{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T15:58:32Z","timestamp":1783353512182,"version":"3.54.6"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Data on off-label use of flow diverter for ruptured distal anterior cerebral artery aneurysms (rDACAAs) are limited. The purpose of the present study is to evaluate the efficacy and safety of flow diversion for rDACAAs in a large multicenter cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective observational study on consecutive patients who were treated with flow diversion for rDACAAs at 8 centers in 4 countries was performed. Primary outcome was the occlusion rate of the target aneurysm at the last radiological follow-up. Secondary outcomes included good clinical outcome, retreatment, technical success, procedure-related complications, radiological outcome of the covered branches and mortality rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 21 patients with 21 rDACAAs were treated between January 2017 and December 2024. Thirteen patients were women (61.9%) and the median age was 54 years (IQR 46\u201366). The most common etiology was saccular (71.4%), followed by dissecting (23.8%) and mycotic (4.8%). In all patients a single stent was successful deployed. Median imaging follow-up was 9 (7\u201312) months. At last follow-up adequate occlusion was 95.2%. Symptomatic thromboembolic or hemorrhagic complications occurred in 9.5% of patients. Seventeen patients (81%) had good clinical outcome (mRS 0\u20132) with mortality rate of 9.5%. In-stent stenosis occurred in one case that was conservatively managed without major concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Flow diversion is feasible as a potential treatment strategy for acutely ruptured aneurysms arising from distal anterior cerebral artery. Flow diverter may represent a valid option whenever other treatments are considered challenging or high risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15910199251348514","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T06:17:03Z","timestamp":1754374623000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Flow diverter stent for the treatment of ruptured distal anterior cerebral artery: A retrospective multicenter analysis from CRETA registry"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0602-7952","authenticated-orcid":false,"given":"Giancarlo","family":"Salsano","sequence":"first","affiliation":[{"name":"UOC Neuroradiologia. IRCCS Ospedale Policlinico San Martino, Genova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1316-0383","authenticated-orcid":false,"given":"Luca","family":"Scarcia","sequence":"additional","affiliation":[{"name":"Neuroradiology Unit, Henri Mondor Hospital, Creteil, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Claren\u00e7on","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Piti\u00e9-Salp\u00eatri\u00e8re Hospital, Sorbonne University, Paris, France"},{"name":"Sorbonne University, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8712-8431","authenticated-orcid":false,"given":"Eimad","family":"Shotar","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Piti\u00e9-Salp\u00eatri\u00e8re Hospital, Sorbonne University, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9091-7394","authenticated-orcid":false,"given":"Riccardo","family":"Russo","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Neuroradiological Unit, University of Turin, Azienda Ospedaliera Citt\u00e0 della Salute e della Scienza Hospital, Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Bergui","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Neuroradiological Unit, University of Turin, Azienda Ospedaliera Citt\u00e0 della Salute e della Scienza Hospital, Torino, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2998-8481","authenticated-orcid":false,"given":"Eytan","family":"Raz","sequence":"additional","affiliation":[{"name":"Department of Radiology, NYU Langone Health, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Radiology, NYU Langone Health, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Simonato","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Oxford University Hospitals NHS Foundation Trust, Nuffield Departments of Clinical Neurosciences and Surgical Sciences, University of Oxford, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8385-0622","authenticated-orcid":false,"given":"Riitta","family":"Rautio","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Turku University Hospital, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matias","family":"Sinisalo","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Turku University Hospital, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Armando","family":"Caragliano","sequence":"additional","affiliation":[{"name":"Neuroradiology Unit, Biomedical Sciences and of Morphologic and Functional Images, AOU Policlinico G.Martino, Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio Lucio","family":"Vinci","sequence":"additional","affiliation":[{"name":"Neuroradiology Unit, Biomedical Sciences and of Morphologic and Functional Images, AOU Policlinico G.Martino, Messina, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariangela","family":"Piano","sequence":"additional","affiliation":[{"name":"Neuroradiology Unit, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Rollo","sequence":"additional","affiliation":[{"name":"Neuroradiology Unit, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucio","family":"Castellan","sequence":"additional","affiliation":[{"name":"UOC Neuroradiologia. IRCCS Ospedale Policlinico San Martino, Genova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurizio","family":"Fuschi","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Oxford University Hospitals NHS Foundation Trust, Nuffield Departments of Clinical Neurosciences and Surgical Sciences, University of Oxford, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitor Mendes","family":"Pereira","sequence":"additional","affiliation":[{"name":"Neurovascular Centre, Divisions of Therapeutic Neuroradiology and Neurosurgery, St Michael's Hospital, Toronto Metropolitan University, Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0131-5699","authenticated-orcid":false,"given":"Adam A.","family":"Dmytriw","sequence":"additional","affiliation":[{"name":"Neurovascular Centre, Divisions of Therapeutic Neuroradiology and Neurosurgery, St Michael's Hospital, Toronto Metropolitan University, Toronto, Canada"},{"name":"Neuroendovascular Program, Massachusetts General Hospital &amp; Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8080-3916","authenticated-orcid":false,"given":"Andrea M.","family":"Alexandre","sequence":"additional","affiliation":[{"name":"UOSA Neuroradiologia Interventistica, Fondazione Policlinico Universitario A.Gemelli IRCCS Roma, Roma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2558-8838","authenticated-orcid":false,"given":"Alessandro","family":"Pedicelli","sequence":"additional","affiliation":[{"name":"UOSA Neuroradiologia Interventistica, Fondazione Policlinico Universitario A.Gemelli IRCCS Roma, Roma, Italy"},{"name":"Universit\u00e0 Cattolica del Sacro Cuore, Roma, Italia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,4]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyz307"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3171\/2017.3.FOCUS1742"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000001377"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000431"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4438"},{"key":"e_1_3_3_7_2","article-title":"Flow-diverting stents for the treatment of unruptured distal anterior cerebral artery aneurysms: analysis of the CRETA Registry","author":"Scarcia L","year":"2025","unstructured":"Scarcia L, Claren\u00e7on F, Dmytriw AA, et al. 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