gms | German Medical Science

73. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Griechischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

29.05. - 01.06.2022, Köln

Endovascular treatment of unruptured fusiform brain aneurysms using Flow-diverter stents – case series

Endovaskuläre Behandlung von nicht rupturierten spindelförmigen Hirnaneurysmen mit Flow-Diverter Stents: case series

Meeting Abstract

  • presenting/speaker Vasileios Panagiotopoulos - University Hospital of Patras, Department of Neurosurgery / Endovascular Neurosurgery, Patra, Griechenland
  • Manthia Papageorgakopoulou - University Hospital of Patras, Department of Neurosurgery / Endovascular Neurosurgery, Patra, Griechenland
  • Dimitra Katagi - University Hospital of Patras, Department of Neurosurgery / Endovascular Neurosurgery, Patra, Griechenland
  • Andreas Theofanopoulos - University Hospital of Patras, Department of Neurosurgery / Endovascular Neurosurgery, Patra, Griechenland
  • Constantinos Constantoyannis - University Hospital of Patras, Department of Neurosurgery / Endovascular Neurosurgery, Patra, Griechenland
  • Petros Zampakis - University Hospital of Patras, Interventional Neuroradiology, Patra, Griechenland

Deutsche Gesellschaft für Neurochirurgie. 73. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Griechischen Gesellschaft für Neurochirurgie. Köln, 29.05.-01.06.2022. Düsseldorf: German Medical Science GMS Publishing House; 2022. DocJ-HSNC06

doi: 10.3205/22dgnc489, urn:nbn:de:0183-22dgnc4899

Veröffentlicht: 25. Mai 2022

© 2022 Panagiotopoulos et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Objective: Fusiform intracranial aneurysms are non-saccular, spindle-shaped aneurysms which are defined as a circumferantial dilation of an artery without the presence of a distinct neck. Fusiform aneurysms have unfavourable outcomes with a mortality rate of 30% and a rupture risk of 3% per year if left untreated. The aim of this study is to present a single -center’s experience in Noth-Western Greece with the use of flow diverters for the treatment of fusiform intracranial aneurysms and provide evidence of the efficacy and safety of this neurovascular procedure.

Methods: We analyzed retrospectively 3 patients with unruptured fusiform intracranial aneurysms treated with flow-diverter stents. Occlusion rates, neurologic morbidity/mortality, and other clinical variables were analyzed.

Results: Three patients with three fusiform aneurysms were treated with a flow diverter stents. One aneurysm was located in the internal carotid artery, one in the right middle cerebral artery and one in the right vertebral artery. Angiographic and clinical follow-up was available for all aneurysms 12 months after embolization. All three aneurysms have been completely occluded. Slight hemiparesis due to post-embolization ischemic stroke occurred in one patient who recovered completely. Neurologic mortality rate was 0%.

Conclusion: Based on our clinical experience, endovascular treatment with flow diverter stents seems to be a feasible and efficient treatment option for unruptured fusiform brain aneurysms. Further studies with larger cohorts should be performed in order to evaluate the safety and efficacy of this method.

Figure 1 [Fig. 1], Figure 2 [Fig. 2]