Evidence map›Paper›PMID 34187225›Full record

ArticleThe neuroradiology journal2022

Outcomes following aneurysmal coil embolization with intentionally shortened low-profile visible intraluminal support stent deployment.

Kenji Yatomi, Yumiko Mitome-Mishima, Takashi Fujii, Kohsuke Teranishi, Hidenori Oishi, Akihide Kondo

Abstract read
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Article in The neuroradiology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kenji YatomiDepartment of Neurosurgery, Juntendo University Faculty of Medicine, Japan.ORCID https://orcid.org/0000-0001-6325-898X
Yumiko Mitome-MishimaDepartment of Neurosurgery, Juntendo University Faculty of Medicine, Japan.
Takashi FujiiDepartment of Neurosurgery, National Defense Medical College, Japan.ORCID https://orcid.org/0000-0002-2551-1144
Kohsuke TeranishiDepartment of Neurosurgery, Juntendo University Faculty of Medicine, Japan.
Hidenori OishiDepartment of Neurosurgery, Juntendo University Faculty of Medicine, Japan.
Akihide KondoDepartment of Neurosurgery, Juntendo University Faculty of Medicine, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAmong all stents available for neuroendovascular therapy, the low-profile visible intraluminal support stent bears the highest metal coverage ratio. We deployed a low-profile visible intraluminal support stent with a delivery wire or/and microcatheter system push action to shorten the low-profile visible intraluminal support stent and thus achieve a flow diversion effect. We report our single-institution experience with the use of low-profile visible intraluminal support stents for intentionally shortened deployment (shortening group) and non-shortened deployment (non-shortening group) for unruptured intracranial aneurysms.

methodsWe retrospectively reviewed the medical records of 130 patients with 131 intracranial aneurysms who were treated with low-profile visible intraluminal support stent-assisted coil embolization from February 2016-January 2019. All perioperative complications were noted. Every 6 months, we re-examined the patients with cerebral angiography or magnetic resonance angiography. The outcomes of aneurysm occlusion were evaluated by the modified Raymond-Roy occlusion classification. We used the finite element method and computational fluid dynamics to investigate the hemodynamics after shortened low-profile visible intraluminal support stent deployment.

resultsImmediately after treatment, the modified Raymond-Roy occlusion classification was significantly better in the shortening group than in the non-shortening group (

conclusionsStent-assisted coil embolization using this technique showed good results of a high complete occlusion rate and low complication rate. These findings suggest that shortened low-profile visible intraluminal support stent deployment yields a flow diversion effect and may lead to early intra-aneurysmal thrombus formation.

Indexed as

Embolization, TherapeuticIntracranial AneurysmBlood Vessel ProsthesisCerebral AngiographyHumansRetrospective StudiesStentsTreatment Outcomecoil embolizationintracranial aneurysmLow-profile visualized intraluminal support stent

Identifiers

PMID34187225
PMCPMC8826284

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.