Effect of stenting on progressive occlusion of small unruptured saccular intracranial aneurysms with residual sac immediately after coil embolization: a propensity score analysis.


BACKGROUND:To examine the effect of stenting on progressive occlusion of small and incompletely occluded unruptured intracranial aneurysms (UIAs) ≤10 mm in size using a propensity score matched case controlled analysis. METHODS:715 small UIAs consecutively treated by coiling between 2008 and 2010 were eligible for study. Time of flight MR angiography and/or catheter angiography were used to estimate extent of occlusion after coiling. Complete occlusion at 6 months post embolization of a sac filled with contrast immediately after coiling constituted progressive occlusion. A propensity score matched analysis was conducted, based on the probability of stent deployment. RESULTS:206 (28.8%) small UIAs showed residual sac filling directly after coiling. Of these, 182 (88.3%) displayed progressive occlusion at 6 months. Aneurysm size (p<0.01), neck size (p<0.01), and embolization attempt (p<0.01) differed significantly for stented and non-stented lesions, but the incidence of progressive occlusion did not differ (p=0.78) between the groups. After 1:1 propensity score matching, however, the rate of complete occlusion in stented subjects (97.5%) surpassed that of the non-stented counterparts (OR=9.75, p=0.01). CONCLUSIONS:Small UIAs with residual sac filling after coiling showed a complete occlusion rate of 88.3% at 6 months post embolization. Stent deployment seems to promote complete occlusion in such lesions.


J Neurointerv Surg


Jeon JP,Cho YD,Rhim JK,Park JJ,Cho WS,Kang HS,Kim JE,Han MH




Has Abstract


2016-10-01 00:00:00














  • Anomalous vertebral artery origins: the first and second reports of two variants.

    abstract::We present two cases of aberrant origins of vertebral arteries. Case 1 is of a patient undergoing evaluation of an infrarenal aortic aneurysm stent graft. Computed tomography (CT) angiogram revealed an aberrant right vertebral artery that subsequently joined a second right vertebral artery that had the typical origin ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章


    authors: Hsu DP,Alexander AD,Gilkeson RC

    更新日期:2010-06-01 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


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

    更新日期:2012-09-01 00:00:00

  • Relationship of white matter lesion severity with early and late outcomes after mechanical thrombectomy for large vessel stroke.

    abstract:BACKGROUND:White matter lesions (WML) are associated with poor outcome after mechanical thrombectomy (MT) for large vessel stroke; the reasons are uncertain. To elucidate this issue we sought to determine the association of WML with multiple early and late outcome measures after MT. METHODS:We retrospectively analyzed...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章


    authors: Albo Z,Marino J,Nagy M,Jayaraman DK,Azeem MU,Puri AS,Henninger N

    更新日期:2021-01-01 00:00:00

  • Endovascular treatment for ruptured and unruptured vertebral artery dissecting aneurysms: a meta-analysis.

    abstract:BACKGROUND:Different endovascular modalities have been applied to the treatment of vertebral artery dissecting aneurysms, the most commonly used being internal trapping and stent-assisted coiling, although the ideal treatment remains controversial. OBJECTIVE:To perform a meta-analysis to study clinical outcomes of pat...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,meta分析


    authors: Guan J,Li G,Kong X,He C,Long J,Qin H,Zhang H,Wang R

    更新日期:2017-06-01 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


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

    更新日期:2017-01-01 00:00:00

  • Rates of local procedural-related structural injury following clipping or coiling of anterior communicating artery aneurysms.

    abstract:BACKGROUND:Surgical clipping and endovascular coiling yield similar functional outcomes for the treatment of saccular aneurysms of the anterior communicating (ACOM) artery. However, surgical treatment may be associated with greater rates of cognitive impairment due to injury of adjacent structures. We aimed to quantify...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,多中心研究


    authors: Mortimer AM,Steinfort B,Faulder K,Erho T,Scherman DB,Rao PJ,Harrington T

    更新日期:2016-03-01 00:00:00

  • The first North American use of the Pipeline Flex flow diverter.

    abstract::Flow diversion for the management of intracranial aneurysms represents a paradigm shift in how aneurysms are managed. The Pipeline embolization device (PED) is, to date, the only flow diverter approved for use in the USA by the Food and Drug Administration. Limitations and complications with new treatment strategies a...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章


    authors: Duckworth EA,Nickele C,Hoit D,Belayev A,Moran CJ,Arthur AS

    更新日期:2016-02-01 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


    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

  • 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


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

    更新日期:2014-12-01 00:00:00

  • Component coding and the neurointerventionalist: a tale with an end.

    abstract::Component coding is the method NeuroInterventionalists have used for the past 20 years to bill procedural care. The term refers to separate billing for each discrete aspect of a surgical or interventional procedure, and has typically allowed billing the procedural activity, such as catheterization of vessels, separate...

    journal_title:Journal of neurointerventional surgery

    pub_type: 历史文章,杂志文章


    authors: Hirsch JA,Donovan WD,Leslie-Mazwi TM,Nicola GN,Manchikanti L,Silva E 3rd

    更新日期:2013-11-01 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


    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

  • Rupture Resemblance Score (RRS): toward risk stratification of unruptured intracranial aneurysms using hemodynamic-morphological discriminants.

    abstract:OBJECTIVE:We have previously developed three logistic regression models for discriminating intracranial aneurysm rupture status from 119 aneurysms based on hemodynamic-morphological parameters. In this study we exploit their use as a tool for predicting the risk of rupture of aneurysms with a defined Rupture Resemblanc...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章


    authors: Xiang J,Yu J,Choi H,Dolan Fox JM,Snyder KV,Levy EI,Siddiqui AH,Meng H

    更新日期:2015-07-01 00:00:00

  • Stent-assisted coiling of cerebral aneurysms using the Y-stenting technique: a systematic review and meta-analysis.

    abstract:BACKGROUND:Bifurcation aneurysms can be treated with stent-assisted coiling using two stents in a Y-configuration. We aim to investigate the angiographic and clinical outcomes of Y-stent constructs for the treatment of intracranial aneurysms. METHODS:A systematic review of PubMed, Ovid MEDLINE, and Ovid EMBASE databas...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,meta分析


    authors: Granja MF,Cortez GM,Aguilar-Salinas P,Agnoletto GJ,Imbarrato G,Jaume A,Aghaebrahim A,Sauvageau E,Hanel RA

    更新日期:2019-07-01 00:00:00

  • Middle meningeal artery embolization as an adjuvant treatment to surgery for symptomatic chronic subdural hematoma: a pilot study assessing hematoma volume resorption.

    abstract:BACKGROUND:Chronic subdural hematoma (CSDH) is a common condition requiring surgical treatment; however, recurrence occurs in 15% of cases at 1 year. Middle meningeal artery (MMA) embolization has recently emerged as a promising treatment to prevent CSDH recurrence. OBJECTIVE:To investigate the effect of MMA embolizat...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,随机对照试验


    authors: Ng S,Derraz I,Boetto J,Dargazanli C,Poulen G,Gascou G,Lefevre PH,Molinari N,Lonjon N,Costalat V

    更新日期:2020-07-01 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


    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

  • Transradial access for neurointerventions: management of access challenges and complications.

    abstract:BACKGROUND:Numerous large randomized trials have shown a significant morbidity and mortality benefit with the transradial approach (TRA) over the transfemoral approach (TFA) for endovascular procedures. However, this technique is routinely avoided or aborted due to unfamiliarity with the technique and the associated an...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,评审


    authors: Brunet MC,Chen SH,Peterson EC

    更新日期:2020-01-01 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


    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

  • 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


    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

  • 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


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

    更新日期:2020-04-01 00:00:00

  • Endovascular treatment of tandem occlusions in vertebrobasilar stroke: technical aspects and outcome compared with isolated basilar artery occlusion.

    abstract:BACKGROUND AND PURPOSE:Acute basilar artery occlusion (BAO) is a devastating disease with a high rate of mortality and morbidity, and early recanalization is crucial to achieve a good prognosis. The best treatment strategy for BAO combined with a proximal stenosis (tandem occlusion) is not yet clear. Our study aimed to...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章


    authors: Piechowiak EI,Kaesmacher J,Zibold F,Dobrocky T,Mosimann PJ,Jung S,Fischer U,Arnold M,Bellwald S,Heldner MR,Gralla J,Mordasini P

    更新日期:2020-01-01 00:00:00

  • Venous waveform morphological changes associated with treatment of symptomatic venous sinus stenosis.

    abstract:INTRODUCTION:Venous outflow obstruction is recognized as a contributing factor in a subset of patients with idiopathic intracranial hypertension (IIH). Little is known about venous sinus waveform morphology or how it changes after stenting. METHODS:Fifteen patients with IIH underwent waveform recording during catheter...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章


    authors: West JL,Garner RM,Greeneway GP,Traunero JR,Aschenbrenner CA,Singh J,Wolfe SQ,Fargen KM

    更新日期:2018-11-01 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


    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

  • Risk of acute kidney injury associated with neuroimaging obtained during triage and treatment of patients with acute ischemic stroke symptoms.

    abstract:BACKGROUND:Combining non-contrast CT (NCCT), CT angiography (CTA), and CT perfusion (CTP) imaging (referred to as a CT stroke study, CTSS) provides a rapid evaluation of the cerebrovascular axis during acute ischemic stroke. Iodinated contrast-enhanced CT imaging is not without risk, which includes renal injury. If a p...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章


    authors: Hall SL,Munich SA,Cress MC,Rangel-Castilla L,Levy EI,Snyder KV,Siddiqui AH

    更新日期:2016-12-01 00:00:00

  • Creation of sidewall aneurysm in rabbits: aneurysm patency and growth follow-up.

    abstract:INTRODUCTION:To explore the patency and growth of surgical sidewall aneurysms in rabbits. MATERIALS AND METHODS:Forty sidewall aneurysms were created in the right common carotid artery (RCCA). Intravenous digital subtraction angiography (DSA) through the ear vein was performed immediately after creation. Three weeks l...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章


    authors: Ding YH,Tieu T,Kallmes DF

    更新日期:2014-01-01 00:00:00

  • Improvement of working memory after stenting for cervicocerebral artery stenosis.

    abstract:OBJECTIVE:To investigate the working memory of patients with cervicocerebral artery stenosis and its change after stenting. METHODS:35 patients with cervicocerebral artery stenosis (≥50% with related symptoms of cerebral ischemia, or ≥70% with or without related symptoms of cerebral ischemia) underwent endovascular st...

    journal_title:Journal of neurointerventional surgery

    pub_type: 临床试验,杂志文章


    authors: He ZJ,Qin B,Cui Z,Liu F,Qi P,Lu J,Liu JC,Wang LJ,Zeng P,Wang DM

    更新日期:2014-06-01 00:00:00

  • Inflammatory changes in the aneurysm wall: a review.

    abstract::Rupture of a saccular intracranial artery aneurysm (IA) causes subarachnoid hemorrhage, a significant cause of stroke and death. The current treatment options, endovascular coiling and clipping, are invasive and somewhat risky. Since only some IAs rupture, those IAs at risk for rupture should be identified. However, t...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,评审


    authors: Tulamo R,Frösen J,Hernesniemi J,Niemelä M

    更新日期:2018-07-01 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


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

    更新日期:2020-11-16 00:00:00

  • Stenting of a symptomatic long-segment extracranial vertebral artery occlusion.

    abstract::We present a 56-year-old man who presented with bilateral vertebral artery occlusions and recurrent transient ischemic attacks and strokes despite maximal medical therapy. A long-segment extracranial right vertebral occlusion was noted and successfully reconstructed with four drug-eluting stents. The patient has been ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章


    authors: Gupta R,Sivapatham T,Moskowitz SI,Srivastava S

    更新日期:2011-03-01 00:00:00

  • Navigating a proximal loop in the radial artery and avoiding the recurrent radial artery.

    abstract::Several anatomical variations of the radial artery have been described in the literature. Common variations include radial artery loop, recurrent branch, and anastomotic channels connecting the radial and brachial arteries. These variations can pose significant technical challenges to safe radial artery catheterizatio...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章


    authors: Dossani R,Waqas M,Tso MK,Rajah GB,Smolar DE,Davies JM

    更新日期:2020-07-01 00:00:00

  • Factors associated with successful revascularization using the aspiration component of ADAPT in the treatment of acute ischemic stroke.

    abstract:INTRODUCTION:ADAPT (a direct aspiration first pass technique) has been shown to be fast, cost-effective, and associated with excellent angiographic and clinical outcomes in the treatment of acute ischemic stroke (AIS). OBJECTIVE:To identify any and all preoperative factors that are associated with successful revascula...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章


    authors: Mascitelli JR,Kellner CP,Oravec CS,De Leacy RA,Oermann EK,Yaeger K,Paramasivam S,Fifi JT,Mocco J

    更新日期:2017-07-01 00:00:00