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Reconstructive endovascular treatment of basilar artery fenestration aneurysms: A multi-centre experience and literature review

Standard

Reconstructive endovascular treatment of basilar artery fenestration aneurysms: A multi-centre experience and literature review. / Styczen, Hanna; Fischer, Sebastian; Gawlitza, Matthias; Meyer, Lukas; Goertz, Lukas; Maurer, Christoph; Alexandrou, Maria; Khanafer, Ali; Lobsien, Donald; Deuschl, Cornelius; Klisch, Joachim; Kabbasch, Christoph; Fiehler, Jens; Berlis, Ansgar; Papanagiotou, Panagiotis; Henkes, Hans; Maus, Volker.

in: NEURORADIOL J, Jahrgang 35, Nr. 3, 06.2022, S. 319-328.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung

Harvard

Styczen, H, Fischer, S, Gawlitza, M, Meyer, L, Goertz, L, Maurer, C, Alexandrou, M, Khanafer, A, Lobsien, D, Deuschl, C, Klisch, J, Kabbasch, C, Fiehler, J, Berlis, A, Papanagiotou, P, Henkes, H & Maus, V 2022, 'Reconstructive endovascular treatment of basilar artery fenestration aneurysms: A multi-centre experience and literature review', NEURORADIOL J, Jg. 35, Nr. 3, S. 319-328. https://doi.org/10.1177/19714009211042877

APA

Styczen, H., Fischer, S., Gawlitza, M., Meyer, L., Goertz, L., Maurer, C., Alexandrou, M., Khanafer, A., Lobsien, D., Deuschl, C., Klisch, J., Kabbasch, C., Fiehler, J., Berlis, A., Papanagiotou, P., Henkes, H., & Maus, V. (2022). Reconstructive endovascular treatment of basilar artery fenestration aneurysms: A multi-centre experience and literature review. NEURORADIOL J, 35(3), 319-328. https://doi.org/10.1177/19714009211042877

Vancouver

Styczen H, Fischer S, Gawlitza M, Meyer L, Goertz L, Maurer C et al. Reconstructive endovascular treatment of basilar artery fenestration aneurysms: A multi-centre experience and literature review. NEURORADIOL J. 2022 Jun;35(3):319-328. https://doi.org/10.1177/19714009211042877

Bibtex

@article{df22b8fe78574024b3dd1ef99c1f7cb5,
title = "Reconstructive endovascular treatment of basilar artery fenestration aneurysms: A multi-centre experience and literature review",
abstract = "BACKGROUND: Data on outcome after endovascular treatment of basilar artery fenestration aneurysms (BAFAs) is limited. This study presents our multi-centre experience of BAFAs treated by different reconstructive techniques including coils, stent-assisted coiling (SAC), flow diversion and intra-saccular flow disruption with the Woven Endobridge (WEB).METHODS: Retrospective analysis of 38 BAFAs treated endovascularly between 2003 and 2020. The primary endpoint was complete aneurysm obliteration defined as Raymond-Roy occlusion classification (RROC) I on immediate and follow-up (FU) angiography. The secondary endpoints were procedure-related complications, rate of re-treatment, and clinical outcome.RESULTS: Endovascular treatment was feasible in 36/38 aneurysms (95%). The most frequent strategy was coiling (21/36, 58%), followed by SAC (7/36, 19%), WEB embolization (6/36, 17%) and flow diversion (2/36, 6%). A successful aneurysm occlusion (defined as RROC 1 and 2) on the final angiogram was achieved in 30/36 (83%) aneurysms including all patients presenting with baseline subarachnoid haemorrhage and 25/36 (69%) were occluded completely. Complete occlusion (RROC 1) was more frequently achieved in ruptured BAFAs (15/25, 60% v. 2/11, 18%; p = 0.031). Procedure-related complications occurred in 3/36 (8%) aneurysms. Re-treatment was executed in 12/36 (33%) aneurysms. After a median angiography FU of 38 months, 30/31 (97%) BAFAs were occluded successfully and 25/31 (81%) showed complete occlusion.CONCLUSION: Reconstructive endovascular treatment of BAFAs is technically feasible with a good safety profile. Although in some cases re-treatment was necessary, a high rate of final aneurysm occlusion was achieved.",
keywords = "Basilar Artery/diagnostic imaging, Cerebral Angiography, Embolization, Therapeutic/methods, Endovascular Procedures/methods, Follow-Up Studies, Humans, Intracranial Aneurysm/diagnostic imaging, Multicenter Studies as Topic, Retrospective Studies, Stents, Treatment Outcome",
author = "Hanna Styczen and Sebastian Fischer and Matthias Gawlitza and Lukas Meyer and Lukas Goertz and Christoph Maurer and Maria Alexandrou and Ali Khanafer and Donald Lobsien and Cornelius Deuschl and Joachim Klisch and Christoph Kabbasch and Jens Fiehler and Ansgar Berlis and Panagiotis Papanagiotou and Hans Henkes and Volker Maus",
year = "2022",
month = jun,
doi = "10.1177/19714009211042877",
language = "English",
volume = "35",
pages = "319--328",
journal = "NEURORADIOL J",
issn = "1971-4009",
publisher = "SAGE Publications",
number = "3",

}

RIS

TY - JOUR

T1 - Reconstructive endovascular treatment of basilar artery fenestration aneurysms: A multi-centre experience and literature review

AU - Styczen, Hanna

AU - Fischer, Sebastian

AU - Gawlitza, Matthias

AU - Meyer, Lukas

AU - Goertz, Lukas

AU - Maurer, Christoph

AU - Alexandrou, Maria

AU - Khanafer, Ali

AU - Lobsien, Donald

AU - Deuschl, Cornelius

AU - Klisch, Joachim

AU - Kabbasch, Christoph

AU - Fiehler, Jens

AU - Berlis, Ansgar

AU - Papanagiotou, Panagiotis

AU - Henkes, Hans

AU - Maus, Volker

PY - 2022/6

Y1 - 2022/6

N2 - BACKGROUND: Data on outcome after endovascular treatment of basilar artery fenestration aneurysms (BAFAs) is limited. This study presents our multi-centre experience of BAFAs treated by different reconstructive techniques including coils, stent-assisted coiling (SAC), flow diversion and intra-saccular flow disruption with the Woven Endobridge (WEB).METHODS: Retrospective analysis of 38 BAFAs treated endovascularly between 2003 and 2020. The primary endpoint was complete aneurysm obliteration defined as Raymond-Roy occlusion classification (RROC) I on immediate and follow-up (FU) angiography. The secondary endpoints were procedure-related complications, rate of re-treatment, and clinical outcome.RESULTS: Endovascular treatment was feasible in 36/38 aneurysms (95%). The most frequent strategy was coiling (21/36, 58%), followed by SAC (7/36, 19%), WEB embolization (6/36, 17%) and flow diversion (2/36, 6%). A successful aneurysm occlusion (defined as RROC 1 and 2) on the final angiogram was achieved in 30/36 (83%) aneurysms including all patients presenting with baseline subarachnoid haemorrhage and 25/36 (69%) were occluded completely. Complete occlusion (RROC 1) was more frequently achieved in ruptured BAFAs (15/25, 60% v. 2/11, 18%; p = 0.031). Procedure-related complications occurred in 3/36 (8%) aneurysms. Re-treatment was executed in 12/36 (33%) aneurysms. After a median angiography FU of 38 months, 30/31 (97%) BAFAs were occluded successfully and 25/31 (81%) showed complete occlusion.CONCLUSION: Reconstructive endovascular treatment of BAFAs is technically feasible with a good safety profile. Although in some cases re-treatment was necessary, a high rate of final aneurysm occlusion was achieved.

AB - BACKGROUND: Data on outcome after endovascular treatment of basilar artery fenestration aneurysms (BAFAs) is limited. This study presents our multi-centre experience of BAFAs treated by different reconstructive techniques including coils, stent-assisted coiling (SAC), flow diversion and intra-saccular flow disruption with the Woven Endobridge (WEB).METHODS: Retrospective analysis of 38 BAFAs treated endovascularly between 2003 and 2020. The primary endpoint was complete aneurysm obliteration defined as Raymond-Roy occlusion classification (RROC) I on immediate and follow-up (FU) angiography. The secondary endpoints were procedure-related complications, rate of re-treatment, and clinical outcome.RESULTS: Endovascular treatment was feasible in 36/38 aneurysms (95%). The most frequent strategy was coiling (21/36, 58%), followed by SAC (7/36, 19%), WEB embolization (6/36, 17%) and flow diversion (2/36, 6%). A successful aneurysm occlusion (defined as RROC 1 and 2) on the final angiogram was achieved in 30/36 (83%) aneurysms including all patients presenting with baseline subarachnoid haemorrhage and 25/36 (69%) were occluded completely. Complete occlusion (RROC 1) was more frequently achieved in ruptured BAFAs (15/25, 60% v. 2/11, 18%; p = 0.031). Procedure-related complications occurred in 3/36 (8%) aneurysms. Re-treatment was executed in 12/36 (33%) aneurysms. After a median angiography FU of 38 months, 30/31 (97%) BAFAs were occluded successfully and 25/31 (81%) showed complete occlusion.CONCLUSION: Reconstructive endovascular treatment of BAFAs is technically feasible with a good safety profile. Although in some cases re-treatment was necessary, a high rate of final aneurysm occlusion was achieved.

KW - Basilar Artery/diagnostic imaging

KW - Cerebral Angiography

KW - Embolization, Therapeutic/methods

KW - Endovascular Procedures/methods

KW - Follow-Up Studies

KW - Humans

KW - Intracranial Aneurysm/diagnostic imaging

KW - Multicenter Studies as Topic

KW - Retrospective Studies

KW - Stents

KW - Treatment Outcome

U2 - 10.1177/19714009211042877

DO - 10.1177/19714009211042877

M3 - SCORING: Review article

C2 - 34476993

VL - 35

SP - 319

EP - 328

JO - NEURORADIOL J

JF - NEURORADIOL J

SN - 1971-4009

IS - 3

ER -