Intrasaccular Flow Disruptor-Assisted Coiling of Intracranial Aneurysms Using the Novel Contour Neurovascular Systems and NEQSTENT: A Single-Center Safety and Feasibility Study

Autor: Francesco Diana, Marta de Dios Lascuevas, Simone Peschillo, Eytan Raz, Shinichi Yoshimura, Manuel Requena Ruiz, David Hernández Morales, Alejandro Tomasello
Přispěvatelé: Institut Català de la Salut, [Diana F] Neuroradiology, University Hospital ‘San Giovanni di Dio e Ruggi d’Aragona’, Salerno, Italy. [de Dios Lascuevas M, Requena Ruiz M, Morales DH, Tomasello A] Grup de Recerca en Neuroradiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grupo de Recerca en Ictus, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. [Peschillo S] UniCamillus International Medical University, Rome, Italy. Endovascular Neurosurgery, Pia Fondazione Cardinale G Panico Hospital, Tricase, Italy. [Raz E] Department of Radiology, NYU Langone Health, New York, USA. [Yoshimura S] Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Japan, Vall d'Hebron Barcelona Hospital Campus
Jazyk: angličtina
Rok vydání: 2022
Předmět:
intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos vasculares::procedimientos endovasculares [TÉCNICAS Y EQUIPOS ANALÍTICOS
DIAGNÓSTICOS Y TERAPÉUTICOS]
brain aneurysms
endovascular treatment
coiling
assisted coiling
intrasaccular devices
flow disruptor
Vasos sanguinis - Cirurgia
enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos cerebrovasculares::enfermedades arteriales intracraneales::aneurisma intracraneal [ENFERMEDADES]
General Neuroscience
Aneurismes cerebrals - Tractament
Other subheadings::/therapy [Other subheadings]
Surgical Procedures
Operative::Cardiovascular Surgical Procedures::Vascular Surgical Procedures::Endovascular Procedures [ANALYTICAL
DIAGNOSTIC AND THERAPEUTIC TECHNIQUES
AND EQUIPMENT]
Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders::Intracranial Arterial Diseases::Intracranial Aneurysm [DISEASES]
Otros calificadores::/terapia [Otros calificadores]
Zdroj: Brain Sciences; Volume 12; Issue 8; Pages: 991
Scientia
ISSN: 2076-3425
DOI: 10.3390/brainsci12080991
Popis: Brain aneurysms; Endovascular treatment; Intrasaccular devices Aneurismas cerebrales; Tratamiento endovascular; Dispositivos intrasaculares Aneurismes cerebrals; Tractament endovascular; Dispositius intrasaculars Background: Intrasaccular flow disruptors (IFD) have been introduced in the treatment of intracranial aneurysms (IAs) to overcome the low aneurysm occlusion rate and the high recanalization rate of the coiling technique. Among them, the Contour Neurovascular System (CNS) and the Neqstent (NQS) were designed to reconstruct the aneurysmal neck and both can be used as assisting coiling devices. We aimed to report our preliminary experience with the flow disruptor-assisted coiling (IFD-AC) technique. Methods: We performed a retrospective analysis of prospectively collected data of all patients with IAs treated with the IFD-AC. Results: Between February 2021 and April 2022, we treated 15 IAs with the IFD-AC: 10 ruptured and 5 unruptured. The IFD-AC was successfully performed in 13 cases, with a post-operative RROC 1 in 12 cases (92.3%) and RROC 2 in 1 case (7.7%). There was one ischemic event (6.7%) and no hemorrhagic complications. Twelve patients underwent a mid-term radiologic follow-up: Ten IAs (83.4%) presented an adequate occlusion, while 2 (16.7%) had a recurrence. Conclusions: The IFD-AC, both with the CNS and the NQS, seems a safe technique with promising efficacy profile. The IFD-AC has proved to be safe without antiplatelet therapy in ruptured cases. Further studies are needed to confirm our preliminary results.
Databáze: OpenAIRE
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