{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T04:44:24Z","timestamp":1770353064608,"version":"3.49.0"},"reference-count":10,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"20","license":[{"start":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T00:00:00Z","timestamp":1684108800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,15]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>The Surpass Streamline flow diverter (SSFD) possesses 4 attributes that may offer an important advantage in the treatment of complex pathologies: (1) utilization of an over-the-wire (OTW) delivery system, (2) greater device length, (3) larger potential diameter, and (4) propensity to open in tortuosity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>Case 1 leveraged device diameter to embolize a large, recurrent vertebral artery aneurysm. Angiography at 1 year posttreatment showed complete occlusion with a patent SSFD. Case 2 leveraged device length and opening in tortuosity to manage a symptomatic 20-mm cavernous carotid aneurysm. Magnetic resonance imaging at 2 years demonstrated aneurysm thrombosis and patent stents. Case 3 utilized diameter, length, and the OTW delivery system to treat a giant intracranial aneurysm previously treated with surgical ligation and a high-flow bypass procedure. Angiography at 5 months postprocedure demonstrated the return of laminar flow, as the vein graft had healed around the stent construct. Case 4 used diameter, length, and the OTW system to treat a giant, symptomatic, dolichoectatic vertebrobasilar aneurysm. Twelve-month follow-up imaging revealed a patent stent construct with no change to the aneurysm size.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Increased awareness of the unique attributes of the SSFD may allow a larger number of cases to be treated with the proven mechanism of flow diversion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case2374","type":"journal-article","created":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T09:30:54Z","timestamp":1684834254000},"source":"Crossref","is-referenced-by-count":0,"title":["Technical advantages of a novel flow diverter in complex flow diversion: patient series"],"prefix":"10.3171","volume":"5","author":[{"given":"Catherine","family":"Lei","sequence":"first","affiliation":[{"name":"University of Kansas School of Medicine, Kansas City, Kansas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cody","family":"Heskett","sequence":"additional","affiliation":[{"name":"University of Kansas School of Medicine, Kansas City, Kansas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lane","family":"Fry","sequence":"additional","affiliation":[{"name":"University of Kansas School of Medicine, Kansas City, Kansas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Brake","sequence":"additional","affiliation":[{"name":"University of Kansas School of Medicine, Kansas City, Kansas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank A.","family":"De Stefano","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Kansas Medical Center, Kansas City, Kansas; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Kansas Medical Center, Kansas City, Kansas; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Ebersole","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Kansas Medical Center, Kansas City, Kansas; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neurosurgery","first-page":"S85","article-title":"Expanding indications for flow diverters: distal aneurysms, bifurcation aneurysms, small aneurysms, previously coiled aneurysms and clipped aneurysms, and carotid cavernous fistulas","volume":"86","author":"Limbucci N","year":"2020","unstructured":"Limbucci N, Leone G, Renieri L,  Expanding indications for flow diverters: distal aneurysms, bifurcation aneurysms, small aneurysms, previously coiled aneurysms and clipped aneurysms, and carotid cavernous fistulas. Neurosurgery. 2020;86(1 Suppl 1):S85\u2013S94.31838532"},{"issue":"6","key":"b2","series-title":"Stroke","first-page":"1473","article-title":"SCENT trial","volume":"50","author":"Meyers PM","year":"2019","unstructured":"Meyers PM, Coon AL, Kan PT, Wakhloo AK, Hanel RA. SCENT trial. Stroke. 2019;50(6):1473\u20131479.31084335"},{"issue":"3","key":"b3","series-title":"J Thromb Thrombolysis","first-page":"741","article-title":"Use of the VerifyNow point of care assay to assess the pharmacodynamic effects of loading and maintenance dose regimens of prasugrel and ticagrelor","volume":"51","author":"Angiolillo DJ","year":"2021","unstructured":"Angiolillo DJ, Been L, Rubinstein M, Martin M, Rollini F, Franchi F. Use of the VerifyNow point of care assay to assess the pharmacodynamic effects of loading and maintenance dose regimens of prasugrel and ticagrelor. J Thromb Thrombolysis. 2021;51(3):741\u2013747.33582955"},{"issue":"1","key":"b4","series-title":"J Neurointerv Surg","first-page":"54","article-title":"Review of current intracranial aneurysm flow diversion technology and clinical use","volume":"13","author":"Dandapat S","year":"2021","unstructured":"Dandapat S, Mendez-Ruiz A, Mart\u00ednez-Gald\u00e1mez M,  Review of current intracranial aneurysm flow diversion technology and clinical use. J Neurointerv Surg. 2021;13(1):54\u201362.32978269"},{"key":"b5","series-title":"Neurosurgery","first-page":"S21","article-title":"Overview of different flow diverters and flow dynamics","volume":"86","author":"Maragkos GA","year":"2020","unstructured":"Maragkos GA, Dmytriw AA, Salem MM,  Overview of different flow diverters and flow dynamics. Neurosurgery. 2020;86(1 Suppl 1): S21\u2013S34.31838536"},{"key":"b1","series-title":"Neurosurgery","first-page":"S85","article-title":"Expanding indications for flow diverters: distal aneurysms, bifurcation aneurysms, small aneurysms, previously coiled aneurysms and clipped aneurysms, and carotid cavernous fistulas","volume":"86","author":"Limbucci N","year":"2020","unstructured":"Limbucci N, Leone G, Renieri L,  Expanding indications for flow diverters: distal aneurysms, bifurcation aneurysms, small aneurysms, previously coiled aneurysms and clipped aneurysms, and carotid cavernous fistulas. Neurosurgery. 2020;86(1 Suppl 1):S85\u2013S94.31838532"},{"issue":"6","key":"b2","series-title":"Stroke","first-page":"1473","article-title":"SCENT trial","volume":"50","author":"Meyers PM","year":"2019","unstructured":"Meyers PM, Coon AL, Kan PT, Wakhloo AK, Hanel RA. SCENT trial. 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