The efficacy of Surpass Streamline flow diversion for intracranial aneurysms
10.3969/j.issn.1008-794X.2024.03.011
- VernacularTitle:Surpass Streamline血流导向术对颅内动脉瘤的疗效
- Author:
Aiqiang HUANG
1
;
Lei MENG
;
Zheng LIU
Author Information
1. 234000 安徽宿州 安徽医科大学附属宿州医院神经外科
- Keywords:
intracranial aneurysm;
Surpass Streamline flow diversion;
postoperative embolization;
neural function;
aneurysm occlusion
- From:
Journal of Interventional Radiology
2024;33(3):285-288
- CountryChina
- Language:Chinese
-
Abstract:
Objective To make a further understanding of the curative efficacy of Surpass Streamline flow diversion treatment for intracranial aneurysms.Methods The clinical data of a total of 68 patients with intracranial aneurysm,who received Surpass Streamline flow diverter treatment at the Affiliated Suzhou Hospital of Anhui Medical University of China between January 2020 and January 2022,were retrospectively analyzed.The preoperative and postoperative changes in hemodynamic parameters,and the preoperative and postoperative 3-,6-,and 12-month modified Rankin Scale(mRS)scores were collected.The imaging findings were analyzed,and the status of aneurysm occlusion was determined.Results Compared with the preoperative values,the postoperative blood flow velocity at the WSS and the tumor neck was decreased,while the blood flow velocity of LSA,RRT,tumor carrier artery and M1 on the affected side was increased(P＜0.05),and the blood flow velocity of Ml on the healthy side showed no significant change(P＞0.05).After surgery,the proportion of patients with low-grade mRS score gradually increased with the time passing,and the difference was statistically significant(P＜0.05).The postoperative 6-month and 12-month incidences of in-stent stenosis were 7.35％ and 8.82％ respectively,incidences of aneurysmal complete occlusion were 52.94％and 63.24％ respectively,and the differences were not statistically significant(P＞0.05).Of the 68 patients having been treated with Surpass Streamline flow diverter,4 patients developed ischemic complications,and 2 of the 4 presented with blurred vision and cortical blindness,one patient had limb weakness and one patient had a in-stent thrombus,all of which were effectively relieved after intervention therapy.Conclusion For the treatment of intracranial aneurysms,Surpass Streamline flow diversion treatment has good efficacy,it can improve hemodynamics,besides,it carries high postoperative complete aneurysmal occlusion rate with satisfactory safety.Therefore,this technique is worthy of clinical popularization.(J Intervent Radiol,2024,33:285-288)
