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Diestro, Jose Danilo Bengzon; Keough, Michael B; Ashforth, Robert A; Chow, Michael M; Rempel, Jeremy L; Marotta, Thomas R; O'Kelly, Cian

Treatment of wide-necked bifurcation aneurysms with the eCLIPs device: 5-year experience of a single center

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  • Medientyp: E-Artikel
  • Titel: Treatment of wide-necked bifurcation aneurysms with the eCLIPs device: 5-year experience of a single center
  • Beteiligte: Diestro, Jose Danilo Bengzon; Keough, Michael B; Ashforth, Robert A; Chow, Michael M; Rempel, Jeremy L; Marotta, Thomas R; O'Kelly, Cian
  • Erschienen: BMJ, 2023
  • Erschienen in: Journal of NeuroInterventional Surgery
  • Sprache: Englisch
  • DOI: 10.1136/neurintsurg-2022-018731
  • ISSN: 1759-8486; 1759-8478
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:sec><jats:title>Background</jats:title><jats:p>The endovascular clip system (eCLIPs) is a novel device with both neck bridging and flow-diversion properties that make it suitable for the treatment of wide-necked bifurcation aneurysms.</jats:p></jats:sec><jats:sec><jats:title>Objective</jats:title><jats:p>To describe the clinical and radiologic outcomes of the eCLIPs device, including the first-in-man use of the latest version of the device.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This is a retrospective case series on all the wide-necked bifurcation aneurysms treated with the eCLIPs device in our center. The immediate and latest radiologic and clinical outcomes were assessed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The device was successfully implanted in 12 of 13 patients. After a median follow-up period of 19 months (range 3–64 months), all patients with available data (11/12) had a good radiologic outcome (modified Raymond-Roy classification scores of 1 or 2). Two patients (18.2%) underwent re-treatment with simple coiling through the device. One of these had a subarachnoid hemorrhage prior to re-treatment. There were no major complications (death or permanent neurologic deficits) associated with use of the device.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Our series demonstrates occlusion rates that are similar to those of standard stent-assisted coiling and intrasaccular flow diversion for wide-necked bifurcation aneurysms. Larger registry-based studies are necessary to support our findings.</jats:p></jats:sec>