Flow diverter devices have gained wide acceptance for the treatment of unruptured intracranial aneurysms. Most studies are based on the treatment of large aneurysms harboring on the carotid syphon. However, during the last years the "off-label" use of these stents has widely grown up even if not supported by randomized studies. This review examines the relevant literature concerning "off-label" indications for flow diverter devices, such as for distal aneurysms, bifurcation aneurysms, small aneurysms, recurrent aneurysms, and direct carotid cavernous fistulas.
Keywords: Bifurcation aneurysm; Carotid cavernous fistula; Distal aneurysm; Flow diverter device; Intracranial aneurysm; Recurrent aneurysm.
© Congress of Neurological Surgeons 2019.