Flow-diverter silk stent for the treatment of intracranial aneurysms: 1-year follow-up in a multicenter study.
作者： J. Berge , A. Biondi , P. Machi , H. Brunel , L. Pierot
DOI: 10.3174/AJNR.A2907
关键词:
摘要: BACKGROUND AND PURPOSE: FD stent placement is a promising therapy for challenging intracranial aneurysms. Long-term evaluations about angiographic and morphologic results are still missing. This the aim of this multicenter series. MATERIALS METHODS: We report our experience 1-year FU in retrospective chart review 65 consecutive subjects with 77 unruptured or recanalized aneurysms that were treated Silk stents at 6 centers France. Both clinical recorded before treatment 12 months after treatment. At 12-month FU, relationships between aneurysm occlusion shrinkage thrombosed sac evaluated. RESULTS: Stent deployment was achieved 64 cases (98.5%) failed 1 case (1.5%). Seven misdeployments caused parent arteries. Overall acute/subacute procedural morbidity 7.7%, mortality zero. Delayed complications observed 10.9% subjects. 6-month permanent 7.8% 3%. Complete occurred within 68% 84.5% angiographically complete occluded aneurysms, MR imaging/CT analysis showed disappearance 30% partial 52%; furthermore, stable 11% enlarged 7%. CONCLUSIONS: The an effective tool because it allows most year Permanent 7.8%,
sci-hub.se 参考文章(23)
Bernd Turowski, Stephan Macht, Zolt Kulcsár, Daniel Hänggi, Walter Stummer, Early fatal hemorrhage after endovascular cerebral aneurysm treatment with a flow diverter (SILK-Stent): do we need to rethink our concepts? Neuroradiology. ,vol. 53, pp. 37- 41 ,(2011) , 10.1007/S00234-010-0676-7
Frédéric Clarençon, Fabrice Bonneville, Anne-Laure Boch, Lise Lejean, Alessandra Biondi, Parent artery occlusion is not obsolete in giant aneurysms of the ICA. Experience with very-long-term follow-up Neuroradiology. ,vol. 53, pp. 973- 982 ,(2011) , 10.1007/S00234-010-0800-8
I. Szikora, Z. Berentei, Z. Kulcsar, M. Marosfoi, Z.S. Vajda, W. Lee, A. Berez, P.K. Nelson, Treatment of Intracranial Aneurysms by Functional Reconstruction of the Parent Artery: The Budapest Experience with the Pipeline Embolization Device American Journal of Neuroradiology. ,vol. 31, pp. 1139- 1147 ,(2010) , 10.3174/AJNR.A2023
J. Berge, T. Tourdias, J.-F. Moreau, X. Barreau, V. Dousset, Perianeurysmal Brain Inflammation after Flow-Diversion Treatment American Journal of Neuroradiology. ,vol. 32, pp. 1930- 1934 ,(2011) , 10.3174/AJNR.A2710
Baruch B. Lieber, Alfred P. Stancampiano, Ajay K. Wakhloo, Alteration of hemodynamics in aneurysm models by stenting: Influence of stent porosity Annals of Biomedical Engineering. ,vol. 25, pp. 460- 469 ,(1997) , 10.1007/BF02684187
Alessandra Biondi, Vallabh Janardhan, Jeffrey M. Katz, Kimberly Salvaggio, Howard A. Riina, Y. Pierre Gobin, Neuroform stent-assisted coil embolization of wide-neck intracranial aneurysms: strategies in stent deployment and midterm follow-up. Neurosurgery. ,vol. 61, pp. 460- 469 ,(2007) , 10.1227/01.NEU.0000290890.62201.A9
James V. Byrne, Radu Beltechi, Julia A. Yarnold, Jacqueline Birks, Mudassar Kamran, Early Experience in the Treatment of Intra-Cranial Aneurysms by Endovascular Flow Diversion: A Multicentre Prospective Study PLoS ONE. ,vol. 5, pp. e12492- ,(2010) , 10.1371/JOURNAL.PONE.0012492
Chander Sadasivan, Liliana Cesar, Jaehoon Seong, Audrey Rakian, Qing Hao, Fermin O. Tio, Ajay K. Wakhloo, Baruch B. Lieber, An Original Flow Diversion Device for the Treatment of Intracranial Aneurysms Evaluation in the Rabbit Elastase-Induced Model Stroke. ,vol. 40, pp. 952- 958 ,(2009) , 10.1161/STROKEAHA.108.533760
Daniel Roy, Geneviève Milot, Jean Raymond, Endovascular Treatment of Unruptured Aneurysms Stroke. ,vol. 32, pp. 1998- 2004 ,(2001) , 10.1161/HS0901.095600
T. Ries, S. Siemonsen, G. Thomalla, U. Grzyska, H. Zeumer, J. Fiehler, Long-Term Follow-Up of Cerebral Aneurysms after Endovascular Therapy–Prediction and Outcome of Retreatment American Journal of Neuroradiology. ,vol. 28, pp. 1755- 1761 ,(2007) , 10.3174/AJNR.A0649