Pipeline embolization device for aneurysm recurrence after stent-assisted coiling.

IF 2.6 3区医学 Q2 CLINICAL NEUROLOGY Neuroradiology Pub Date : 2025-02-01 Epub Date: 2025-01-20 DOI:10.1007/s00234-024-03541-6

Weiming Kong, Shikai Liang, Xianli Lv

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Abstract

Objective: Since the emergence of the Pipeline Embolization Device (PED), its off-label use has significantly improved the treatment effectiveness of complex intracranial aneurysms, including the treatment of recurrent aneurysms. Although PED is effective in this situation, there is still a lack of evidence-based medicine for its role in recurrent aneurysms after stent-assisted coiling. The aim of this study is to evaluate the safety and efficacy of PED treatment for recurrent aneurysms after stent-assisted coiling.

Methods: This study included 10 patients who underwent stent-assisted coiling but subsequently received PED treatment again due to aneurysm recurrence or rebleeding. The mean time between initial treatment and subsequent treatment is 12 months. Clinical outcomes include complications and modified Rankin Scale (mRS) scores, as well as evidence of complete occlusion.

Results: All PEDs were successfully placed, with one case of minor perioperative complications. During the 6-month follow-up after PED implantation, 10 cases of recurrent aneurysms were completely occluded without any adverse clinical sequelae. In one case of vertebral artery aneurysm, balloon dilation was performed before placing PED due to arterial stenosis proximal to the aneurysm.

Conclusion: The use of PED to treat recurrent aneurysms after stent-assisted coiling is a safe and effective treatment method.

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支架辅助盘绕后动脉瘤复发的管道栓塞装置。

目的：管道栓塞装置（Pipeline Embolization Device， PED）出现以来，其超说明书使用显著提高了复杂颅内动脉瘤的治疗效果，包括治疗复发性动脉瘤。尽管PED在这种情况下是有效的，但其在支架辅助盘绕后复发性动脉瘤中的作用仍缺乏循证医学证据。本研究的目的是评估PED治疗支架辅助盘绕后复发动脉瘤的安全性和有效性。方法：本研究纳入了10例因动脉瘤复发或再出血而接受支架辅助盘绕但随后再次接受PED治疗的患者。初次治疗和后续治疗之间的平均时间为12个月。临床结果包括并发症和改良Rankin量表（mRS）评分，以及完全闭塞的证据。结果：所有患儿均顺利放置，围手术期并发症1例。在PED植入后6个月的随访中，10例复发动脉瘤完全闭塞，无不良临床后遗症。在一例椎动脉动脉瘤中，由于动脉瘤近端动脉狭窄，在放置PED之前进行了球囊扩张。结论：应用PED治疗支架盘绕术后复发动脉瘤是一种安全有效的治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neuroradiology 医学-核医学

CiteScore

5.30

自引率

3.60%

发文量

214

审稿时长

4-8 weeks

期刊介绍： Neuroradiology aims to provide state-of-the-art medical and scientific information in the fields of Neuroradiology, Neurosciences, Neurology, Psychiatry, Neurosurgery, and related medical specialities. Neuroradiology as the official Journal of the European Society of Neuroradiology receives submissions from all parts of the world and publishes peer-reviewed original research, comprehensive reviews, educational papers, opinion papers, and short reports on exceptional clinical observations and new technical developments in the field of Neuroimaging and Neurointervention. The journal has subsections for Diagnostic and Interventional Neuroradiology, Advanced Neuroimaging, Paediatric Neuroradiology, Head-Neck-ENT Radiology, Spine Neuroradiology, and for submissions from Japan. Neuroradiology aims to provide new knowledge about and insights into the function and pathology of the human nervous system that may help to better diagnose and treat nervous system diseases. Neuroradiology is a member of the Committee on Publication Ethics (COPE) and follows the COPE core practices. Neuroradiology prefers articles that are free of bias, self-critical regarding limitations, transparent and clear in describing study participants, methods, and statistics, and short in presenting results. Before peer-review all submissions are automatically checked by iThenticate to assess for potential overlap in prior publication.