Journal article
Braid stability after flow diverter treatment of intracranial aneurysms: a systematic review and meta-analysis
Journal of neurointerventional surgery, Vol.17(3), pp.298-303
03/2025
DOI: 10.1136/jnis-2023-021120
PMID: 38124177
Abstract
The aim of this study was to evaluate the overall rates of braid changes associated with flow diverter (FD) treatment for intracranial aneurysms (IAs). Additionally, we sought to provide an overview of the currently reported definitions related to these complications.
A systematic search was conducted from the inception of relevant literature up to April 2023, encompassing six databases. The included studies focused on patients with IAs treated with FDs. We considered four main outcome measures as FD braid changes: (1) fish-mouthing, (2) device braid narrowing, (3) device braid collapsing, and (4) device braid deformation. The data from these studies were pooled using a random-effects model.
A total of 48 studies involving 3572 patients were included in the analysis. Among them, 14 studies (39%) provided definitions for fish-mouthing. However, none of the included studies offered specific definitions for device braid narrowing, collapsing, or deformation, despite reporting rates for these complications in six, five, and three studies, respectively. The pooled rates for braid changes were as follows: 3% (95% CI 2% to 4%, I
=27%) for fish-mouthing, 7% (95% CI 2% to 20%, I
=85%) for narrowing, 1% (95% CI 0% to 3%, I
=0%) for collapsing, and 1% (95% CI 1% to 4%, I
=0%) for deformation.
The findings of this study suggest that FD treatment for IAs generally exhibits low rates of fish-mouthing, device braid narrowing, collapsing, and deformation. However, the lack of standardized definitions hinders the ability to compare device outcomes objectively, emphasizing the need for uniform definitions for FD braid changes in future prospective studies on FD.
Details
- Title: Subtitle
- Braid stability after flow diverter treatment of intracranial aneurysms: a systematic review and meta-analysis
- Creators
- Santiago Ortega-Gutierrez - Departmenf of Neuroloy, Neurosurgery and Radiology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA santy-ortega@uiowa.eduAaron Rodriguez-Calienes - Universidad Científica del SurJuan Vivanco-Suarez - Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USAH Saruhan Cekirge - Ankara (Czechia)Ricardo A Hanel - New England Baptist HospitalMahmoud Dibas - University of IowaSaleh Lamin - University Hospitals Birmingham NHS Foundation TrustHal Rice - Department of Interventional Neuroradiology, Gold Coast University Hospital, Southport, Queensland, AustraliaIsil Saatci - Ankara (Czechia)David Fiorella - SUNY SB, New York, New York, USAPedro Lylyk - Interventional Neuroradiology, Clinical Institute ENERI, Buenos Aires, ArgentinaFeyyaz Baltacioglu - Neuroradiology, American Hospital, Istanbul, Sisli, TurkeyIvan Lylyk - Clínica La Sagrada Familia, Buenos Aires, ArgentinaVitor Mendes Pereira - Division of Neurosurgery, Department of Surgery, University Health Network - Toronto Western Hospital, Toronto, Ontario, CanadaMatthew J Gounis - New England Center for Stroke Research, Department of Radiology, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USAJens Fiehler - University Medical Center Hamburg-Eppendorf
- Resource Type
- Journal article
- Publication Details
- Journal of neurointerventional surgery, Vol.17(3), pp.298-303
- DOI
- 10.1136/jnis-2023-021120
- PMID
- 38124177
- NLM abbreviation
- J Neurointerv Surg
- eISSN
- 1759-8486
- Language
- English
- Electronic publication date
- 12/14/2023
- Date published
- 03/2025
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984532179002771
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