Five-Years Angiographic Follow-Up of Wide-Neck Intracranial Aneurysms Treated With LEO Plus Stent

Background: This study aimed to evaluate the angiographic and clinical outcome, with an emphasis on long-term follow-up, of the LEO Plus stent for wide-neck intracranial aneurysms treated in a single center.Methods: We retrospectively examined a prospectively maintained database of patients treated...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	José M. Pumar, Paula Sucasas, Antonio Mosqueira, Pedro Vega, Eduardo Murias
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	aneurysm stent hemorrhage embolization LEO Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/7c76471252714b92a08d77cf6be15bcf
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7c76471252714b92a08d77cf6be15bcf
record_format	dspace
spelling	oai:doaj.org-article:7c76471252714b92a08d77cf6be15bcf2021-12-01T06:14:41ZFive-Years Angiographic Follow-Up of Wide-Neck Intracranial Aneurysms Treated With LEO Plus Stent1664-229510.3389/fneur.2021.744962https://doaj.org/article/7c76471252714b92a08d77cf6be15bcf2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fneur.2021.744962/fullhttps://doaj.org/toc/1664-2295Background: This study aimed to evaluate the angiographic and clinical outcome, with an emphasis on long-term follow-up, of the LEO Plus stent for wide-neck intracranial aneurysms treated in a single center.Methods: We retrospectively examined a prospectively maintained database of patients treated with LEO Plus devices between January 2004 and December 2016. Data regarding patient demographics, aneurysm characteristics, and technical procedures were analyzed. Angiographic and clinical findings were recorded during the procedure and followed up over a period of at least 5 years.Results: We identified 101 patients with 116 aneurysms. In 16 patients, the stent could not safely be placed. Thus, a total of 97 LEO Plus devices were implanted in 97 aneurysms of 85 patients. Adverse events (acute and delayed) were observed in 21.6% of cases (17/85), and most were resolved (70.6%; 12/17). Moreover, 5 years after the procedure, total morbidity and mortality were 2.3% (2/85) and 3.5% (3/85), respectively. Long-term imaging follow-up showed complete occlusions, neck remnants, and residual aneurysms in 73.1% (57/78), 14.1% (11/78), and 12.8% (10/78) of cases, respectively.Conclusions: Long-term results of treatment of brain aneurysms with LEO stent show high rates of adequate and stable occlusion over time, with acceptable morbidity and mortality.José M. PumarJosé M. PumarPaula SucasasPaula SucasasAntonio MosqueiraAntonio MosqueiraPedro VegaPedro VegaEduardo MuriasEduardo MuriasFrontiers Media S.A.articleaneurysmstenthemorrhageembolizationLEONeurology. Diseases of the nervous systemRC346-429ENFrontiers in Neurology, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	aneurysm stent hemorrhage embolization LEO Neurology. Diseases of the nervous system RC346-429
spellingShingle	aneurysm stent hemorrhage embolization LEO Neurology. Diseases of the nervous system RC346-429 José M. Pumar José M. Pumar Paula Sucasas Paula Sucasas Antonio Mosqueira Antonio Mosqueira Pedro Vega Pedro Vega Eduardo Murias Eduardo Murias Five-Years Angiographic Follow-Up of Wide-Neck Intracranial Aneurysms Treated With LEO Plus Stent
description	Background: This study aimed to evaluate the angiographic and clinical outcome, with an emphasis on long-term follow-up, of the LEO Plus stent for wide-neck intracranial aneurysms treated in a single center.Methods: We retrospectively examined a prospectively maintained database of patients treated with LEO Plus devices between January 2004 and December 2016. Data regarding patient demographics, aneurysm characteristics, and technical procedures were analyzed. Angiographic and clinical findings were recorded during the procedure and followed up over a period of at least 5 years.Results: We identified 101 patients with 116 aneurysms. In 16 patients, the stent could not safely be placed. Thus, a total of 97 LEO Plus devices were implanted in 97 aneurysms of 85 patients. Adverse events (acute and delayed) were observed in 21.6% of cases (17/85), and most were resolved (70.6%; 12/17). Moreover, 5 years after the procedure, total morbidity and mortality were 2.3% (2/85) and 3.5% (3/85), respectively. Long-term imaging follow-up showed complete occlusions, neck remnants, and residual aneurysms in 73.1% (57/78), 14.1% (11/78), and 12.8% (10/78) of cases, respectively.Conclusions: Long-term results of treatment of brain aneurysms with LEO stent show high rates of adequate and stable occlusion over time, with acceptable morbidity and mortality.
format	article
author	José M. Pumar José M. Pumar Paula Sucasas Paula Sucasas Antonio Mosqueira Antonio Mosqueira Pedro Vega Pedro Vega Eduardo Murias Eduardo Murias
author_facet	José M. Pumar José M. Pumar Paula Sucasas Paula Sucasas Antonio Mosqueira Antonio Mosqueira Pedro Vega Pedro Vega Eduardo Murias Eduardo Murias
author_sort	José M. Pumar
title	Five-Years Angiographic Follow-Up of Wide-Neck Intracranial Aneurysms Treated With LEO Plus Stent
title_short	Five-Years Angiographic Follow-Up of Wide-Neck Intracranial Aneurysms Treated With LEO Plus Stent
title_full	Five-Years Angiographic Follow-Up of Wide-Neck Intracranial Aneurysms Treated With LEO Plus Stent
title_fullStr	Five-Years Angiographic Follow-Up of Wide-Neck Intracranial Aneurysms Treated With LEO Plus Stent
title_full_unstemmed	Five-Years Angiographic Follow-Up of Wide-Neck Intracranial Aneurysms Treated With LEO Plus Stent
title_sort	five-years angiographic follow-up of wide-neck intracranial aneurysms treated with leo plus stent
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/7c76471252714b92a08d77cf6be15bcf
work_keys_str_mv	AT josempumar fiveyearsangiographicfollowupofwideneckintracranialaneurysmstreatedwithleoplusstent AT josempumar fiveyearsangiographicfollowupofwideneckintracranialaneurysmstreatedwithleoplusstent AT paulasucasas fiveyearsangiographicfollowupofwideneckintracranialaneurysmstreatedwithleoplusstent AT paulasucasas fiveyearsangiographicfollowupofwideneckintracranialaneurysmstreatedwithleoplusstent AT antoniomosqueira fiveyearsangiographicfollowupofwideneckintracranialaneurysmstreatedwithleoplusstent AT antoniomosqueira fiveyearsangiographicfollowupofwideneckintracranialaneurysmstreatedwithleoplusstent AT pedrovega fiveyearsangiographicfollowupofwideneckintracranialaneurysmstreatedwithleoplusstent AT pedrovega fiveyearsangiographicfollowupofwideneckintracranialaneurysmstreatedwithleoplusstent AT eduardomurias fiveyearsangiographicfollowupofwideneckintracranialaneurysmstreatedwithleoplusstent AT eduardomurias fiveyearsangiographicfollowupofwideneckintracranialaneurysmstreatedwithleoplusstent
_version_	1718405483553882112

Five-Years Angiographic Follow-Up of Wide-Neck Intracranial Aneurysms Treated With LEO Plus Stent

Ejemplares similares