Stents and flow diverters in the treatment of aneurysms: Device deformation in vivo may alter porosity and impact efficacy

Neuroradiology

Volumn 55, Issue 1, 2013, Pages 85-92

  Bing, Fabrice ^a   Darsaut, Tim E ^b   Salazkin, Igor ^c   Makoyeva, Alina ^c   Gevry, Guylaine ^c   Raymond, Jean ^c  

^a UNIVERSITY HOSPITAL OF STRASBOURG   (France)

^b UNIVERSITY OF ALBERTA   (Canada)

^c NOTRE DAME HOSPITAL   (Canada)

Author keywords

Aneurysm; Endovascular; Flow diverter; Stent; Treatment

Indexed keywords

ANIMAL EXPERIMENT; ANIMAL MODEL; ARTERIAL STENT; CONFERENCE PAPER; DEVICE DIAMETER; EQUIPMENT FAILURE ANALYSIS; FLOW DIVERTING STENT; HIGH POROSITY STENT; IN VIVO STUDY; INTERMETHOD COMPARISON; INTRACRANIAL ANEURYSM; LATERAL WALL ANEURYSM; METALLIC POROSITY; NEOINTIMA; NONHUMAN; PHYSICAL PARAMETERS; POROSITY; PRIORITY JOURNAL; TREATMENT DURATION;

ANEURYSM; ANIMALS; BLOOD VESSEL PROSTHESIS; DOGS; EQUIPMENT DESIGN; EQUIPMENT FAILURE ANALYSIS; POROSITY; STENTS;

EID: 84873098690     PISSN: 00283940     EISSN: 14321920     Source Type: Journal    
DOI: 10.1007/s00234-012-1082-0     Document Type: Conference Paper

References (20)

1. Byrne JV, Beltechi R, Yarnold JA, Birks J, Kamran M (2010) Early experience in the treatment of intra-cranial aneurysms by endovascular flow diversion: a multicentre prospective study. PLoS One 5(9). doi: 10.1371/journal.pone.0012492
2. Nelson PK, Lylyk P, Szikora I, Wetzel SG, Wanke I, Fiorella D (2011) The pipeline embolization device for the intracranial treatment of aneurysms trial. AJNR Am J Neuroradiol 32(1):34-40. doi: 10.3174/ajnr.A2421
3. Lylyk P, Miranda C, Ceratto R, Ferrario A, Scrivano E, Luna HR, Berez AL, Tran Q, Nelson PK, Fiorella D (2009) Curative endovascular reconstruction of cerebral aneurysms with the pipeline embolization device: the Buenos Aires experience. Neurosurgery 64(4):632-642. doi: 10.1227/01.NEU.0000339109.98070.65, discussion 642-633; quiz N636
4. Szikora I, Berentei Z, Kulcsar Z, Marosfoi M, Vajda ZS, Lee W, Berez A, Nelson PK (2010) Treatment of intracranial aneurysms by functional reconstruction of the parent artery: the Budapest experience with the pipeline embolization device. AJNR Am J Neuroradiol 31(6):1139-1147. doi: 10.3174/ajnr.A2023
5. Briganti F, Napoli M, Tortora F, Solari D, Bergui M, Boccardi E, Cagliari E, Castellan L, Causin F, Ciceri E, Cirillo L, De Blasi R, Delehaye L, Di Paola F, Fontana A, Gasparotti R, Guidetti G, Divenuto I, Iannucci G, Isalberti M, Leonardi M, Lupo F, Mangiafico S, Manto A, Menozzi R, Muto M, Nuzzi NP, Papa R, Petralia B, Piano M, Resta M, Padolecchia R, Saletti A, Sirabella G, Bolge LP (2012) Italian multicenter experience with flow-diverter devices for intracranial unruptured aneurysm treatment with periprocedural complications-a retrospective data analysis. Neuroradiology. doi: 10.1007/s00234-012-1047-3
6. Aurboonyawat T, Blanc R, Schmidt P, Piotin M, Spelle L, Nakib A, Moret J (2011) An in vitro study of silk stent morphology. Neuroradiology 53(9):659-667. doi: 10.1007/s00234-010-0784-4
7. Darsaut TE, Bing F, Salazkin I, Gevry G, Raymond J (2012) Flow diverters can occlude aneurysms and preserve arterial branches: a new experimental model. AJNR Am J Neuroradiol. doi: 10.3174/ajnr.A3075
8. Fiorella D, Kelly ME, Albuquerque FC, Nelson PK (2009) Curative reconstruction of a giant midbasilar trunk aneurysm with the pipeline embolization device. Neurosurgery 64(2):212-217. doi: 10.1227/01.NEU.0000337576. 98984.E4, discussion 217
9. Fiorella D, Woo HH, Albuquerque FC, Nelson PK (2008) Definitive reconstruction of circumferential, fusiform intracranial aneurysms with the pipeline embolization device. Neurosurgery 62(5):1115-1120. doi: 10.1227/01.neu.0000325873.44881.6e, discussion 1120-1121
10. Kallmes DF, Ding YH, Dai D, Kadirvel R, Lewis DA, Cloft HJ (2009) A second-generation, endoluminal, flow-disrupting device for treatment of saccular aneurysms. AJNR Am J Neuroradiol 30(6):1153-1158. doi: 10.3174/ajnr.A1530
11. Kulcsar Z, Ernemann U, Wetzel SG, Bock A, Goericke S, Panagiotopoulos V, Forsting M, Ruefenacht DA, Wanke I (2010) High-profile flow diverter (silk) implantation in the basilar artery: efficacy in the treatment of aneurysms and the role of the perforators. Stroke: J Cereb Circ 41(8):1690-1696. doi: 10.1161/STROKEAHA.110.580308
12. Kulcsar Z, Houdart E, Bonafe A, Parker G, Millar J, Goddard AJ, Renowden S, Gal G, Turowski B, Mitchell K, Gray F, Rodriguez M, van den Berg R, Gruber A, Desal H, Wanke I, Rufenacht DA (2011) Intra-aneurysmal thrombosis as a possible cause of delayed aneurysm rupture after flow-diversion treatment. AJNR Am J Neuroradiol 32(1):20-25. doi: 10.3174/ajnr.A2370
13. Lieber BB, Sadasivan C (2010) Endoluminal scaffolds for vascular reconstruction and exclusion of aneurysms from the cerebral circulation. Stroke: J Cereb Circ 41(10 Suppl):S21-S25. doi: 10.1161/STROKEAHA.110.595066
14. Sadasivan C, Cesar L, Seong J, Rakian A, Hao Q, Tio FO, Wakhloo AK, Lieber BB (2009) An original flow diversion device for the treatment of intracranial aneurysms: evaluation in the rabbit elastase-induced model. Stroke: J Cereb Circ 40(3):952-958. doi: 10.1161/STROKEAHA.108.533760
15. Seong J, Wakhloo AK, Lieber BB (2007) In vitro evaluation of flow divertors in an elastase-induced saccular aneurysm model in rabbit. J Biomech Eng 129(6):863-872. doi: 10.1115/1.2800787
16. Dorn F, Niedermeyer F, Balasso A, Liepsch D, Liebig T (2011) The effect of stents on intra-aneurysmal hemodynamics: in vitro evaluation of a pulsatile sidewall aneurysm using laser Doppler anemometry. Neuroradiology 53(4):267-272. doi: 10.1007/s00234-010-0723-4
17. Mut F, Cebral JR (2012) Effects of flow-diverting device oversizing on hemodynamics alteration in cerebral aneurysms. AJNR Am J Neuroradiol. doi: 10.3174/ajnr.A3080
18. Makoyeva A, Bing F, Darsaut TE, Salazkin I, Raymond J (2012) The varying porosity of braided self-expanding stents and flow-diverters: an experimental study. Am J Neuroradiol (in press)
19. Turowski B, Macht S, Kulcsar Z, Hanggi D, Stummer W (2011) Early fatal hemorrhage after endovascular cerebral aneurysm treatment with a flow diverter (SILK-Stent): do we need to rethink our concepts? Neuroradiology 53(1):37-41. doi: 10.1007/s00234-010-0676-7
20. Bouzeghrane F, Naggara O, Kallmes DF, Berenstein A, Raymond J (2010) In vivo experimental intracranial aneurysm models: a systematic review. AJNR Am J Neuroradiol 31(3):418-423. doi: 10.3174/ajnr.A1853