TY - JOUR
T1 - Flow Diverter Treatment for Non-Ruptured Carotid Aneurysms
T2 - Efficacy and Safety
AU - López-Callejas, Orlando
AU - Ortiz-Giraldo, Andres F.
AU - Vera, Daniela D.
AU - Ramirez-Rojas, Diego A.
AU - Villamizar-Barahona, Ana B.
AU - Ferreira-Prada, Carlos A.
AU - Galvis, Melquizidel
AU - Vargas-Pérez, Oliverio
A2 - Serrano-Gómez, Sergio
A2 - Reyes-Gonzalez, Adriana
A2 - Mantilla, Daniel
N1 - Publisher Copyright:
© 2023 Korean Society of Interventional Neuroradiology.
PY - 2023/3
Y1 - 2023/3
N2 - Purpose: Internal carotid artery (ICA) aneurysm treatment with a flow diverter (FD) has shown an adequate efficacy and safety profile, presenting high complete occlusion or near occlusion rates with low complications during follow-up. The purpose of this study was to evaluate the efficacy and safety of FD treatment in non-ruptured internal carotid aneurysms.Materials and methods: This is a retrospective, single-center, observational study evaluating patients diagnosed with unruptured ICA aneurysms treated with an FD between January 1, 2014, and January 1, 2020. We analyzed an anonymized database. The primary effectiveness endpoint was complete occlusion (O'Kelly-Marotta D, OKM-D) of the target aneurysm through 1-year follow-up. The safety endpoint was the evaluation of modified Rankin Scale (mRS) 90 days after treatment, considering a favorable outcome an mRS 0-2.Results: A total of 106 patients were treated with an FD, 91.5% were women; the mean follow- up was 427.2±144.8 days. Technical success was achieved in 105 cases (99.1%). All patients included had 1-year follow-up digital subtraction angiography control; 78 patients (73.6%) completed the primary efficacy endpoint by achieving total occlusion (OKM-D). Giant aneurysms had a higher risk of not achieving complete occlusion (risk ratio, 3.07; 95% confidence interval, 1.70 - 5.54]). The safety endpoint of mRS 0-2 at 90 days was accomplished in 103 patients (97.2%).Conclusion: Treatment of unruptured ICA aneurysms with an FD showed high 1-year total occlusion results, with very low morbidity and mortality complications.Keywords: Aneurysm; Complications; Endovascular procedures; Safety; Stents; Treatment outcome.
AB - Purpose: Internal carotid artery (ICA) aneurysm treatment with a flow diverter (FD) has shown an adequate efficacy and safety profile, presenting high complete occlusion or near occlusion rates with low complications during follow-up. The purpose of this study was to evaluate the efficacy and safety of FD treatment in non-ruptured internal carotid aneurysms.Materials and methods: This is a retrospective, single-center, observational study evaluating patients diagnosed with unruptured ICA aneurysms treated with an FD between January 1, 2014, and January 1, 2020. We analyzed an anonymized database. The primary effectiveness endpoint was complete occlusion (O'Kelly-Marotta D, OKM-D) of the target aneurysm through 1-year follow-up. The safety endpoint was the evaluation of modified Rankin Scale (mRS) 90 days after treatment, considering a favorable outcome an mRS 0-2.Results: A total of 106 patients were treated with an FD, 91.5% were women; the mean follow- up was 427.2±144.8 days. Technical success was achieved in 105 cases (99.1%). All patients included had 1-year follow-up digital subtraction angiography control; 78 patients (73.6%) completed the primary efficacy endpoint by achieving total occlusion (OKM-D). Giant aneurysms had a higher risk of not achieving complete occlusion (risk ratio, 3.07; 95% confidence interval, 1.70 - 5.54]). The safety endpoint of mRS 0-2 at 90 days was accomplished in 103 patients (97.2%).Conclusion: Treatment of unruptured ICA aneurysms with an FD showed high 1-year total occlusion results, with very low morbidity and mortality complications.Keywords: Aneurysm; Complications; Endovascular procedures; Safety; Stents; Treatment outcome.
KW - Aneurysm
KW - Complications
KW - Endovascular procedures
KW - Safety
KW - Stents
KW - Treatment outcome
KW - Aneurysm
KW - Complications
KW - Endovascular procedures
KW - Safety; Stents
KW - Treatment outcome
UR - http://www.scopus.com/inward/record.url?scp=85149232441&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/f710fec3-d8b0-3ad0-8aa8-40242f0a9b67/
U2 - 10.5469/neuroint.2022.00458
DO - 10.5469/neuroint.2022.00458
M3 - Artículo Científico
C2 - 36809874
AN - SCOPUS:85149232441
SN - 2093-9043
VL - 18
SP - 23
EP - 29
JO - Neurointervention
JF - Neurointervention
IS - 1
ER -