Safety and feasibility of dual antiplatelet therapy termination guided by angioscopic findings 6 months after flow diverter placement

Angioscopy reliably confirmed neointimal coverage 6 months after FD placement, suggesting the potential for safe DAPT discontinuation. The findings underscore the superiority of angioscopy over cone-beam CT in identifying thin neointima. Further studies involving larger cohorts and applying advanced imaging technologies are required to optimize post-FD antiplatelet therapy.

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Publication Details

Journal
Frontiers in Neurology
Published
2025-08-29
DOI
https://doi.org/10.3389/fneur.2025.1649290
Primary Topic
Intracranial Aneurysms: Treatment and Complications
Type
article
Field-Weighted Citation Impact
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article

Safety and feasibility of dual antiplatelet therapy termination guided by angioscopic findings 6 months after flow diverter placement

Yasushi Motoyama, Yoshiharu Higuchi, Rinsei Tei, M Fukunaga et al.
Frontiers in Neurology
Intracranial Aneurysms: Treatment and Complications
article

Safety and feasibility of dual antiplatelet therapy termination guided by angioscopic findings 6 months after flow diverter placement

Yasushi Motoyama, Yoshiharu Higuchi, Rinsei Tei, M Fukunaga, Atsuko Shimotsuma, Mikio Shiba, Junji Fukumori, Shuta Aketa, T. Fujita, Kenji Fukutome, Yuki Shiraishi, Yasushi Shin, Ryuta Matsuoka, Yasutaka Murakami
article en

Abstract

Angioscopy reliably confirmed neointimal coverage 6 months after FD placement, suggesting the potential for safe DAPT discontinuation. The findings underscore the superiority of angioscopy over cone-beam CT in identifying thin neointima. Further studies involving larger cohorts and applying advanced imaging technologies are required to optimize post-FD antiplatelet therapy.

Frontiers in NeurologyVol. 16
Osaka Hospital (JP), Osaka University Hospital (JP)
Openalex Percentile: Top 67%
Intracranial Aneurysms: Treatment and Complications
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