Introduction: History and Development of Flow Diverter Technology and Evolution

UMMS Affiliation

Division of Neuroimaging and Intervention, New England Center for Stroke Research, Department of Radiology

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Document Type



Analytical, Diagnostic and Therapeutic Techniques and Equipment | Cardiovascular Diseases | Neurology | Radiology | Surgery


The introduction of flow diverter technology to the field of neurointervention has revolutionized the treatment of intracranial aneurysms. The therapy approach has shifted from intrasaccular aneurysm treatment to exclusion of the aneurysm from the blood circulation with remodeling of the parent artery. Previously, "difficult"-to-treat aneurysms including fusiform and blister aneurysms, but also aneurysms arising from a diseased vessel segment, can now be safely and permanently treated with flow diverters. A little over a decade ago, after extensive bench testing and refinement of the flow diverter concept, the device was eventually available for clinical use and today it has become a standard treatment for intracranial aneurysms. Currently, United States Food and Drug Administration (FDA)-approved flow diverters are the Pipeline Embolization Device (Medtronic) and the Surpass Streamline Flow Diverter (Stryker). The devices can either be delivered or deployed via a standard femoral artery approach or a radial artery approach. Other considerations for catheter setup and device deployment strategies depending on aneurysm location or vessel anatomy are described.


Aneurysm, Device technology, Flow diverter, Pipeline Embolization Device, Rupture, Surpass, aneurysm embolization devices, medical military deployment fluid flow

DOI of Published Version



Neurosurgery. 2020 Jan 1;86(Supplement_1):S3-S10. doi: 10.1093/neuros/nyz307. Link to article on publisher's site

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