Uncertainty and agreement regarding the role of flow diversion in the management of difficult aneurysms.

ABSTRACT:

Background and purpose

The role of flow diversion in the management of aneurysms remains unknown. We sought to evaluate the community agreement regarding indications for flow diversion.

Materials and methods

A portfolio of 35 difficult aneurysm cases was sent to 40 clinicians with varying backgrounds and experience. Responders were asked whether they considered flow diversion a treatment option, whether other options were possible, whether recruitment in a randomized trial would be considered, and to select their final choice. Agreement was studied by using κ statistics.

Results

Decisions for flow diversion were more frequent (n = 300, 39%) than decisions to coil (n = 163, 21.2%), to observe (n = 121, 15.7%), to occlude the parent vessel (n = 102, 13.2%), or to clip (

SUBMITTER: Darsaut TE 

PROVIDER: S-EPMC7990595 | biostudies-literature | 2015 May

REPOSITORIES: biostudies-literature