p64 Flow Modulation Device in the treatment of intracranial aneurysms: initial experience and technical aspects.

Abstract:

BACKGROUND:Experience with the endovascular treatment of cerebral aneurysms by flow diverter devices (FDDs) is limited to four devices (Pipeline, Covidien; FRED, Microvention; Silk, Balt Extrusion; Surpass, Stryker), as reported in different studies. OBJECTIVE:To describe the initial experience and the technical innovations of a new-generation FDD (p64 Flow Modulation Device, Phenox, Bochum, Germany). METHODS:Between December 2014 and February 2015, six intracranial aneurysms in five patients (four women, one man; mean age 63 years) were treated with the p64 Flow Modulation Device. RESULTS:Immediate post-treatment angiography showed reduced flow into all aneurysms. No long-term angiographic data are available. The device may be easily deployed and totally retrieved with a unique mechanical detachment. No periprocedural technical complications occurred. No early or delayed aneurysm rupture, no ischemic or hemorrhagic complications, and no neurological morbidity or death were seen. CONCLUSIONS:Treatment of cerebral aneurysms with the p64 Flow Modulation Device is a safe procedure with no technical complications. The mechanical detachment and the 100% retrievability are significant advantages of this new device. However, large prospective studies with long-term clinical and angiographic follow-up are necessary to assess the role of the p64 in the endovascular treatment of intracranial aneurysms.

journal_name

J Neurointerv Surg

authors

Briganti F,Leone G,Marseglia M,Cicala D,Caranci F,Maiuri F

doi

10.1136/neurintsurg-2015-011743

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

173-80

issue

2

eissn

1759-8478

issn

1759-8486

pii

neurintsurg-2015-011743

journal_volume

8

pub_type

杂志文章
  • Endovascular therapy for acute basilar artery occlusion: a review of the literature.

    abstract::Basilar artery occlusion is an infrequent form of acute stroke; clinical outcomes are heterogeneous, but the condition can be fatal. There is a lack of randomized controlled trial data in this field. Case series suggest that patients who are recanalized have much better outcomes than those who are not, and it is gener...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,评审

    doi:10.1136/neurintsurg-2011-010090

    authors: Mortimer AM,Bradley M,Renowden SA

    更新日期:2012-07-01 00:00:00

  • Embolization of palpebral and orbito-frontal fistulas: technical and anatomical considerations in treating high-flow superficial skin lesions with liquid embolics.

    abstract::The treatment of palpebral and periorbital fistulas may be challenging due to the presence of multiple anastomosis with eloquent ophthalmic and intracranial vascular territories. Moreover, cosmetic and functional characteristics of this area pose unique challenges to open surgical approaches and endovascular therapy. ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2017-013239

    authors: Samaniego EA,Fisher M,Hasan D,Guerrero WR,Fifi JT,Bottani L,Ortega-Gutierrez S

    更新日期:2018-03-01 00:00:00

  • Predictive score for complete occlusion of intracranial aneurysms treated by flow-diverter stents using machine learning.

    abstract:BACKGROUND:Complete occlusion of an intracranial aneurysm (IA) after the deployment of a flow-diverter stent is currently unpredictable. The aim of this study was to develop a predictive occlusion score based on pretreatment clinical and angiographic criteria. METHODS:Consecutive patients with ≥6 months follow-up were...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2020-016748

    authors: Guédon A,Thépenier C,Shotar E,Gabrieli J,Mathon B,Premat K,Lenck S,Degos V,Sourour N,Clarençon F

    更新日期:2020-11-20 00:00:00

  • Reactive tissue proliferation and damage of elastic lamina caused by hydrogel coated coils in experimental rat aneurysms.

    abstract:BACKGROUND AND OBJECTIVE:The HydroCoil Endovascular Aneurysm Occlusion and Packing Study clinical trial, comparing HydroCoil with platinum coils, reported an 8.6% reduction in significant recurrence following cerebral aneurysm coil embolization. We sought to better understand the mechanism of aneurysmal healing followi...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2013-010867

    authors: Zhang C,Chaudhary N,Gemmete JJ,Thompson BG,Xi G,Pandey AS

    更新日期:2014-07-01 00:00:00

  • Heterogeneous practice patterns regarding antiplatelet medications for neuroendovascular stenting in the USA: a multicenter survey.

    abstract:BACKGROUND:Adequate dual antiplatelet (AP) therapy is imperative when performing neurovascular stenting procedures. Currently, no consensus for the ideal AP regimen exists. Thus the present study aimed to gain a better understanding of real world practice AP patterns by surveying neurointerventional surgeons. METHODS:...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2013-010954

    authors: Faught RW,Satti SR,Hurst RW,Pukenas BA,Smith MJ

    更新日期:2014-12-01 00:00:00

  • The stent anchor technique for distal access through a large or giant aneurysm.

    abstract::Large and giant aneurysms pose significant challenges to the endovascular techniques of coil embolization or parent vessel reconstruction. Many large aneurysms are wide-necked with bulbous domes and frequently require stent-assisted coiling or flow diversion to reconstruct and preserve flow through the parent artery. ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010276

    authors: Fargen KM,Velat GJ,Lawson MF,Hoh BL,Mocco J

    更新日期:2013-07-01 00:00:00

  • Difficult catheter access to the occluded vessel during endovascular treatment of acute ischemic stroke is associated with worse clinical outcome.

    abstract:BACKGROUND AND AIM:During endovascular procedures for acute ischemic stroke, catheter access to the occluded vessel may be technically difficult or impossible. The aim of this study was to access the impact of difficult catheter access to target the carotid artery on clinical outcome. METHODS:Anterior circulation stro...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010438

    authors: Ribo M,Flores A,Rubiera M,Pagola J,Mendonca N,Rodriguez-Luna D,Piñeiro S,Meler P,Alvarez-Sabin J,Molina CA

    更新日期:2013-05-01 00:00:00

  • Endovascular treatment of extracranial atherosclerotic disease involving the vertebral artery origins: a comparison of drug-eluting and bare-metal stents.

    abstract:OBJECTIVE:To determine whether drug-eluting (DE) stents offer any advantage over bare-metal (BM) stents in terms of restenosis rates and to identify indications for vertebral artery stenting (VAS) based on the current literature. METHODOLOGY:A retrospective analysis was performed for patients who underwent extracrania...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2011-010051

    authors: Raghuram K,Seynnaeve C,Rai AT

    更新日期:2012-05-01 00:00:00

  • Endovascular treatment of intracranial aneurysms with the LVIS device: a systematic review.

    abstract:OBJECTIVE:Despite promising initial results, current knowledge regarding the use of the Low-profile Visualized Intraluminal Support (LVIS) device to treat wide-necked intracranial aneurysms is still limited. Our aim is to evaluate the feasibility, efficacy, and safety of the LVIS device in stent-assisted coiling of int...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,评审

    doi:10.1136/neurintsurg-2016-012403

    authors: Zhang X,Zhong J,Gao H,Xu F,Bambakidis NC

    更新日期:2017-06-01 00:00:00

  • Pipeline embolization device thrombosis induced peri-construct collateral channels.

    abstract::More than half a decade of experience and follow-up has now been accumulated with regard to flow diversion as a treatment for intracranial aneurysms; however, many uncertainties, such as the nature of aneurysmal remnants and the meaning of non-regressed, non-perfused aneurysmal masses, are still unknown. Here we discu...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-012093.rep

    authors: Chiu AH,Marotta TR

    更新日期:2016-11-01 00:00:00

  • Endovascular management of spinal arteriovenous malformations.

    abstract::Spinal arteriovenous malformations (sAVMs) are rare vascular lesions whose natural history remains incompletely defined. Several classification schemes for sAVMs have evolved based on an improved understanding of the anatomic characteristics as well as pathophysiologic behavior of these arteriovenous shunts. Advances ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,评审

    doi:10.1136/neurintsurg-2012-010487

    authors: Ducruet AF,Crowley RW,McDougall CG,Albuquerque FC

    更新日期:2013-11-01 00:00:00

  • Hemodynamic characteristics of stable and unstable vertebrobasilar dolichoectatic and fusiform aneurysms.

    abstract:BACKGROUND AND PURPOSE:Vertebrobasilar dolichoectatic and fusiform aneurysms (VBDAs) are known to have a poor natural history, with high rates of growth, rupture, and stroke. The purpose of this study was to identify hemodynamic characteristics that differ between VBDAs associated with growth, rupture, and stroke. MAT...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2018-013756

    authors: Brinjikji W,Chung B,Yong-Hong D,Wald JT,Mut F,Kadirvel R,Kallmes DF,Rouchaud A,Lanzino G,Cebral JR

    更新日期:2018-11-01 00:00:00

  • Analysis of endovascular treatment of ruptured microaneurysms compared with ruptured larger aneurysms.

    abstract:OBJECTIVE:To retrospectively analyze the complications and outcome of the endovascular treatment of ruptured microaneurysms compared with the treatment of ruptured larger aneurysms. METHODS:40 ruptured cerebral microaneurysms treated by endovascular techniques were selected retrospectively and compared with 207 larger...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-011660

    authors: Murias Quintana E,Vega P,Morales E,Gil A,Cuellar H,Navia P,Saiz A,Meilán A,Cadenas M,Larrosa D,Gutierrez-Morales JC,Lopez A

    更新日期:2016-06-01 00:00:00

  • Enrollment bias: frequency and impact on patient selection in endovascular stroke trials.

    abstract:BACKGROUND:Selection bias may have affected enrollment in first generation endovascular stroke trials. We investigate, evaluate, and quantify such bias for these trials at our institution. METHODS:Demographic, clinical, imaging, and angiographic data were prospectively collected on a consecutive cohort of patients wit...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011628

    authors: Sheth SA,Saver JL,Starkman S,Grunberg ID,Guzy J,Ali LK,Kim D,Gonzalez NR,Jahan R,Tateshima S,Duckwiler G,Liebeskind DS

    更新日期:2016-04-01 00:00:00

  • Thrombectomy versus medical management for large vessel occlusion strokes with minimal symptoms: an analysis from STOPStroke and GESTOR cohorts.

    abstract:INTRODUCTION:It remains unclear whether patients presenting with large vessel occlusion strokes and mild symptoms benefit from thrombectomy. OBJECTIVE:To compare outcomes of endovascular therapy versus medical management in patients with large vessel occlusion strokes and National Institute of Health Stroke Scale (NIH...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2017-013243

    authors: Haussen DC,Lima FO,Bouslama M,Grossberg JA,Silva GS,Lev MH,Furie K,Koroshetz W,Frankel MR,Nogueira RG

    更新日期:2018-04-01 00:00:00

  • Embolization of a cavernous carotid fistula through the vein of Labbé: a new alternative transvenous access route.

    abstract::Endovascular treatment of carotid cavernous fistulas (CCFs) via a transvenous approach is standard, but in rare cases this approach is challenging due to absence or thrombosis of the commonly used venous routes. A 61-year-old woman presented with a symptomatic CCF with all but one of the venous access routes to the CC...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2017-013229.rep

    authors: Konstas AA,Song A,Song J,Thanos A,Ross IB

    更新日期:2018-06-01 00:00:00

  • Pathologic validation of clot length determined using thin section non-contrast CT.

    abstract:BACKGROUND AND PURPOSE:Recent studies have demonstrated that in acute ischemic stroke patients, thin section non-contrast CT (NCCT) can be used to determine the length of the hyperdense intracranial thrombus, and that clot length using this approach predicts the likelihood of vessel recanalization after intravenous tis...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010369

    authors: Yoo AJ,Leslie-Mazwi TM,Riedel CH,Chandra RV

    更新日期:2013-07-01 00:00:00

  • Use of the pCONus HPC as an adjunct to coil occlusion of acutely ruptured aneurysms: early clinical experience using single antiplatelet therapy.

    abstract:BACKGROUND:Coil occlusion has become the standard treatment for many ruptured aneurysms. However, specific aneurysm structures pose technical difficulties and may require the use of adjunctive neck-bridging devices, which necessitate the use of dual antiplatelet therapy. The hydrophilic polymer coating (pHPC, phenox) i...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2019-015746

    authors: Aguilar Perez M,AlMatter M,Hellstern V,Wendl C,Ganslandt O,Bäzner H,Henkes H

    更新日期:2020-09-01 00:00:00

  • Flow changes in the posterior communicating artery related to flow-diverter stents in carotid siphon aneurysms.

    abstract:BACKGROUND:Flow-diverter stent (FDS) placement for treatment of intracranial aneurysms can cause flow changes in the covered branches. OBJECTIVE:To assess the impact of the treatment of carotid siphon aneurysms with FDS on the posterior communicating artery (PComA) flow. MATERIALS AND METHODS:Between February 2011 an...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2016-012443

    authors: de Carvalho FM,Caroff J,Pereira Dos Santos Neto E,Chalumeau V,Abdel Khalek H,Neki H,Saliou G,Rouchaud A,Moret J,Spelle L

    更新日期:2017-07-01 00:00:00

  • Infectious mid basilar artery aneurysm from Pseudomonas meningitis.

    abstract::Pseudomonas aeruginosa meningitis is an uncommon complication of neurosurgical procedures or head trauma. Here, a case of infectious mid basilar artery aneurysm from Pseudomonas meningitis, and its angiographic remission from timely antibiotic therapy, is reported. ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/jnis.2011.004747

    authors: Yu W,Rickert K,Flores B,Samson D

    更新日期:2012-05-01 00:00:00

  • Direct transforaminal Onyx embolization of intracranial dural arteriovenous fistulas: technical note and report of five cases.

    abstract::Intracranial dural arteriovenous fistulas with retrograde leptomeningeal or cortical drainage are considered aggressive. Conventional treatment in these cases is possible surgically or with endovascular arterial injections of Onyx or cyanoacrylate, but there are still some cases where distal navigation is not possible...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2013-010890

    authors: Saura P,Saura J,Pérez-Higueras A,Martínez-Galdámez M

    更新日期:2014-09-01 00:00:00

  • Mechanical thrombectomy of M1 and M2 middle cerebral artery occlusions.

    abstract:BACKGROUND:Over half of patients who receive intravenous tissue plasminogen activator for middle cerebral artery division (MCA-M2) occlusion do not recanalize, leaving a large percentage of patients who may need mechanical thrombectomy (MT). However, the outcomes of MT for M2 occlusion have not been well characterized....

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1136/neurintsurg-2017-013159

    authors: Salahuddin H,Ramaiah G,Slawski DE,Shawver J,Buehler M,Zaidi SF,Jumaa M

    更新日期:2018-04-01 00:00:00

  • Transfundal stent placement for treatment of complex basilar tip aneurysm: technical note.

    abstract::We describe a case where a complex unruptured basilar tip aneurysm was treated with a unique method of stent-assisted coil embolization. The aneurysm was considered to have a complex anatomy since both the left posterior cerebral artery and left superior cerebellar artery originated from the dome of the aneurysm. Also...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011288.rep

    authors: Vasquez C,Hubbard M,Jagadeesan BD,Tummala RP

    更新日期:2015-10-01 00:00:00

  • Endovascular management of torcular dural sinus malformations in children: the role of straight sinus occlusion.

    abstract:BACKGROUND:Torcular dural sinus malformations (tDSMs) with arteriovenous shunts are rare congenital intracranial vascular malformations that carry a high rate of neurologic impairment and death in the neonatal, infant and young pediatric population. Their impact on brain venous drainage, especially the deep venous syst...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2020-016888

    authors: Smajda S,Söderman M,Dorfmüller G,Dorison N,Nghe MC,Rodesch G

    更新日期:2020-11-16 00:00:00

  • Citation classics in neurointerventional research: a bibliometric analysis of the 100 most cited articles.

    abstract:BACKGROUND AND PURPOSE:The number of citations that an article has received can be used to evaluate its impact on the scientific community. This study aimed to identify the 100 most cited articles in the field of neurointervention and to analyze their characteristics. MATERIALS AND METHODS:We selected the 669 journals...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2016-012399

    authors: Kim ES,Yoon DY,Kim HJ,Jeon HJ,Lee JY,Cho BM,Lee K

    更新日期:2017-05-01 00:00:00

  • Endovascular versus surgical treatment for improvement of oculomotor nerve palsy caused by unruptured posterior communicating artery aneurysms.

    abstract:BACKGROUND:There is no consensus regarding the best treatment option for unruptured aneurysms of the posterior communicating artery (PCom) presenting with oculomotor nerve palsy (ONP). We aimed to assess predictors of ONP recovery in a multicenter series of consecutive patients. MATERIALS AND METHODS:A retrospective r...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2020-015802

    authors: Signorelli F,Pop R,Ganau M,Cebula H,Scibilia A,Gallinaro P,Zaed I,Todeschi J,Lefevre E,Nannavecchia B,Severac F,Coca HA,Turjman F,Maduri R,Beaujeux R,Proust F,Chibarro S

    更新日期:2020-10-01 00:00:00

  • Clinical evaluation of volume of interest imaging combined with metal artifact reduction reconstruction techniques in coiling and stent assisted coiling during neurointerventional procedures.

    abstract:PURPOSE:Three-dimensional (3D) scans with flat detector angiographic systems are widely used for neurointerventions by providing detailed vascular information. However, its associated radiation dose and streak metal artifact generated by implanted treatment devices remain issues. This work evaluates the feasibility and...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2018-013886

    authors: Zhang Q,Zhao H,Sun Q,Han J,Zhang H,Shan T,Pan W,Gu C,Xu R,Mao G

    更新日期:2019-02-01 00:00:00

  • Crossing Y-Solitaire thrombectomy as a rescue treatment for refractory acute occlusions of the middle cerebral artery.

    abstract:BACKGROUND:Mechanical thrombectomy using a stent retriever has become the standard of care for acute large-vessel occlusions in the anterior circulation. Clots that are refractory to single stent retriever thrombectomy remain a challenge for neurointerventionalists. OBJECTIVE:To assess the efficacy and safety of doubl...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2018-014288

    authors: Aydin K,Barburoglu M,Oztop Cakmak O,Yesilot N,Vanli ENY,Akpek S

    更新日期:2019-03-01 00:00:00

  • Transvenous embosurgery of a left sigmoid sinus dural arteriovenous fistula via a retrograde approach from the superior ophthalmic vein, cavernous and inferior petrosal sinuses.

    abstract::The efficacy and safety of transvenous embosurgery for sigmoid sinus dural arteriovenous fistula (DAVF) using the internal jugular vein approach is well known. Embosurgery of cavernous sinus DAVF has also been described utilizing a superior ophthalmic vein approach. The first report of a sigmoid sinus DAVF endosurgica...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/jnis.2010.003848

    authors: Patel DV,Rangaswamy R,Lesley WS,Hester JL,McDonald DK,Tsai JH

    更新日期:2011-09-01 00:00:00

  • Microcatheter contrast injections during intra-arterial thrombolysis increase intracranial hemorrhage risk.

    abstract:BACKGROUND AND PURPOSE:Combined analysis of the Interventional Management of Stroke I and II trials demonstrated a significant association between microcatheter contrast injections and both intracranial hemorrhage (ICH) and contrast extravasation following combined intravenous (IV) and intra-arterial (IA) thrombolysis....

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/jnis.2009.000794

    authors: Khatri R,Khatri P,Khoury J,Broderick J,Carrozzella J,Tomsick T

    更新日期:2010-06-01 00:00:00