methods: A retrospective review was performed of any patients with ruptured blister aneurysms treated with a pipeline embolization device between 2010 and 2020 at the University of Colorado. Results: In this paper, we present the results of the intensive care management of ruptured intracranial blister aneurysms after flow-diverting stent placement. Conclusion: Despite the need for dual antiplatelet therapy and the delayed occlusion of blister aneurysms treated with flow diversion, we did not find an increase in periprocedural complications.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/e08f84b8-37e6-4388-906e-d9306ed7b52f/featured/hero-1781559685433.png","publishDate":"2024-03-08T00:00:00.000Z","doi":"10.25259/SNI_482_2023","categories":["Neurovascular","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/03/12793/SNI-15-73.pdf"}