Introduction: We report the experiences of 25 Italian centers, analyzing intra- and periprocedural complications of endovascular treatment of intracranial aneurysms using Silk (Balt Extrusion, Montmorency, France) and pipeline embolization devices (EV3 Inc, Irvine California). Methods: Two hundred seventy-three patients with 295 cerebral aneurysms, enrolled in 25 centers in Italy and treated with the new flow-diverter devices, were evaluated; 142 patients were treated with Silk and 130 with pipeline (in one case, both devices were used). In 14 (5.2 %) cases devices were used with coils. Aneurysm size was >15 mm in 46.9 %, 5-15 mm in 42.2 %, and <5 mm in 10.8 %. Aneurysm locations were supraclinoid internal carotid artery (ICA) in 163 cases (55.2 %), cavernous ICA in 76 (25.7 %), middle cerebral artery in 11 (3.7 %), PCoA in 6 (2 %), and ACoA in 2 (0.7 %); the vertebrobasilar system accounted for 32 cases (10.8 %) and PCA in 5 (1.7 %). Results: Technical adverse events occurred with 59 patients (21.6 %); 5 patients died after ischemic events, 10 to hemorrhagic complications, and 1 from external ventricular drain positioning. At 1 month, morbidity and mortality rates were 3.7 % and 5.9 %, respectively Conclusion: Our retrospective study confirms that morbidity and mortality rates in treatment with FDD of unruptured wide-neck or untreatable cerebral aneurysms do not differ from those reported in the largest series.
ITALIAN MULTICENTER EXPERIENCE WITH FLOW-DIVERTER DEVICES FOR INTRACRANIAL UNRUPTURED ANEURYSM TREATMENT WITH PERIPROCEDURAL COMPLICATIONS—A RETROSPECTIVE DATA ANALYSIS / Briganti F; Napoli M; Tortora F; Solari D; Bergui M; Boccardi E; Cagliari E; Castellan L; Causin F; Ciceri E; Cirillo L; De Blasi R; Delehaye L; Di Paola F; Fontana A; Gasparotti R; Guidetti G; Divenuto I; Iannucci G; Isalberti M; Leonardi M; Lupo F; Mangiafico S; Manto A; Menozzi R; Muto M; Nuzzi NP; Papa R; Petralia B; Piano M; Resta M; Padolecchia R; Saletti A; Sirabella G; Bolgè LP.. - In: NEURORADIOLOGY. - ISSN 0028-3940. - STAMPA. - 54:(2012), pp. 1145-1152. [10.1007/s00234-012-1047-3]
ITALIAN MULTICENTER EXPERIENCE WITH FLOW-DIVERTER DEVICES FOR INTRACRANIAL UNRUPTURED ANEURYSM TREATMENT WITH PERIPROCEDURAL COMPLICATIONS—A RETROSPECTIVE DATA ANALYSIS
CIRILLO, LUIGI;LEONARDI, MARCO;
2012
Abstract
Introduction: We report the experiences of 25 Italian centers, analyzing intra- and periprocedural complications of endovascular treatment of intracranial aneurysms using Silk (Balt Extrusion, Montmorency, France) and pipeline embolization devices (EV3 Inc, Irvine California). Methods: Two hundred seventy-three patients with 295 cerebral aneurysms, enrolled in 25 centers in Italy and treated with the new flow-diverter devices, were evaluated; 142 patients were treated with Silk and 130 with pipeline (in one case, both devices were used). In 14 (5.2 %) cases devices were used with coils. Aneurysm size was >15 mm in 46.9 %, 5-15 mm in 42.2 %, and <5 mm in 10.8 %. Aneurysm locations were supraclinoid internal carotid artery (ICA) in 163 cases (55.2 %), cavernous ICA in 76 (25.7 %), middle cerebral artery in 11 (3.7 %), PCoA in 6 (2 %), and ACoA in 2 (0.7 %); the vertebrobasilar system accounted for 32 cases (10.8 %) and PCA in 5 (1.7 %). Results: Technical adverse events occurred with 59 patients (21.6 %); 5 patients died after ischemic events, 10 to hemorrhagic complications, and 1 from external ventricular drain positioning. At 1 month, morbidity and mortality rates were 3.7 % and 5.9 %, respectively Conclusion: Our retrospective study confirms that morbidity and mortality rates in treatment with FDD of unruptured wide-neck or untreatable cerebral aneurysms do not differ from those reported in the largest series.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
