Pipeline versus non-pipeline flow diverter treatment for M1 aneurysms: A systematic review and meta-analysis

被引:0
作者
Senol, Yigit Can [1 ]
Orscelik, Atakan [2 ]
Bilgin, Cem [2 ]
Kobeissi, Hassan [2 ]
Ghozy, Sherief [2 ]
Arul, Santhosh [2 ]
Kallmes, David F. [2 ]
Kadirvel, Ramanathan [1 ]
机构
[1] Mayo Clin, Dept Neurol Surg, 200 First St SW, Rochester, MN 55905 USA
[2] Mayo Clin, Dept Radiol, Rochester, MN USA
关键词
Pipeline; flow diverter; M1; aneurysm; CEREBRAL-ARTERY ANEURYSMS; ENDOVASCULAR MANAGEMENT; DIVERSION; COILING; EFFICACY; DEVICE; SAFETY; CIRCLE; WILLIS;
D O I
10.1177/19714009241260805
中图分类号
R445 [影像诊断学];
学科分类号
100207 ;
摘要
Background: The flow diversion treatment of aneurysms located distal to the Circle of Willis has recently increased in frequency. We conducted a systematic review and meta-analysis of the clinical and radiological outcomes of flow diverter (FD) embolization in treating M1 aneurysms. Methods: PubMed, Web of Science, Ovid Medline, Ovid Embase, and Scopus were searched up to May 2024 using the Nested Knowledge platform. We included studies assessing the long-term clinical and radiological outcomes for M1 aneurysms. Results of FDs classified as Pipeline Embolization Devices (PED) versus other types of FDs. Angiographic occlusion rates, ischemic and hemorrhagic complications, and favorable clinic outcomes were included. All data were analyzed using R software version 4.2.2. Results: Thirteen studies with 112 total patients (58 patients for PED and 54 patients for other FD devices) were included in our meta-analysis. The overall adequate (complete + near-complete) occlusion rates were 85.1%. The complete occlusion rate was higher with PED than with other FD devices (72.9% PED and 41.6% for non-PED FDs, respectively, p-value <.01). The ischemic complications were 9.9% and 9.0% for the PED and non-PED groups, respectively (p-value = .89). The overall modified Rankin Scale 0-2 was 100% for the non-PED and 97.1% for the PED group (p-value = .51). In-stent stenosis rate was 7.5% for PED devices compared to 2.6% in the non-PED group (p-value = .35). Conclusions: This relatively small meta-analysis showed high rates of adequate and complete occlusion in FD treatment of M1 segment aneurysms, with favorable safety profiles. PEDs were associated with higher rates of complete aneurysm occlusion compared to other types of FDs.
引用
收藏
页码:133 / 141
页数:9
相关论文
共 50 条
  • [21] Pipeline-assisted coiling versus pipeline in flow diversion treatment of intracranial aneurysms
    Sweid, A.
    Atallah, E.
    Herial, N.
    Saad, H.
    Mouchtouris, N.
    Barros, G.
    Gooch, M. R.
    Tjoumakaris, S.
    Zarzour, H.
    Hasan, D.
    Chalouhi, N.
    Rosenwasser, R. H.
    Jabbour, P.
    JOURNAL OF CLINICAL NEUROSCIENCE, 2018, 58 : 20 - 24
  • [22] Safety and Efficacy of Flow Diverter Treatment for Aneurysm in Small Cerebral Vessels: A Systematic Review and Meta-Analysis
    Yan, Yazhou
    Zhu, Deyuan
    Tang, Haishuang
    Huang, Qinghai
    WORLD NEUROSURGERY, 2018, 115 : 54 - 64
  • [23] Endovascular treatment of complex intracranial aneurysms by pipeline flow-diverter embolization device: a single-center experience
    Keskin, Fatih
    Erdi, Fatih
    Kaya, Bulent
    Poyraz, Necdet
    Keskin, Suat
    Kalkan, Erdal
    Ozbek, Orhan
    Koc, Osman
    NEUROLOGICAL RESEARCH, 2015, 37 (04) : 359 - 365
  • [24] Flow diverters in the treatment of intracranial dissecting aneurysms: a systematic review and meta-analysis of safety and efficacy
    Amoukhteh, Melika
    Hassankhani, Amir
    Valizadeh, Parya
    Jannatdoust, Payam
    Ghozy, Sherief
    Kobeissi, Hassan
    Kallmes, David F.
    JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2024, 16 (10) : 1008 - 1016
  • [25] Single antiplatelet regimen in flow diverter treatment of cerebral aneurysms: The drug matters. A systematic review and meta-analysis
    Ma, Yihui
    Madjidyar, Jawid
    Schubert, Tilman
    Thurner, Patrick
    Barnaure, Isabelle
    Kulcsar, Zsolt
    INTERVENTIONAL NEURORADIOLOGY, 2023,
  • [26] Endovascular treatment of unruptured aneurysms of cavernous and ophthalmic segment of internal carotid artery with flow diverter device Pipeline
    Jevsek, Marko
    Mounayer, Charbel
    Seruga, Tomaz
    RADIOLOGY AND ONCOLOGY, 2016, 50 (04) : 378 - 384
  • [27] Safety and Outcomes of the Off-Label Treatment of Intracranial Aneurysms with Pipeline Embolization Device: A Systematic Review and Meta-analysis
    Chinnadurai, Anu
    Salih, Mira
    Taussky, Philipp
    Ogilvy, Christopher
    WORLD NEUROSURGERY, 2024, 185 : E786 - E799
  • [28] Safety and efficacy of the pipeline embolization device for treatment of small vs. large aneurysms: a systematic review and meta-analysis
    Ghaith, Abdul Karim
    Greco, Elena
    Rios-Zermeno, Jorge
    El-Hajj, Victor Gabriel
    Perez-Vega, Carlos
    Ghanem, Marc
    Kashyap, Samir
    Fox, W. Christopher
    Huynh, Thien J.
    Sandhu, Sukhwinder S.
    Ohlsson, Marcus
    Elmi-Terander, Adrian
    Bendok, Bernard R.
    Bydon, Mohamad
    Tawk, Rabih G.
    NEUROSURGICAL REVIEW, 2023, 46 (01)
  • [29] Acutely Ruptured Intracranial Aneurysms Treated with Flow-Diverter Stents: A Systematic Review and Meta-Analysis
    Cagnazzo, F.
    di Carlo, D. T.
    Cappucci, M.
    Lefevre, P. -H.
    Costalat, V.
    Perrini, P.
    AMERICAN JOURNAL OF NEURORADIOLOGY, 2018, 39 (09) : 1669 - 1675
  • [30] Endovascular Treatment of Ruptured Blister-Like Aneurysms: A Systematic Review and Meta-Analysis with Focus on Deconstructive versus Reconstructive and Flow-Diverter Treatments
    Rouchaud, A.
    Brinjikji, W.
    Cloft, H. J.
    Kallmes, D. F.
    AMERICAN JOURNAL OF NEURORADIOLOGY, 2015, 36 (12) : 2331 - 2339