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<meta name="DC.Title" content="Flow diversion for the treatment of distal circulation aneurysms: A randomized comparison" />
<meta name="DC.Identifier" content="10.3174/ajnr.A8620" />
<meta name="DC.Date" content="2024-12-18" />
<meta name="DC.Publisher" content="American Journal of Neuroradiology" />
<meta name="DC.Rights" content="© 2024 by American Journal of Neuroradiology" />
<meta name="DC.AccessRights" content="restricted" />
<meta name="DC.Description" content="BACKGROUND AND PURPOSE: Flow diversion (FD) has expanded beyond initial indications (proximal carotid artery aneurysms) to include distal circulation aneurysms (on the anterior, middle, or posterior cerebral arteries). Our objective was to examine results obtained from aneurysms in these locations in the Flow Diversion in the Treatment of Intracranial Aneurysms Trial (FIAT) which compared FD with alternative standard management options (ASMO).

MATERIALS AND METHODS: FIAT was an all-inclusive parallel-group 1:1 randomized study comparing FD with one of 4 ASMOs (coiling +/-stenting, parent vessel occlusion (PVO), clipping, or observation, pre-specified by clinical judgment). The primary safety outcome was death or dependency (mRS &gt;2) at 3 months. The composite primary outcome was “treatment failure,” defined as initial failure to treat the aneurysm; aneurysm rupture or retreatment during follow-up; death or dependency (mRS&gt;2); or angiographic residual aneurysm adjudicated by independent core laboratory at 12 months. This subgroup analysis was not prespecified and there was no blinding.

RESULTS: Of the 323 patients in FIAT, 46 (14%) with distal circulation aneurysms were randomly allocated: 23 to FD and 23 to ASMO (coiling +/-stenting (16 patients), PVO (1), clipping (3), and observation (3)). Death or dependency at 3 months occurred in one patient (allocated ASMO). Treatment failures occurred in 6/23 FD-treated patients (26.1%; 95%CI: 12.6%-46.5%) compared to 11/22 patients treated with ASMO (50.0%; 95%CI: 30.7%-69.3%; RR=0.52, [0.23-1.17]; P=0.13). Serious adverse events were similar.

CONCLUSIONS: Distal circulation aneurysms treated with FDs in FIAT showed an encouraging trend, but this analysis was underpowered. Further randomized trials are needed.

ABBREVIATIONS: ASMO = Alternative standard management options; FD = Flow Diversion; FIAT = Flow Diversion in the Treatment of Intracranial Aneurysms Trial; PVO = Parent Vessel Occlusion; mRS = modified Rankin Scale" />
<meta name="DC.Contributor" content="William Boisseau" />
<meta name="DC.Contributor" content="Tim E. Darsaut" />
<meta name="DC.Contributor" content="Robert Fahed" />
<meta name="DC.Contributor" content="Brian Drake" />
<meta name="DC.Contributor" content="Howard Lesiuk" />
<meta name="DC.Contributor" content="Jeremy L. Rempel" />
<meta name="DC.Contributor" content="Cian J. O’Kelly" />
<meta name="DC.Contributor" content="Michael M.C. Chow" />
<meta name="DC.Contributor" content="Daniela Iancu" />
<meta name="DC.Contributor" content="Daniel Roy" />
<meta name="DC.Contributor" content="Alain Weill" />
<meta name="DC.Contributor" content="Ruby Klink" />
<meta name="DC.Contributor" content="Jean Raymond" />
<meta name="article:published_time" content="2024-12-17" />
<meta name="article:section" content="ORIGINAL RESEARCH" />
<meta name="citation_title" content="Flow diversion for the treatment of distal circulation aneurysms: A randomized comparison" />
<meta name="citation_abstract" lang="en" content="&lt;h3&gt;ABSTRACT&lt;/h3&gt;
&lt;h3&gt;BACKGROUND AND PURPOSE:&lt;/h3&gt;
&lt;p&gt;Flow diversion (FD) has expanded beyond initial indications (proximal carotid artery aneurysms) to include distal circulation aneurysms (on the anterior, middle, or posterior cerebral arteries). Our objective was to examine results obtained from aneurysms in these locations in the Flow Diversion in the Treatment of Intracranial Aneurysms Trial (FIAT) which compared FD with alternative standard management options (ASMO).&lt;/p&gt;&lt;h3&gt;MATERIALS AND METHODS:&lt;/h3&gt;
&lt;p&gt;FIAT was an all-inclusive parallel-group 1:1 randomized study comparing FD with one of 4 ASMOs (coiling +/-stenting, parent vessel occlusion (PVO), clipping, or observation, pre-specified by clinical judgment). The primary safety outcome was death or dependency (mRS &amp;gt;2) at 3 months. The composite primary outcome was “treatment failure,” defined as initial failure to treat the aneurysm; aneurysm rupture or retreatment during follow-up; death or dependency (mRS&amp;gt;2); or angiographic residual aneurysm adjudicated by independent core laboratory at 12 months. This subgroup analysis was not prespecified and there was no blinding.&lt;/p&gt;&lt;h3&gt;RESULTS:&lt;/h3&gt;
&lt;p&gt;Of the 323 patients in FIAT, 46 (14%) with distal circulation aneurysms were randomly allocated: 23 to FD and 23 to ASMO (coiling +/-stenting (16 patients), PVO (1), clipping (3), and observation (3)). Death or dependency at 3 months occurred in one patient (allocated ASMO). Treatment failures occurred in 6/23 FD-treated patients (26.1%; 95%CI: 12.6%-46.5%) compared to 11/22 patients treated with ASMO (50.0%; 95%CI: 30.7%-69.3%; RR=0.52, [0.23-1.17]; P=0.13). Serious adverse events were similar.&lt;/p&gt;&lt;h3&gt;CONCLUSIONS:&lt;/h3&gt;
&lt;p&gt;Distal circulation aneurysms treated with FDs in FIAT showed an encouraging trend, but this analysis was underpowered. Further randomized trials are needed.&lt;/p&gt;&lt;p&gt;ABBREVIATIONS: ASMO = Alternative standard management options; FD = Flow Diversion; FIAT = Flow Diversion in the Treatment of Intracranial Aneurysms Trial; PVO = Parent Vessel Occlusion; mRS = modified Rankin Scale&lt;/p&gt;" />
<meta name="citation_journal_title" content="American Journal of Neuroradiology" />
<meta name="citation_publisher" content="American Journal of Neuroradiology" />
<meta name="citation_publication_date" content="2024/12/17" />
<meta name="citation_mjid" content="ajnr;ajnr.A8620v1" />
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<meta name="citation_author" content="William Boisseau" />
<meta name="citation_author_institution" content="From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada" />
<meta name="citation_author" content="Tim E. Darsaut" />
<meta name="citation_author_institution" content="From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada" />
<meta name="citation_author" content="Robert Fahed" />
<meta name="citation_author_institution" content="From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada" />
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<meta name="citation_author_institution" content="From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada" />
<meta name="citation_author" content="Howard Lesiuk" />
<meta name="citation_author_institution" content="From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada" />
<meta name="citation_author" content="Jeremy L. Rempel" />
<meta name="citation_author_institution" content="From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada" />
<meta name="citation_author" content="Cian J. O’Kelly" />
<meta name="citation_author_institution" content="From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada" />
<meta name="citation_author" content="Michael M.C. Chow" />
<meta name="citation_author_institution" content="From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada" />
<meta name="citation_author" content="Daniela Iancu" />
<meta name="citation_author_institution" content="From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada" />
<meta name="citation_author" content="Daniel Roy" />
<meta name="citation_author_institution" content="From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada" />
<meta name="citation_author" content="Alain Weill" />
<meta name="citation_author_institution" content="From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada" />
<meta name="citation_author" content="Ruby Klink" />
<meta name="citation_author_institution" content="From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada" />
<meta name="citation_author" content="Jean Raymond" />
<meta name="citation_author_institution" content="From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada" />
<meta name="twitter:title" content="Flow diversion for the treatment of distal circulation aneurysms: A randomized comparison" />
<meta name="twitter:card" content="summary" />
<meta name="twitter:description" content="BACKGROUND AND PURPOSE: Flow diversion (FD) has expanded beyond initial indications (proximal carotid artery aneurysms) to include distal circulation aneurysms (on the anterior, middle, or posterior cerebral arteries). Our objective was to examine results obtained from aneurysms in these locations in the Flow Diversion in the Treatment of Intracranial Aneurysms Trial (FIAT) which compared FD with alternative standard management options (ASMO).

MATERIALS AND METHODS: FIAT was an all-inclusive parallel-group 1:1 randomized study comparing FD with one of 4 ASMOs (coiling +/-stenting, parent vessel occlusion (PVO), clipping, or observation, pre-specified by clinical judgment). The primary safety outcome was death or dependency (mRS &gt;2) at 3 months. The composite primary outcome was “treatment failure,” defined as initial failure to treat the aneurysm; aneurysm rupture or retreatment during follow-up; death or dependency (mRS&gt;2); or angiographic residual aneurysm adjudicated by independent core laboratory at 12 months. This subgroup analysis was not prespecified and there was no blinding.

RESULTS: Of the 323 patients in FIAT, 46 (14%) with distal circulation aneurysms were randomly allocated: 23 to FD and 23 to ASMO (coiling +/-stenting (16 patients), PVO (1), clipping (3), and observation (3)). Death or dependency at 3 months occurred in one patient (allocated ASMO). Treatment failures occurred in 6/23 FD-treated patients (26.1%; 95%CI: 12.6%-46.5%) compared to 11/22 patients treated with ASMO (50.0%; 95%CI: 30.7%-69.3%; RR=0.52, [0.23-1.17]; P=0.13). Serious adverse events were similar.

CONCLUSIONS: Distal circulation aneurysms treated with FDs in FIAT showed an encouraging trend, but this analysis was underpowered. Further randomized trials are needed.

ABBREVIATIONS: ASMO = Alternative standard management options; FD = Flow Diversion; FIAT = Flow Diversion in the Treatment of Intracranial Aneurysms Trial; PVO = Parent Vessel Occlusion; mRS = modified Rankin Scale" />
<meta name="og-title" property="og:title" content="Flow diversion for the treatment of distal circulation aneurysms: A randomized comparison" />
<meta name="og-url" property="og:url" content="http://ajnr-stage2.stage.highwire.org/content/early/2024/12/17/ajnr.A8620" />
<meta name="og-site-name" property="og:site_name" content="American Journal of Neuroradiology" />
<meta name="og-description" property="og:description" content="BACKGROUND AND PURPOSE: Flow diversion (FD) has expanded beyond initial indications (proximal carotid artery aneurysms) to include distal circulation aneurysms (on the anterior, middle, or posterior cerebral arteries). Our objective was to examine results obtained from aneurysms in these locations in the Flow Diversion in the Treatment of Intracranial Aneurysms Trial (FIAT) which compared FD with alternative standard management options (ASMO).

MATERIALS AND METHODS: FIAT was an all-inclusive parallel-group 1:1 randomized study comparing FD with one of 4 ASMOs (coiling +/-stenting, parent vessel occlusion (PVO), clipping, or observation, pre-specified by clinical judgment). The primary safety outcome was death or dependency (mRS &gt;2) at 3 months. The composite primary outcome was “treatment failure,” defined as initial failure to treat the aneurysm; aneurysm rupture or retreatment during follow-up; death or dependency (mRS&gt;2); or angiographic residual aneurysm adjudicated by independent core laboratory at 12 months. This subgroup analysis was not prespecified and there was no blinding.

RESULTS: Of the 323 patients in FIAT, 46 (14%) with distal circulation aneurysms were randomly allocated: 23 to FD and 23 to ASMO (coiling +/-stenting (16 patients), PVO (1), clipping (3), and observation (3)). Death or dependency at 3 months occurred in one patient (allocated ASMO). Treatment failures occurred in 6/23 FD-treated patients (26.1%; 95%CI: 12.6%-46.5%) compared to 11/22 patients treated with ASMO (50.0%; 95%CI: 30.7%-69.3%; RR=0.52, [0.23-1.17]; P=0.13). Serious adverse events were similar.

CONCLUSIONS: Distal circulation aneurysms treated with FDs in FIAT showed an encouraging trend, but this analysis was underpowered. Further randomized trials are needed.

ABBREVIATIONS: ASMO = Alternative standard management options; FD = Flow Diversion; FIAT = Flow Diversion in the Treatment of Intracranial Aneurysms Trial; PVO = Parent Vessel Occlusion; mRS = modified Rankin Scale" />
<meta name="og-type" property="og:type" content="article" />
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    <div class="highwire-article-citation highwire-citation-type-highwire-article node112396--5" data-node-nid="112396" id="top-node-112396--61997472227" data-pisa="ajnr;ajnr.A8620v1" data-pisa-master="ajnr;ajnr.A8620" data-apath="/ajnr/early/2024/12/17/ajnr.A8620.atom" data-hw-author-tooltip-instance="highwire_author_tooltip"><div class="highwire-cite highwire-cite-highwire-article highwire-citation-jcore-article-title-complete clearfix has-author-tooltip highwire-citation-highwire-article-top-a">
  
  
      <div class="highwire-cite-overline"><span  class="highwire-cite-metadata-article-type highwire-cite-metadata">Research Article</span><span class="separator-pipe"></span><span  class="highwire-cite-metadata-art-cat highwire-cite-metadata"><span class="wrapper">ORIGINAL RESEARCH</span></span></div>
  
      <div class="highwire-cite-access"><span class="highwire-citation-access highwire-citation-access-check" data-pisa-id="ajnr;ajnr.A8620" data-atom-uri="/ajnr/early/2024/12/17/ajnr.A8620.atom" data-request-view="full"></span></div>
  
      <h1 class="highwire-cite-title" id="page-title">Flow diversion for the treatment of distal circulation aneurysms: A randomized comparison</h1>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">William Boisseau</span>, <span class="highwire-citation-author" data-delta="1">Tim E. Darsaut</span>, <span class="highwire-citation-author" data-delta="2">Robert Fahed</span>, <span class="highwire-citation-author" data-delta="3">Brian Drake</span>, <span class="highwire-citation-author" data-delta="4">Howard Lesiuk</span>, <span class="highwire-citation-author" data-delta="5">Jeremy L. Rempel</span>, <span class="highwire-citation-author" data-delta="6">Cian J. O’Kelly</span>, <span class="highwire-citation-author" data-delta="7">Michael M.C. Chow</span>, <span class="highwire-citation-author" data-delta="8">Daniela Iancu</span>, <span class="highwire-citation-author" data-delta="9">Daniel Roy</span>, <span class="highwire-citation-author" data-delta="10">Alain Weill</span>, <span class="highwire-citation-author" data-delta="11">Ruby Klink</span> and <span class="highwire-citation-author" data-delta="12">Jean Raymond</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">December 2024,  </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">ajnr.A8620; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata">DOI: https://doi.org/10.3174/ajnr.A8620 </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-112396--61997472227" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">William Boisseau </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=William%2BBoisseau%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Boisseau%20W&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AWilliam%2BBoisseau%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">Tim E. Darsaut </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Tim%2BE.%2BDarsaut%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Darsaut%20TE&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3ATim%2BE.%2BDarsaut%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-2"><div class="author-tooltip-name">Robert Fahed </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Robert%2BFahed%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Fahed%20R&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3ARobert%2BFahed%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-3"><div class="author-tooltip-name">Brian Drake </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Brian%2BDrake%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Drake%20B&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3ABrian%2BDrake%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-4"><div class="author-tooltip-name">Howard Lesiuk </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Howard%2BLesiuk%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Lesiuk%20H&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AHoward%2BLesiuk%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-5"><div class="author-tooltip-name">Jeremy L. Rempel </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Jeremy%2BL.%2BRempel%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Rempel%20JL&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AJeremy%2BL.%2BRempel%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-6"><div class="author-tooltip-name">Cian J. O’Kelly </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Cian%2BJ.%2BO%E2%80%99Kelly%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=O%E2%80%99Kelly%20CJ&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3ACian%2BJ.%2BO%25E2%2580%2599Kelly%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-7"><div class="author-tooltip-name">Michael M.C. Chow </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Michael%2BM.C.%2BChow%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Chow%20MM&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AMichael%2BM.C.%2BChow%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-8"><div class="author-tooltip-name">Daniela Iancu </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Daniela%2BIancu%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Iancu%20D&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3ADaniela%2BIancu%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-9"><div class="author-tooltip-name">Daniel Roy </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Daniel%2BRoy%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Roy%20D&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3ADaniel%2BRoy%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-10"><div class="author-tooltip-name">Alain Weill </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Alain%2BWeill%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Weill%20A&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AAlain%2BWeill%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-11"><div class="author-tooltip-name">Ruby Klink </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Ruby%2BKlink%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Klink%20R&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3ARuby%2BKlink%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-12"><div class="author-tooltip-name">Jean Raymond </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l’Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Jean%2BRaymond%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Raymond%20J&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link last"><a href="/search/author1%3AJean%2BRaymond%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div></div></div>  </div>

  
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      <div class="highwire-cite-title">Flow diversion for the treatment of distal circulation aneurysms: A randomized comparison</div>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">William</span> <span class="nlm-surname">Boisseau</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">Tim E.</span> <span class="nlm-surname">Darsaut</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">Robert</span> <span class="nlm-surname">Fahed</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">Brian</span> <span class="nlm-surname">Drake</span></span>, <span class="highwire-citation-author" data-delta="4"><span class="nlm-given-names">Howard</span> <span class="nlm-surname">Lesiuk</span></span>, <span class="highwire-citation-author" data-delta="5"><span class="nlm-given-names">Jeremy L.</span> <span class="nlm-surname">Rempel</span></span>, <span class="highwire-citation-author" data-delta="6"><span class="nlm-given-names">Cian J.</span> <span class="nlm-surname">O’Kelly</span></span>, <span class="highwire-citation-author" data-delta="7"><span class="nlm-given-names">Michael M.C.</span> <span class="nlm-surname">Chow</span></span>, <span class="highwire-citation-author" data-delta="8"><span class="nlm-given-names">Daniela</span> <span class="nlm-surname">Iancu</span></span>, <span class="highwire-citation-author" data-delta="9"><span class="nlm-given-names">Daniel</span> <span class="nlm-surname">Roy</span></span>, <span class="highwire-citation-author" data-delta="10"><span class="nlm-given-names">Alain</span> <span class="nlm-surname">Weill</span></span>, <span class="highwire-citation-author" data-delta="11"><span class="nlm-given-names">Ruby</span> <span class="nlm-surname">Klink</span></span>, <span class="highwire-citation-author" data-delta="12"><span class="nlm-given-names">Jean</span> <span class="nlm-surname">Raymond</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Dec 2024, </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">ajnr.A8620; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A8620 </span></div>
  
  
  
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      <div class="highwire-cite-title">Flow diversion for the treatment of distal circulation aneurysms: A randomized comparison</div>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">William</span> <span class="nlm-surname">Boisseau</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">Tim E.</span> <span class="nlm-surname">Darsaut</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">Robert</span> <span class="nlm-surname">Fahed</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">Brian</span> <span class="nlm-surname">Drake</span></span>, <span class="highwire-citation-author" data-delta="4"><span class="nlm-given-names">Howard</span> <span class="nlm-surname">Lesiuk</span></span>, <span class="highwire-citation-author" data-delta="5"><span class="nlm-given-names">Jeremy L.</span> <span class="nlm-surname">Rempel</span></span>, <span class="highwire-citation-author" data-delta="6"><span class="nlm-given-names">Cian J.</span> <span class="nlm-surname">O’Kelly</span></span>, <span class="highwire-citation-author" data-delta="7"><span class="nlm-given-names">Michael M.C.</span> <span class="nlm-surname">Chow</span></span>, <span class="highwire-citation-author" data-delta="8"><span class="nlm-given-names">Daniela</span> <span class="nlm-surname">Iancu</span></span>, <span class="highwire-citation-author" data-delta="9"><span class="nlm-given-names">Daniel</span> <span class="nlm-surname">Roy</span></span>, <span class="highwire-citation-author" data-delta="10"><span class="nlm-given-names">Alain</span> <span class="nlm-surname">Weill</span></span>, <span class="highwire-citation-author" data-delta="11"><span class="nlm-given-names">Ruby</span> <span class="nlm-surname">Klink</span></span>, <span class="highwire-citation-author" data-delta="12"><span class="nlm-given-names">Jean</span> <span class="nlm-surname">Raymond</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Dec 2024, </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">ajnr.A8620; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A8620 </span></div>
  
  
  
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