Intrasaccular Flow Disruptor-Assisted Coiling of Intracranial Aneurysms Using the Novel Contour Neurovascular Systems and NEQSTENT: A Single-Center Safety and Feasibility Study
<i>Background:</i> Intrasaccular flow disruptors (IFD) have been introduced in the treatment of intracranial aneurysms (IAs) to overcome the low aneurysm occlusion rate and the high recanalization rate of the coiling technique. Among them, the Contour Neurovascular System (CNS) and the N...
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| Format: | Article |
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MDPI AG
2022-07-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/12/8/991 |
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| author | Francesco Diana Marta de Dios Lascuevas Simone Peschillo Eytan Raz Shinichi Yoshimura Manuel Requena Ruiz David Hernández Morales Alejandro Tomasello |
| author_facet | Francesco Diana Marta de Dios Lascuevas Simone Peschillo Eytan Raz Shinichi Yoshimura Manuel Requena Ruiz David Hernández Morales Alejandro Tomasello |
| author_sort | Francesco Diana |
| collection | DOAJ |
| description | <i>Background:</i> Intrasaccular flow disruptors (IFD) have been introduced in the treatment of intracranial aneurysms (IAs) to overcome the low aneurysm occlusion rate and the high recanalization rate of the coiling technique. Among them, the Contour Neurovascular System (CNS) and the Neqstent (NQS) were designed to reconstruct the aneurysmal neck and both can be used as assisting coiling devices. We aimed to report our preliminary experience with the flow disruptor-assisted coiling (IFD-AC) technique. <i>Methods:</i> We performed a retrospective analysis of prospectively collected data of all patients with IAs treated with the IFD-AC. <i>Results:</i> Between February 2021 and April 2022, we treated 15 IAs with the IFD-AC: 10 ruptured and 5 unruptured. The IFD-AC was successfully performed in 13 cases, with a post-operative RROC 1 in 12 cases (92.3%) and RROC 2 in 1 case (7.7%). There was one ischemic event (6.7%) and no hemorrhagic complications. Twelve patients underwent a mid-term radiologic follow-up: Ten IAs (83.4%) presented an adequate occlusion, while 2 (16.7%) had a recurrence. <i>Conclusions:</i> The IFD-AC, both with the CNS and the NQS, seems a safe technique with promising efficacy profile. The IFD-AC has proved to be safe without antiplatelet therapy in ruptured cases. Further studies are needed to confirm our preliminary results. |
| first_indexed | 2024-03-09T09:59:05Z |
| format | Article |
| id | doaj.art-26de3cbfda784063b2677c626dec3ab4 |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-09T09:59:05Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-26de3cbfda784063b2677c626dec3ab42023-12-01T23:30:53ZengMDPI AGBrain Sciences2076-34252022-07-0112899110.3390/brainsci12080991Intrasaccular Flow Disruptor-Assisted Coiling of Intracranial Aneurysms Using the Novel Contour Neurovascular Systems and NEQSTENT: A Single-Center Safety and Feasibility StudyFrancesco Diana0Marta de Dios Lascuevas1Simone Peschillo2Eytan Raz3Shinichi Yoshimura4Manuel Requena Ruiz5David Hernández Morales6Alejandro Tomasello7Neuroradiology, University Hospital ‘San Giovanni di Dio e Ruggi d’Aragona’, 84125 Salerno, ItalyNeuroradiology, Vall d’Hebron Hospital Universitari, 08035 Barcelona, SpainUniCamillus International Medical University, 00131 Rome, ItalyDepartment of Radiology, NYU Langone Health, New York, NY 10016, USADepartment of Neurosurgery, Hyogo College of Medicine, Nishinomiya 663-8501, JapanNeuroradiology, Vall d’Hebron Hospital Universitari, 08035 Barcelona, SpainNeuroradiology, Vall d’Hebron Hospital Universitari, 08035 Barcelona, SpainNeuroradiology, Vall d’Hebron Hospital Universitari, 08035 Barcelona, Spain<i>Background:</i> Intrasaccular flow disruptors (IFD) have been introduced in the treatment of intracranial aneurysms (IAs) to overcome the low aneurysm occlusion rate and the high recanalization rate of the coiling technique. Among them, the Contour Neurovascular System (CNS) and the Neqstent (NQS) were designed to reconstruct the aneurysmal neck and both can be used as assisting coiling devices. We aimed to report our preliminary experience with the flow disruptor-assisted coiling (IFD-AC) technique. <i>Methods:</i> We performed a retrospective analysis of prospectively collected data of all patients with IAs treated with the IFD-AC. <i>Results:</i> Between February 2021 and April 2022, we treated 15 IAs with the IFD-AC: 10 ruptured and 5 unruptured. The IFD-AC was successfully performed in 13 cases, with a post-operative RROC 1 in 12 cases (92.3%) and RROC 2 in 1 case (7.7%). There was one ischemic event (6.7%) and no hemorrhagic complications. Twelve patients underwent a mid-term radiologic follow-up: Ten IAs (83.4%) presented an adequate occlusion, while 2 (16.7%) had a recurrence. <i>Conclusions:</i> The IFD-AC, both with the CNS and the NQS, seems a safe technique with promising efficacy profile. The IFD-AC has proved to be safe without antiplatelet therapy in ruptured cases. Further studies are needed to confirm our preliminary results.https://www.mdpi.com/2076-3425/12/8/991brain aneurysmsendovascular treatmentcoilingassisted coilingintrasaccular devicesflow disruptor |
| spellingShingle | Francesco Diana Marta de Dios Lascuevas Simone Peschillo Eytan Raz Shinichi Yoshimura Manuel Requena Ruiz David Hernández Morales Alejandro Tomasello Intrasaccular Flow Disruptor-Assisted Coiling of Intracranial Aneurysms Using the Novel Contour Neurovascular Systems and NEQSTENT: A Single-Center Safety and Feasibility Study Brain Sciences brain aneurysms endovascular treatment coiling assisted coiling intrasaccular devices flow disruptor |
| title | Intrasaccular Flow Disruptor-Assisted Coiling of Intracranial Aneurysms Using the Novel Contour Neurovascular Systems and NEQSTENT: A Single-Center Safety and Feasibility Study |
| title_full | Intrasaccular Flow Disruptor-Assisted Coiling of Intracranial Aneurysms Using the Novel Contour Neurovascular Systems and NEQSTENT: A Single-Center Safety and Feasibility Study |
| title_fullStr | Intrasaccular Flow Disruptor-Assisted Coiling of Intracranial Aneurysms Using the Novel Contour Neurovascular Systems and NEQSTENT: A Single-Center Safety and Feasibility Study |
| title_full_unstemmed | Intrasaccular Flow Disruptor-Assisted Coiling of Intracranial Aneurysms Using the Novel Contour Neurovascular Systems and NEQSTENT: A Single-Center Safety and Feasibility Study |
| title_short | Intrasaccular Flow Disruptor-Assisted Coiling of Intracranial Aneurysms Using the Novel Contour Neurovascular Systems and NEQSTENT: A Single-Center Safety and Feasibility Study |
| title_sort | intrasaccular flow disruptor assisted coiling of intracranial aneurysms using the novel contour neurovascular systems and neqstent a single center safety and feasibility study |
| topic | brain aneurysms endovascular treatment coiling assisted coiling intrasaccular devices flow disruptor |
| url | https://www.mdpi.com/2076-3425/12/8/991 |
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