1.Author Correction: Treatment of Intracranial Aneurysms with the Pipeline Embolization Device Only: a Single Center Experience.
Volker MAUS ; Anastasios MPOTSARIS ; Jan BORGGREFE ; Nuran ABDULLAYEV ; Thomas LIEBIG ; Franziska DORN ; Pantelis STAVRINOU ; De Hua CHANG ; Christoph KABBASCH
Neurointervention 2018;13(2):144-144
The originally published version of this Article contained an error in the author list: the last and first names of all authors are inverted.
2.Treatment of Intracranial Aneurysms with the Pipeline Embolization Device Only: a Single Center Experience.
Maus VOLKER ; Mpotsaris ANASTASIOS ; Borggrefe JAN ; Abdullayev NURAN ; Liebig THOMAS ; Dorn FRANZISKA ; Stavrinou PANTELIS ; Chang DE-HUA ; Kabbasch CHRISTOPH
Neurointervention 2018;13(1):32-40
PURPOSE: The aim of this study was to evaluate the technical feasibility and rate of mid-term occlusion in aneurysms treated solely with the Pipeline Embolization Device (PED) in a German tertiary care university hospital. MATERIALS AND METHODS: Forty-nine non-consecutive intracranial aneurysms underwent endovascular treatment using the PED exclusively between March 2011 and May 2017 at our institution. Primary endpoint was a favorable aneurysm occlusion defined as OKM C1-3 and D (O'Kelly Marotta Scale). Secondary endpoints were retreatment rate and delayed complications. Median follow-up was 200 days. RESULTS: The mean aneurysm size was 7.1 ± 5.3 mm. Forty-four aneurysms were located in the anterior circulation (90%). Ten aneurysms were ruptured (20%). Branching vessels from the sac were observed in 11 aneurysms (22%). Favorable obliteration immediately after PED placement was seen in 13/49 aneurysms (27%), of those nine aneurysms were completely occluded (18%). Angiographic and clinical follow-up was available for 45 cases (92%); 36/45 aneurysms (80%) were occluded completely and 40/45 aneurysms (89%) showed a favorable occlusion result. A branching vessel arising from the aneurysm sac was associated with incomplete occlusion (P < .05). All electively treated patients had good outcome (mRS 0). Three aneurysms (6%) required additional treatment due to aneurysm recurrence. CONCLUSION: In our series, treatment of intracranial aneurysms with the PED was associated with favorable occlusion rates and low complication rates at mid-term follow-up. The presence of branching vessels arising from the aneurysms sac was predictive for an incomplete occlusion.
Aneurysm
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Follow-Up Studies
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Humans
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Intracranial Aneurysm*
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Recurrence
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Retreatment
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Tertiary Healthcare