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REVIEW article
Front. Neurol.
Sec. Endovascular and Interventional Neurology
Volume 16 - 2025 | doi: 10.3389/fneur.2025.1479229
Systematic evaluation of neuro-ophthalmic outcomes of the ophthalmic artery covered by flow-diverter
Provisionally accepted- 1 Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China
- 2 Department of Neurosurgery, Lanzhou University Second Hospital, Lanzhou, Gansu Province, China
Carotid-ophthalmic aneurysms (COA) are complex and severe intracranial arterial lesions, and their treatment and management have always been a focus of clinical research. In recent years, the introduction of flow diverters (FD) has provided a revolutionary method for the treatment of intracranial aneurysms (IA). Although FD has achieved significant success in reducing the risk of COA rupture, the complex anatomical structure and critical function of the ophthalmic artery (OphA) mean that covering the OphA with FD may lead to adverse ophthalmic outcomes. This review aims to systematically examine the ocular complications and their mechanisms when FD covers the OphA in the treatment of COA, emphasizing the potential risks that clinicians should be aware of when applying FD treatment, to reduce complications and improve the overall prognosis of patients.
Keywords: Flow-diverter, Carotid-ophthalmic aneurysms, Ophthalmic Artery, Neuro-ophthalmic complications, Systematic review
Received: 11 Aug 2024; Accepted: 06 Mar 2025.
Copyright: © 2025 Ma, He, Lin, Pan and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Changwei Zhang, Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China
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