Immediate procedural outcomes in 44 consecutive Pipeline Flex cases: the first North American single-center series.

Abstract:

BACKGROUND:Flow diversion is an established technique for treatment of cerebral aneurysms. The Pipeline embolization device (PED) is the only FDA-approved flow diverting stent in the USA. A second-generation device, PED Flex, has recently been released with modifications to the delivery system. Published reports of experience with this new device are limited. OBJECTIVE:To describe the initial outcomes from the first North American series using the PED Flex-a single-center experience of 44 cases. METHODS:All patients consecutively treated with the PED Flex embolization device from February 2015 through April 2015 were included in the study. Data were collected for patient demographics, aneurysm characteristics, technical procedural details, and early outcomes. RESULTS:PED Flex treatment was attempted in 42 patients (mean 56.6±2.0 years) with 44 aneurysms (mean size 6.5±0.6 mm), 41/44 (93%) of which were anterior circulation and 3/44 (7%) were posterior circulation. PED Flex was successfully implanted in 43/44 cases (98%). A single device was used in 41/43 cases (95%), with a mean of 1.07±0.05 devices implanted per case. Resheathing was performed in 4/44 cases (9%). Mean postprocedure hospital length of stay was 1.3±0.2 days. One significant neurological complication (2.3%) occurred, which was a stroke in a patient non-compliant with the prescribed antiplatelet regimen. CONCLUSIONS:Pipeline Flex is a second-generation flow diverter with enhanced features compared with the first-generation PED. These modifications allow for more reliable deployment with continued improvements in procedural safety.

journal_name

J Neurointerv Surg

authors

Colby GP,Lin LM,Caplan JM,Jiang B,Huang J,Tamargo RJ,Coon AL

doi

10.1136/neurintsurg-2015-011894

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

702-9

issue

7

eissn

1759-8478

issn

1759-8486

pii

neurintsurg-2015-011894

journal_volume

8

pub_type

杂志文章
  • Concomitant coiling reduces metalloproteinase levels in flow diverter-treated aneurysms but anti-inflammatory treatment has no effect.

    abstract:BACKGROUND AND PURPOSE:Flow diverters (FD) can cause rare but devastating delayed aneurysm ruptures in which matrix metalloproteinases (MMPs) have been potentially implicated. Concomitant coiling or anti-inflammatory medications have been proposed to prevent the risk of delayed ruptures. The aim of this study was to ev...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-012207

    authors: Thielen E,McClure M,Rouchaud A,Ding YH,Dai D,Schroeder D,Cebral J,Kallmes DF,Kadirvel R

    更新日期:2017-03-01 00:00:00

  • Angiographic detection of cerebral cavernous malformations with C-arm cone beam CT imaging in three patients.

    abstract::Cerebral cavernous malformations (CMs) are typically not seen during conventional digital subtraction angiography (DSA) and are therefore classically referred to as angiographically occult malformations. We present three cases in which DSA with selective intra-arterial contrast injection in the common carotid artery a...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2013-010650.rep

    authors: Radvany MG,Rigamonti D,Gailloud P

    更新日期:2014-03-01 00:00:00

  • Novel aneurysm neck reconstruction device: initial experience in an experimental preclinical bifurcation aneurysm model.

    abstract:INTRODUCTION:Treatment of wide-necked bifurcation aneurysms often poses procedural and long-term outcome challenges. The initial preclinical experience with the Pulsar Vascular Aneurysm Neck Reconstruction Device (PVANRD) in a canine bifurcation model is described. METHODS:Experimental bifurcation vein pouch aneurysms...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010312

    authors: Turk A,Turner RD,Tateshima S,Fiorella D,Jang KS,Chaudry I,Kelly M

    更新日期:2013-07-01 00:00:00

  • Minimally invasive surgiscopic evacuation of intracerebral hemorrhage.

    abstract::Intracerebral hemorrhage (ICH) is a devastating form of stroke associated with a 40% mortality rate at 30 days and a 75% functional dependence rate at 6 months. The role of surgery to treat ICH remains controversial. Preclinical studies suggest minimally invasive clot evacuation following ICH may benefit patients by m...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2020-016553

    authors: Troiani Z,Ascanio LC,Yaeger KA,Ali M,Kellner CP

    更新日期:2020-09-08 00:00:00

  • Venous sinus stenting for idiopathic intracranial hypertension: a review of the literature.

    abstract::Idiopathic intracranial hypertension (IIH) is characterized by headache, papilledema, visual field changes and tinnitus with elevated cerebral spinal fluid opening pressures on lumbar puncture. Left untreated, this condition can lead to permanent visual loss. Previous treatment modalities include medical management, t...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,评审

    doi:10.1136/neurintsurg-2012-010468

    authors: Puffer RC,Mustafa W,Lanzino G

    更新日期:2013-09-01 00:00:00

  • Subclinical ischemic events in patients undergoing carotid artery stent placement: comparison of proximal and distal protection techniques.

    abstract:OBJECTIVE:To determine the relative effectiveness of proximal and distal protection in prevention of cerebral ischemic events during carotid artery stent (CAS) placement using diffusion-weighted MRI (DW-MRI). METHODS:We analyzed data from patients who had undergone DW-MRI before and within 24 hours of CAS for symptoma...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2016-012661

    authors: Aytac E,Gürkaş E,Akpinar CK,Saleem MA,Qureshi AI

    更新日期:2017-10-01 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

  • Mechanical embolectomy for treatment of large vessel acute ischemic stroke in children.

    abstract:BACKGROUND AND PURPOSE:The three largest adult stroke trials investigating mechanical embolectomy retrieval devices in acute stroke (the Merci, Multi Merci and Penumbra Pivotal Stroke Trials) excluded children. There is a need to expand the literature on mechanical embolectomy in large vessel pediatric arterial ischemi...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2011-010100

    authors: Tatum J,Farid H,Cooke D,Fullerton H,Smith W,Higashida R,Halbach VV,Dowd C

    更新日期:2013-03-01 00:00:00

  • Advances in endovascular neuro-oncology: endovascular selective intra-arterial (ESIA) infusion of targeted biologic therapy for brain tumors.

    abstract:BACKGROUND:Malignant gliomas continue to have a poor clinical outcome with available therapies. In the past few years, new targeted biologic therapies have been studied, with promising results. However, owing to problems with ineffective IV delivery of these newer agents, an alternative, more direct delivery mechanism ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,评审

    doi:10.1136/neurintsurg-2019-015137

    authors: Srinivasan VM,Lang FF,Chen SR,Chen MM,Gumin J,Johnson J,Burkhardt JK,Kan P

    更新日期:2020-02-01 00:00:00

  • Transient cranial neuropathies as sequelae of Onyx embolization of arteriovenous shunt lesions near the skull base: possible axonotmetic traction injuries.

    abstract:INTRODUCTION:Transarterial embolization with Onyx is a relatively safe and increasingly common method of treating cranial dural arteriovenous fistulas (DAVF) and arteriovenous malformations (AVM). Cranial neuropathy resulting from this procedure has been reported. CASE REPORTS:Three case histories are presented in two...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010328

    authors: Nyberg EM,Chaudry MI,Turk AS,Turner RD

    更新日期:2013-07-01 00:00:00

  • Long-term effects of antiplatelet drugs on aneurysm occlusion after endovascular treatment.

    abstract:BACKGROUND:The rates of recanalization and reinterventions after endovascular treatment (EVT) of intracranial aneurysms are unknown. Various risk factors have been suggested including the configuration of the aneurysm and the endovascular technique. Recently, an increasing number of patients have received antiplatelet ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2011-010111

    authors: Platz J,Güresir E,Seifert V,Vatter H,Berkefeld J

    更新日期:2012-09-01 00:00:00

  • Assessing variability in neurointerventional practice patterns for acute ischemic stroke.

    abstract:BACKGROUND:Intra-arterial therapy (IAT) is increasingly used to treat patients with acute stroke with large vessel occlusions. There are minimal data and guidelines for treatment indications and performance standards. We aimed to gain a better understanding of real-world practice patterns for IAT. METHODS:An internet-...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010565

    authors: Mehta B,Leslie-Mazwi TM,Chandra RV,Chaudhry ZA,Rabinov JD,Hirsch JA,Schwamm LH,Rost NS,Yoo AJ

    更新日期:2013-05-01 00:00:00

  • Quantification of speed-up and accuracy of multi-CPU computational flow dynamics simulations of hemodynamics in a posterior communicating artery aneurysm of complex geometry.

    abstract:BACKGROUND:Towards the translation of computational fluid dynamics (CFD) techniques into the clinical workflow, performance increases achieved with parallel multi-central processing unit (CPU) pulsatile CFD simulations in a patient-derived model of a bilobed posterior communicating artery aneurysm were evaluated while ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010586

    authors: Karmonik C,Yen C,Gabriel E,Partovi S,Horner M,Zhang YJ,Klucznik RP,Diaz O,Grossman RG

    更新日期:2013-11-01 00:00:00

  • Development of syndrome of inappropriate antidiuretic hormone secretion (SIADH) after Onyx embolisation of a cavernous carotid fistula.

    abstract::Patients with cavernous carotid fistulas (CCFs) can present with pituitary hypoperfusion and hypopituitarism; however, there are no previous reports of pituitary or hormonal abnormalities developing after CCF embolisation in an asymptomatic patient. We describe a patient with no hormonal abnormalities who developed sy...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-012104.rep

    authors: Chen T,Kalani MY,Ducruet AF,Albuquerque FC,McDougall CG

    更新日期:2017-01-01 00:00:00

  • Permanent implantation of the Solitaire device as a bailout technique for large vessel intracranial occlusions.

    abstract::The Solitaire (Medtronic Inc, Mansfield, Massachusetts, USA) is a stentriever device for endovascular treatment of acute ischemic stroke. Temporary endovascular bypass and mechanical thrombectomy are well-described applications of this device. However, few reports of permanent stent placement have been published. We p...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2017-013418

    authors: Ahmed SU,Mann J,Houde J,Barber E,Kelly ME,Peeling L

    更新日期:2019-02-01 00:00:00

  • 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 innov...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-011743

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

    更新日期:2016-02-01 00:00:00

  • Mechanical thrombectomy in patients with acute cancer-related stroke: is the stent retriever alone effective?

    abstract:BACKGROUND:The optimal first-line mechanical thrombectomy (MT) method in cancer-related stroke (CRS) patients with emergent large vessel occlusion (ELVO) remains largely unknown. The aim of this study is to evaluate the efficacy and safety between contact aspiration (CA) first-line thrombectomy and stent retriever (SR)...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2020-016144

    authors: Jeon Y,Baik SH,Jung C,Kim JY,Kim BJ,Kang J,Bae HJ,Kim JH

    更新日期:2020-06-25 00:00:00

  • Comparison of Solitaire thrombectomy and Penumbra suction thrombectomy in patients with acute ischemic stroke caused by basilar artery occlusion.

    abstract:BACKGROUND AND PURPOSE:Acute ischemic stroke (AIS) caused by basilar artery occlusion (BAO) is a very severe neurological disease with a high mortality rate and poor clinical outcomes. In this study, we compared our experience of mechanical thrombectomy using the Solitaire stent (Solitaire thrombectomy) and manual aspi...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011472

    authors: Son S,Choi DS,Oh MK,Hong J,Kim SK,Kang H,Park KJ,Choi NC,Kwon OY,Lim BH

    更新日期:2016-01-01 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

  • Flow diversion of large internal carotid artery aneurysms with the surpass device: impressions and technical nuance from the initial North American experience.

    abstract:BACKGROUND:Flow diversion is an important tool for treatment of cerebral aneurysms, particularly large and giant aneurysms. The Surpass flow diverter is a new system under evaluation in the USA. OBJECTIVE:To report our initial experience of 20 cases with the Surpass flow diverter to demonstrate its basic properties, t...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-011769

    authors: Colby GP,Lin LM,Caplan JM,Jiang B,Michniewicz B,Huang J,Tamargo RJ,Coon AL

    更新日期:2016-03-01 00:00:00

  • Ultrasound for the evaluation of stenosis after flow diversion.

    abstract:BACKGROUND AND PURPOSE:Flow diversion is a relatively new strategy used to treat complex cerebral aneurysms. The optimal method for radiographic follow-up of patients treated with flow diverters has not been established. The rate and clinical implications of in-stent stenosis for these devices is unclear. We evaluate t...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2017-013049

    authors: McDougall CM,Khan K,Saqqur M,Jack A,Rempel J,Derksen C,Xi Y,Chow M

    更新日期:2018-03-01 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

  • Feasibility of repeat transradial access for neuroendovascular procedures.

    abstract:INTRODUCTION:Transradial artery access (TRA) for cerebrovascular angiography is increasing due to decreased access site complications and overwhelming patient preference. While interventional cardiologists have reported up to 10 successive TRA procedures via the same radial access site, this is the first study examinin...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2019-015438

    authors: Chen SH,Brunet MC,Sur S,Yavagal DR,Starke RM,Peterson EC

    更新日期:2020-04-01 00:00:00

  • Endovascular coil embolization of a very small ruptured aneurysm using a novel microangiographic technique: technical note.

    abstract::Endovascular treatment of very small aneurysms is technically difficult, although recent advances with coils, microcatheters and adjunctive techniques such as balloon- or stent-assisted coiling have improved the outcomes. The microangiographic fluoroscope (MAF) is a new high-resolution x-ray detector developed for neu...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2011-010154

    authors: Kan P,Yashar P,Ionita CN,Jain A,Rudin S,Levy EI,Siddiqui AH

    更新日期:2013-03-01 00:00:00

  • Outcomes of endovascular treatment of basilar artery occlusion in the stent retriever era: a systematic review and meta-analysis.

    abstract:BACKGROUND:Stent retriever thrombectomy has recently been found to be effective for anterior circulation strokes, but its efficacy for basilar artery occlusion (BAO) is unclear. OBJECTIVE:To carry out a systematic review and meta-analysis to analyze the available evidence for the use of stent retrievers for BAO. METH...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1136/neurintsurg-2015-012089

    authors: Phan K,Phan S,Huo YR,Jia F,Mortimer A

    更新日期:2016-11-01 00:00:00

  • Stent assisted coiling of the ruptured wide necked intracranial aneurysm.

    abstract:BACKGROUND:Stent assisted coiling of unruptured wide necked intracranial aneurysms require antiplatelets to prevent stent thrombosis. The effect of the loading dose of antiplatelets prior to the stent coiling procedure in an unsecured wide necked ruptured intracranial aneurysm is not known. OBJECTIVE:To report any pot...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2011-010035

    authors: Lodi YM,Latorre JG,El-Zammar Z,Swarnkar A,Deshaies E,Fessler RD

    更新日期:2012-07-01 00:00:00

  • Dermatitis caused by metal allergy after coil embolization for unruptured cerebral aneurysm.

    abstract::We report a rare case of metal-induced dermatitis after coil embolization for cerebral aneurysm. A 51-year-old woman experienced a rash around the lips and neck 3 weeks after coil embolization. Judging from the clinical course and results of several patch tests, platinum coils were considered to have induced the derma...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-011981.rep

    authors: Uwatoko T,Tsumoto T,Wada N,Urabe K,Sanbongi Y,Tokunaga S,Tsurusaki Y,Okada Y

    更新日期:2016-10-01 00:00:00

  • Towards the Clinical utility of CFD for assessment of intracranial aneurysm rupture - a systematic review and novel parameter-ranking tool.

    abstract:BACKGROUND:Intracranial aneurysms (IAs) are vascular dilations on cerebral vessels that affect between 1%-5% of the general population, and can cause life-threatening intracranial hemorrhage when ruptured. Computational fluid dynamics (CFD) has emerged as a promising tool to study IAs in recent years, particularly for ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2018-014246

    authors: Liang L,Steinman DA,Brina O,Chnafa C,Cancelliere NM,Pereira VM

    更新日期:2019-02-01 00:00:00

  • Wall shear stress association with rupture status in volume matched sidewall aneurysms.

    abstract:OBJECTIVE:Flow induced tangential wall shear stress (WSS) is thought to be involved in aneurysm formation, growth, and rupture. Low WSS was previously associated with rupture, but definitive quantitative analyses remain scant as larger aneurysms are associated with lower WSS regardless of rupture status, and ruptured a...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2013-010871

    authors: Lauric A,Hippelheuser J,Cohen AD,Kadasi LM,Malek AM

    更新日期:2014-07-01 00:00:00

  • Angiographic cerebral venous sinus calibers and drainage patterns in patients with normal intracranial pressure and idiopathic intracranial hypertension.

    abstract:BACKGROUND:Normative venous sinus diameters are not well established. This study seeks to compare two-dimensional digital subtraction cerebral angiographic (DSA) venous sinus calibers for patients with normal intracranial pressure (ICP) and with idiopathic intracranial hypertension (IIH). METHODS:Patients who underwen...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2020-016976

    authors: Peterson KA,Kittel C,Lee KE,Garner R,Nechtman CM,Brown P,Wolfe SQ,Fargen KM

    更新日期:2020-12-15 00:00:00