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Sökning: onr:"swepub:oai:prod.swepub.kib.ki.se:146466907" > eCLIPs bifurcation ...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003180naa a2200433 4500
001oai:prod.swepub.kib.ki.se:146466907
003SwePub
008240701s2021 | |||||||||||000 ||eng|
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1464669072 URI
0247 a https://doi.org/10.1136/neurintsurg-2020-0163542 DOI
040 a (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a De Vries, J4 aut
2451 0a eCLIPs bifurcation remodeling system for treatment of wide neck bifurcation aneurysms with extremely low dome-to-neck and aspect ratios: a multicenter experience
264 c 2020-08-11
264 1b BMJ,c 2021
520 a Wide necked bifurcation aneurysms (WNBA) are among the most difficult aneurysms to treat. Very low dome-to-neck (DTN) and aspect ratios provide an even greater challenge in the management of WNBAs. We present the safety and efficacy profile for endovascular clip system (eCLIPs) device in the treatment of this subset of WNBAs with very unfavorable morphologies.MethodsIn our case series, 24 patients treated at 12 international centers were taken from a larger prospective voluntary post-marketing registry of 65 patients treated with the eCLIPs device and coiling. Those who had WNBAs at either the carotid or basilar terminus with a DTN ratio <1.6 and aspect ratio <1.2 were included. Radiologic and clinical outcomes were assessed immediately after the procedure and at the latest follow-up.ResultsThe eCLIPs device was successfully deployed in 23 cases (96%). One patient (4.2%) died due to guidewire perforation distal to the implant site. No other complications were documented. After a mean follow-up of 15.8 months (range 3–40 months), good radiologic outcomes (modified Raymond–Roy classification (MRRC) scores of 1 or 2) were documented in 20 of 21 patients (95%) with follow-up data. The lone patient with an MRRC score of 3 showed coiled compaction after incomplete neck coverage with the device.ConclusionOur series of patients with aneurysms having adverse DTN and aspect ratios demonstrated that the eCLIPs device has a safety and efficacy profile comparable with currently available devices in the treatment of WNBAs.
7001 a Boogaarts, HD4 aut
7001 a Sorensen, L4 aut
7001 a Holtmannspoetter, M4 aut
7001 a Benndorf, G4 aut
7001 a Turowski, B4 aut
7001 a Bohner, G4 aut
7001 a Derakhshani, S4 aut
7001 a Navasa, C4 aut
7001 a van Zwam, WH4 aut
7001 a Soderman, Mu Karolinska Institutet4 aut
7001 a Rautio, R4 aut
7001 a Mathys, C4 aut
7001 a Riina, H4 aut
7001 a Marotta, TR4 aut
7102 a Karolinska Institutet4 org
7730 t Journal of neurointerventional surgeryd : BMJg 13:5, s. 438-+q 13:5<438-+x 1759-8486x 1759-8478
8564 u https://jnis.bmj.com/content/neurintsurg/early/2020/08/10/neurintsurg-2020-016354.full.pdf
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:146466907
8564 8u https://doi.org/10.1136/neurintsurg-2020-016354

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