Медицинская библиотека · Journal of neurointerventional surgery · 2025

Flow-diverting stents for the treatment of unruptured distal anterior cerebral artery aneurysms: analysis of the CRETA Registry.

Scarcia Luca, Clarençon Frédéric, Dmytriw Adam A, Shotar Eimad, Premat Kevin, Jabbour Pascal, Tjoumakaris Stavropoula I, Gooch Reid, Psychogios Marios-Nikos, Ntoulias Nikolaos, Sporns Peter B, Puri Ajit S, Singh Jasmeet, Kuhn Anna Luisa, Hassan Ameer E, Algin Oktay, Möhlenbruch Markus A, Hohenstatt Sophia, Russo Riccardo, Bergui Mauro, Goren Oded, Kole Matthew J, Bankole Nourou Dine Adeniran, Bibi Richard, Boulouis Gregoire, Morimoto Takeshi, Sakakibara Fumihiro, Pop Raoul, Juravle Ciprian, Ho Joanna Wk, Ferrario Angel, Pujol Lereis Virginia, Cooper Jared, Gandhi Chirag D, Salsano Giancarlo, Castellan Lucio, Camilli Arianna, Consoli Arturo, Sgreccia Alessandro, Raz Eytan, Chung Charlotte, Burel Julien, Papagiannaki Chrysanthi, Rasheed Umair, Baqir Hassan Khawaja Muhammad, Hong Tao, Ji Zhe, Rautio Riitta, Sinislao Matias, Ruggiero Maria, Lafe Elvis, Da Ros Valerio, Bellini Luigi, Gabrieli Joseph D, Cester Giacomo, Levitt Michael R, Carroll Kate T, Abecassis Zack A, Caragliano Antonio Armando, Vinci Sergio L, Bellanger Guillaume, Cognard Christophe, Marnat Gaultier, Saleille Lisa, Limbucci Nicola, Capasso Francesco, Piano Mariangela, Rollo Claudia, Guedon Alexis, Arpaia Francesco, Romi Andrea, Di Caterino Fortunato, Biondi Alessandra, Kalsoum Erwah, Mykola Vyval, Guenego Adrien, Patel Aman B, Pereira Vitor M, Pedicelli Alessandro, Alexandre Andrea Maria, CRETA investigators

СтатьяМногоцентровое исследованиеПеревод в очереди

Аннотация

BACKGROUND

Data about the safety and the efficacy of flow diversion for distal anterior cerebral artery (DACA) aneurysms are limited. We present the largest multicenter analysis evaluating the outcomes of flow diversion in unruptured DACA aneurysm treatment.

METHODS

Databases from 39 centers were retrospectively reviewed for unruptured DACA aneurysms treated with flow-diverting stents. Demographics, clinical presentation, radiographic characteristics, procedural complications, and outcomes were assessed.

RESULTS

A total of 168 patients with 168 unruptured DACA aneurysms were treated between January 2018 and December 2022. One hundred and twenty-five were women (74.4%) and the median age was 61 (IQR 52-67) years. The most common morphology was saccular (91.7%), with branch involvement in 61.9% of cases. Median parent vessel diameter was 1.9 mm (IQR 1.7-2.2) and stents were successfully deployed in 99.4% of cases. In 96.4% a single stent was implanted, while 3.6% of cases required two stents. Median imaging follow-up was 16.5 (IQR 7-24) months. At last follow-up the rate of occlusion (O'Kelly-Marotta scale C or D) was 82.1%. Symptomatic thromboembolic or hemorrhagic complications occurred in 5.3% of patients and the mortality rate was 0.6%. The rate of retreatment was 1.2%.

CONCLUSIONS

Flow-diverting stents are a reasonably safe and effective treatment option for unruptured DACA aneurysms.

Для цитирования: Scarcia Luca, Clarençon Frédéric, Dmytriw Adam A, Shotar Eimad, Premat Kevin, Jabbour Pascal, Tjoumakaris Stavropoula I, Gooch Reid, Psychogios Marios-Nikos, Ntoulias Nikolaos, Sporns Peter B, Puri Ajit S, Singh Jasmeet, Kuhn Anna Luisa, Hassan Ameer E, Algin Oktay, Möhlenbruch Markus A, Hohenstatt Sophia, Russo Riccardo, Bergui Mauro, Goren Oded, Kole Matthew J, Bankole Nourou Dine Adeniran, Bibi Richard, Boulouis Gregoire, Morimoto Takeshi, Sakakibara Fumihiro, Pop Raoul, Juravle Ciprian, Ho Joanna Wk, Ferrario Angel, Pujol Lereis Virginia, Cooper Jared, Gandhi Chirag D, Salsano Giancarlo, Castellan Lucio, Camilli Arianna, Consoli Arturo, Sgreccia Alessandro, Raz Eytan, Chung Charlotte, Burel Julien, Papagiannaki Chrysanthi, Rasheed Umair, Baqir Hassan Khawaja Muhammad, Hong Tao, Ji Zhe, Rautio Riitta, Sinislao Matias, Ruggiero Maria, Lafe Elvis, Da Ros Valerio, Bellini Luigi, Gabrieli Joseph D, Cester Giacomo, Levitt Michael R, Carroll Kate T, Abecassis Zack A, Caragliano Antonio Armando, Vinci Sergio L, Bellanger Guillaume, Cognard Christophe, Marnat Gaultier, Saleille Lisa, Limbucci Nicola, Capasso Francesco, Piano Mariangela, Rollo Claudia, Guedon Alexis, Arpaia Francesco, Romi Andrea, Di Caterino Fortunato, Biondi Alessandra, Kalsoum Erwah, Mykola Vyval, Guenego Adrien, Patel Aman B, Pereira Vitor M, Pedicelli Alessandro, Alexandre Andrea Maria, CRETA investigators. Flow-diverting stents for the treatment of unruptured distal anterior cerebral artery aneurysms: analysis of the CRETA Registry.. Journal of neurointerventional surgery. 2025. DOI: 10.1136/jnis-2024-022315.

Предметные рубрики MeSH

Humans Intracranial Aneurysm Female Middle Aged Stents Male Aged Retrospective Studies Registries Treatment Outcome Anterior Cerebral Artery Endovascular Procedures Follow-Up Studies

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