1.Pipeline Embolization Device for Large/Giant or Fusiform Aneurysms: An Initial Multi-Center Experience in Korea.
Byung Moon KIM ; Yong Sam SHIN ; Min Woo BAIK ; Deok Hee LEE ; Pyoung JEON ; Seung Kug BAIK ; Tae Hong LEE ; Dong Hoon KANG ; Sang il SUH ; Jun Soo BYUN ; Jin Young JUNG ; Kihun KWON ; Dong Joon KIM ; Keun Young PARK ; Bum soo KIM ; Jung Cheol PARK ; Seong Rim KIM ; Young Woo KIM ; Hoon KIM ; Kyungil JO ; Chang Hyo YOON ; Young Soo KIM
Neurointervention 2016;11(1):10-17
PURPOSE: The purpose of this study was to assess the safety and early outcomes of the Pipeline device for large/giant or fusiform aneurysms. MATERIALS AND METHODS: The Pipeline was implanted in a total of 45 patients (mean age, 58 years; M:F=10:35) with 47 large/giant or fusiform aneurysms. We retrospectively evaluated the characteristics of the treated aneurysms, the periprocedural events, morbidity and mortality, and the early outcomes after Pipeline implantation. RESULTS: The aneurysms were located in the internal carotid artery (ICA) cavernous segment (n=25), ICA intradural segment (n=11), vertebrobasilar trunk (n=8), and middle cerebral artery (n=3). Procedure-related events occurred in 18 cases, consisting of incomplete expansion (n=8), shortening-migration (n=5), transient occlusion of a jailed branch (n=3), and in-stent thrombosis (n=2). Treatment-related morbidity occurred in two patients, but without mortality. Both patients had modified Rankin scale (mRS) scores of 2, but had an improved mRS score of 0 at 1-month follow-up. Of the 19 patients presenting with mass effect, 16 improved but three showed no changes in their presenting symptoms. All patients had excellent outcomes (mRS, 0 or 1) during the follow-up period (median, 6 months; range, 2-30 months). Vascular imaging follow-up (n=31, 65.9%; median, 3 months, range, 1-25 months) showed complete or near occlusion of the aneurysm in 24 patients (77.4%) and decreased sac size in seven patients (22.6%). CONCLUSION: In this initial multicenter study in Korea, the Pipeline seemed to be safe and effective for large/giant or fusiform aneurysms. However, a learning period may be required to alleviate device-related events.
Aneurysm*
;
Carotid Artery, Internal
;
Follow-Up Studies
;
Humans
;
Korea*
;
Learning
;
Middle Cerebral Artery
;
Mortality
;
Retrospective Studies
;
Thrombosis
Result Analysis
Print
Save
E-mail