Flow-diverting stents for the treatment of unruptured distal anterior cerebral artery aneurysms: analysis of the CRETA Registry

被引：0

作者：

Scarcia, Luca ^{[1
]}

Clarencon, Frederic ^{[2
,3
]}

Dmytriw, Adam A. ^{[4
,5
,6
]}

Shotar, Eimad ^{[2
]}

Premat, Kevin ^{[2
]}

Jabbour, Pascal ^{[7
]}

Tjoumakaris, Stavropoula, I ^{[7
]}

Gooch, Reid ^{[7
]}

Psychogios, Marios-Nikos ^{[8
]}

Ntoulias, Nikolaos ^{[8
]}

Sporns, Peter B. ^{[9
]}

Puri, Ajit S. ^{[10
]}

Singh, Jasmeet ^{[10
]}

Kuhn, Anna Luisa ^{[10
]}

Hassan, Ameer E. ^{[11
]}

Algin, Oktay ^{[12
]}

Moehlenbruch, Markus A. ^{[13
]}

Hohenstatt, Sophia ^{[13
]}

Russo, Riccardo ^{[14
]}

Bergui, Mauro ^{[14
]}

Goren, Oded ^{[15
]}

Kole, Matthew J. ^{[15
]}

Bankole, Nourou Dine Adeniran ^{[16
]}

Bibi, Richard ^{[16
]}

Boulouis, Gregoire ^{[16
]}

Morimoto, Takeshi ^{[17
]}

Sakakibara, Fumihiro ^{[17
]}

Pop, Raoul ^{[18
]}

Juravle, Ciprian ^{[18
]}

Ho, Joanna W. K. ^{[19
]}

Ferrario, Angel ^{[20
]}

Pujol Lereis, Virginia ^{[21
]}

Cooper, Jared ^{[22
]}

Gandhi, Chirag D. ^{[22
]}

Salsano, Giancarlo ^{[23
]}

Castellan, Lucio ^{[23
]}

Camilli, Arianna ^{[24
]}

Consoli, Arturo ^{[25
,26
]}

Sgreccia, Alessandro ^{[25
]}

Raz, Eytan ^{[27
]}

Chung, Charlotte ^{[27
]}

Burel, Julien ^{[28
]}

Papagiannaki, Chrysanthi ^{[28
]}

Rasheed, Umair ^{[29
]}

Baqir Hassan, Khawaja Muhammad ^{[29
]}

Hong, Tao ^{[30
]}

Ji, Zhe ^{[30
]}

Rautio, Riitta ^{[31
]}

Sinislao, Matias ^{[31
]}

Ruggiero, Maria ^{[32
]}

机构：

[1] Henri Mondor Hosp, Neuroradiol, Creteil, France

[2] Sorbonne Univ, La Pitie Salpetriere Hosp, APHP, Dept Neuroradiol, 47 Bd Hop, F-75013 Paris, France

[3] Sorbonne Univ, Paris, France

[4] Harvard Univ, Massachusetts Gen Hosp, Neuroendovasc Program, Boston, MA USA

[5] Harvard Univ, Brigham & Womens Hosp, Boston, MA USA

[6] Univ Toronto, St Michaels Hosp, Div Diagnost & Therapeut Neuroradiol, Toronto, ON, Canada

[7] Thomas Jefferson Univ Hosp, Dept Neurosurg, Philadelphia, PA 19107 USA

[8] Univ Spital Basel, Diagnost & Intervent Neuroradiol Dept, Basel, Switzerland

[9] Stadtspital, Dept Radiol & Neuroradiol, Zurich, Switzerland

[10] Univ Massachusetts, Med Ctr, Dept Radiol, Div Neurointervent Radiol, Worcester, MA USA

[11] Univ Texas Rio Grande Valley, Valley Baptist Med Ctr, Dept Neurol, Harlingen, TX 78550 USA

[12] Ankara Univ, Dept Radiol, Ankara, Turkiye

[13] Heidelberg Univ Hosp, Dept Neuroradiol, Heidelberg, Germany

[14] Univ Turin, Dept Neurosci, Neuroradiol Unit, Azienda Osped Univ Citta Salute & Sci Torino, Turin, Italy

[15] Geisinger Hlth Syst, Dept Neurosurg, Danville, PA USA

[16] Teaching Hosp Tours, INSERM, Clin Invest Ctr CIC 1415, Dept Intervent Neuroradiol, Tours, France

[17] Hyogo Med Univ, Dept Data Sci, Nishinomiya, Hyogo, Japan

[18] Strasbourg Univ Hosp, Intervent Neuroradiol, Strasbourg, France

[19] Kwong Wah Hosp, Dept Neurosurg, Hong Kong, Peoples R China

[20] FLENI, Dept Neurocirugia, Serv Neurorradiol Intervencionista, Buenos Aires, Argentina

[21] FLENI, Inst Neurol Res, Dept Neurol, Vasc Neurol Div, Buenos Aires, DF, Argentina

[22] Westchester Med Ctr, Dept Neurosurg, Valhalla, NY USA

[23] IRCCS Osped Policlin San Martino, UO Neuroradiol, Genoa, Italy

[24] Univ Cattolica Sacro Cuore, Rome, Italy

[25] Foch Hosp, Diagnost & Intervent Neuroradiol Dept, Suresnes, France

[26] Univ Versailles, Yvelines, France

[27] NYU Langone Hlth, Dept Neurosurg, New York, NY USA

[28] Rouen Univ Hosp, Dept Rheumatol, Rouen, Normandy, France

[29] Lahore Gen Hosp, Dept Neuroradiol, Lahore, Pakistan

[30] Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing, Peoples R China

[31] Turku Univ Hosp, Dept Intervent Radiol, Turku, Finland

[32] AUSL Romagna, Dermatol Unit, Ravenna, Italy

[33] Univ Roma Tor Vergata, Dept Biomed & Prevent, Rome, Italy

[34] Univ Padua, Padua, Italy

[35] Univ Washington, Dept Neurol Surg, Seattle, WA USA

[36] Univ Messina, Neuroradiol Unit, Biomed Sci & Morphol & Funct Images, Messina, Italy

[37] CHU Toulouse, Serv Neuroradiol Intervent & Diagnost, Serv Hepatogastroenterol, Hop Purpan, Toulouse, France

[38] Bordeaux Univ Hosp, Neuroradiol Dept, Bordeaux, France

[39] Careggi Univ Hosp, Intervent Neuroradiol Unit, I-50134 Florence, Italy

[40] ASST Grande Osped Metropolitano Niguarda, Reumatol Unit, Milan, Italy

[41] Hop Lariboisiere, AP HP Nord, Dept Neuroradiol, F-75010 Paris, France

[42] Fdn IRCCS Policlin San Matteo, Neuroradiol Unit, I-27100 Pavia, Italy

[43] Univ Hosp Ctr Besancon, Dept Intervent Neuroradiol, Besancon, France

[44] NAMS Ukraine, Res & Pract Ctr Endovascular Neuroradiol, Kiev, Ukraine

[45] Erasme Univ Hosp, Dept Intervent Neuroradiol, B-1070 Brussels, Belgium

[46] Fdn Policlin Univ Agostino Gemelli IRCCS Roma, Rome, Italy

来源：

JOURNAL OF NEUROINTERVENTIONAL SURGERY | 2024年

关键词：

Aneurysm; Flow Diverter; Angiography; PIPELINE EMBOLIZATION DEVICE; ENDOVASCULAR TREATMENT; SAFETY; EFFICACY; VESSELS;

D O I：

10.1136/jnis-2024-022315

中图分类号：

R445 [影像诊断学];

学科分类号：

100207 ;

摘要：

Background Data about the safety and the efficacy of flow diversion for distal anterior cerebral artery (DACA) aneurysms are limited. We present the largest multicenter analysis evaluating the outcomes of flow diversion in unruptured DACA aneurysm treatment.Methods Databases from 39 centers were retrospectively reviewed for unruptured DACA aneurysms treated with flow-diverting stents. Demographics, clinical presentation, radiographic characteristics, procedural complications, and outcomes were assessed.Results A total of 168 patients with 168 unruptured DACA aneurysms were treated between January 2018 and December 2022. One hundred and twenty-five were women (74.4%) and the median age was 61 (IQR 52-67) years. The most common morphology was saccular (91.7%), with branch involvement in 61.9% of cases. Median parent vessel diameter was 1.9 mm (IQR 1.7-2.2) and stents were successfully deployed in 99.4% of cases. In 96.4% a single stent was implanted, while 3.6% of cases required two stents. Median imaging follow-up was 16.5 (IQR 7-24) months. At last follow-up the rate of occlusion (O'Kelly-Marotta scale C or D) was 82.1%. Symptomatic thromboembolic or hemorrhagic complications occurred in 5.3% of patients and the mortality rate was 0.6%. The rate of retreatment was 1.2%.Conclusions Flow-diverting stents are a reasonably safe and effective treatment option for unruptured DACA aneurysms.

引用

页数：7

共 24 条

[1] Pipeline for Distal Cerebral Circulation Aneurysms
Atallah, Elias
Saad, Hassan
Mouchtouris, Nikolaos
Bekelis, Kimon
Walker, Jackson
Chalouhi, Nohra
Tjoumakaris, Stavropoula
Smith, Michelle
Rosenwasser, Robert H.
Zarzour, Hekmat
Herial, Nabeel
Feghali, James
Gooch, Michael Reid
Missios, Symeon
Sweid, Ahmad
Jabbour, Pascal
[J]. NEUROSURGERY, 2019, 85 (03) : E477 - E484
[2] Safety and Efficacy of Flow Diverters for Treatment of Unruptured Anterior Communicating Artery Aneurysms: Retrospective Multicenter Study
Benalia, Victor H. C.
Cortez, Gustavo M.
Mounayer, Charbel
Saatci, Isil
Cekirge, H. Saruhan
Kocer, Naci
Islak, Civan
Dabus, Guilherme
Brinjikji, Waleed
Baltacioglu, Feyyaz
Pereira, Vitor M.
Nishi, Hidehisa
Siddiqui, Adnan H.
Monteiro, Andre
Lopes, Demetrius K.
Aghaebrahim, Amin
Sauvageau, Eric
Hanel, Ricardo A.
[J]. JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2023, 15 (12) : 1181 - U10
[3] Endothelialization of over- and undersized flow-diverter stents at covered vessel side branches: An in vivo and in silico study
Berg, Philipp
Iosif, Christina
Ponsonnard, Sebastien
Yardin, Catherine
Janiga, Gabor
Mounayer, Charbel
[J]. JOURNAL OF BIOMECHANICS, 2016, 49 (01) : 4 - 12
[4] Endovascular treatment of cerebral aneurysms using flow-diverter devices: A systematic review
Briganti, Francesco
Leone, Giuseppe
Marseglia, Mariano
Mariniello, Giuseppe
Caranci, Ferdinando
Brunetti, Arturo
Maiuri, Francesco
[J]. NEURORADIOLOGY JOURNAL, 2015, 28 (04) : 365 - 375
[5] Treatment of Unruptured Distal Anterior Circulation Aneurysms with Flow-Diverter Stents: A Meta-Analysis
Cagnazzo, F.
Perrini, P.
Dargazanli, C.
Lefevre, P-H
Gascou, G.
Morganti, R.
di Carlo, D.
Derraz, I
Riquelme, C.
Bonafe, A.
Costalat, V
[J]. AMERICAN JOURNAL OF NEURORADIOLOGY, 2019, 40 (04) : 687 - 693
[6] Treatment of Middle Cerebral Artery Aneurysms with Flow-Diverter Stents: A Systematic Review and Meta-Analysis
Cagnazzo, F.
Mantilla, D.
Lefevre, P-H.
Dargazanli, C.
Gascou, G.
Costalat, V.
[J]. AMERICAN JOURNAL OF NEURORADIOLOGY, 2017, 38 (12) : 2289 - 2294
[7] Distal anterior cerebral artery aneurysms treated with flow diversion: experience of a large-volume center and systematic review of the literature
Cagnazzo, Federico
Fanti, Andrea
Lefevre, Pierre-Henri
Derraz, Imad
Dargazanli, Cyril
Gascou, Gregory
Riquelme, Carlos
Ahmed, Raed
Bonafe, Alain
Costalat, Vincent
[J]. JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2021, 13 (01) : 42 - +
[8] Clinical and angiographic characteristics of ruptured and unruptured distal cerebral aneurysms: a review of a large series of cases in a high-volume center
Cao, Roberta
Mattar, Adonis
Torche, Esteban
Riva, Roberto
Laubacher, Morgane
Moreno-Gomez, Ricardo
Turjman, Francis
Falini, Andrea
Panni, Pietro
Eker, Omer F.
[J]. JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2025, 17 (01) : 15 - 20
[9] Flow Diverter Stents for the Treatment of Anterior Cerebral Artery Aneurysms: Safety and Effectiveness
Clarencon, F.
Di Maria, F.
Gabrieli, J.
Shotar, E.
Zeghal, C.
Nouet, A.
Chiras, J.
Sourour, N. -A.
[J]. CLINICAL NEURORADIOLOGY, 2017, 27 (01) : 51 - 56
[10] Hemodynamics of Flow Diverters
Dholakia, Ronak
Sadasivan, Chander
Fiorella, David J.
Woo, Henry H.
Lieber, Baruch B.
[J]. JOURNAL OF BIOMECHANICAL ENGINEERING-TRANSACTIONS OF THE ASME, 2017, 139 (02):

← 1 2 3 →