Flow diverting stent monotherapy as the best choice in the treatment of intracranial blood blister-like aneurysms: a systematic review.
BBA
FDs
Flow diverting stent monotherapy
Intracranial blood blister-like aneurysms
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
30 Aug 2024
30 Aug 2024
Historique:
received:
06
02
2024
accepted:
23
08
2024
revised:
15
07
2024
medline:
31
8
2024
pubmed:
31
8
2024
entrez:
30
8
2024
Statut:
epublish
Résumé
To evaluate the effectiveness and safety of flow-diverting stent (FDS) monotherapy in the treatment of intracranial blood blister-like aneurysms (BBAs) through a detailed systematic review. This review adheres to the PRISMA guidelines, focusing on studies utilizing FDS monotherapy for BBAs, spanning from July 2010 to November 2023. A systematic search across databases including Embase, Medline/PubMed, Scopus, and Google Scholar was conducted. Studies in English that solely used FDS for BBA treatment and assessed perioperative complications were included. Data from 23 studies encompassing 181 cases were systematically analyzed for patient demographics, aneurysm characteristics, treatment specifics, and outcomes. The collected data indicates a dominant occurrence of BBAs in the internal carotid artery (86.9%), with a mean patient age of 50.27 years and a higher prevalence in females (73.43%). Treatment timing varied, with 45.9% treated within the first three days, 35.7% were treated between 4 and 14 days, and 18.4% of patients were treated after 14 days. The study found a complete occlusion rate of 88.1% in follow-up imaging and a favorable clinical outcome in 82.2% of cases. Periprocedural complications were reported in 19.2% of patients, with a related mortality rate of 3.9%. The systematic review demonstrates that FDS monotherapy is highly effective and safe in the treatment of intracranial BBAs. It offers a high rate of complete aneurysm occlusion, favorable clinical outcomes, and low complication rates. These results highlight FDS monotherapy as a prominent treatment method, ensuring robust aneurysmal protection while maintaining the patency of the parent artery.
Identifiants
pubmed: 39212745
doi: 10.1007/s10143-024-02764-8
pii: 10.1007/s10143-024-02764-8
doi:
Types de publication
Systematic Review
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
513Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Owen CM, Montemurro N, Lawton MT (2017) Blister aneurysms of the internal carotid artery: microsurgical results and management strategy. Neurosurgery 80(2):235–247
doi: 10.1227/NEU.0000000000001259
pubmed: 28173470
Mazur MD, Taussky P, MacDonald JD, Park MS (2016) Rerupture of a blister aneurysm after treatment with a single flow-diverting stent. Neurosurgery 79(5):E634–E8
doi: 10.1227/NEU.0000000000001412
pubmed: 27759680
Bojanowski MW, Weil AG, McLaughlin N, Chaalala C, Magro E, Fournier J-Y (2015) Morphological aspects of blister aneurysms and nuances for surgical treatment. J Neurosurg 123(5):1156–1165
doi: 10.3171/2014.11.JNS141004
pubmed: 26053352
Peitz GW, Sy CA, Grandhi R (2017) Endovascular treatment of blister aneurysms. NeuroSurg Focus 42(6):E12
doi: 10.3171/2017.3.FOCUS1751
pubmed: 28565977
Incandela F, Craparo G, Abrignani S et al (2020) Flow diverting devices in acute ruptured blood blister aneurysms: a three centric retrospective study. Acta Bio Medica: Atenei Parmensis. ;91(Suppl 10).
Papasilekas TI, Themistoklis KM, Andreou AA, Korfias SI, Sakas DE (2018) Current trends in the surgical management of blister aneurysms. An illustrative case series. Clin Neurol Neurosurg 168:54
doi: 10.1016/j.clineuro.2018.02.021
pubmed: 29524656
Papasilekas TI, Themistoklis KM, Korfias SI et al (2019) Blister aneurysms. Vascular malformations of the Central Nervous System. IntechOpen
Zhang J, Yu M, Lv X (2021) Endovascular treatment of blood blister-like aneurysms of the internal carotid artery: stent-assisted coiling and pipeline flow diversion. J Clin Neurosci 90:8–13
doi: 10.1016/j.jocn.2021.04.040
pubmed: 34275585
Peschillo S, Miscusi M, Caporlingua A, Cannizzaro D, Santoro A, Delfini R et al (2015) Blister-like aneurysms in atypical locations: a single-center experience and comprehensive literature review. World Neurosurg 84(4):1070–1079
doi: 10.1016/j.wneu.2015.05.077
pubmed: 26074437
Parthasarathy R, Gupta V, Gupta A (2018) Safety of Prasugrel loading in ruptured blister-like aneurysm treated with a Pipeline device. Br J Radiol 91(1086):20170476
doi: 10.1259/bjr.20170476
pubmed: 29509490
pmcid: 6223270
Ji T, Guo Y, Huang X, Xu B, Xu K, Yu J (2017) Current status of the treatment of blood blister-like aneurysms of the supraclinoid internal carotid artery: a review. Int J Med Sci 14(4):390
doi: 10.7150/ijms.17979
pubmed: 28553172
pmcid: 5436482
Kim Y-S, Joo S-P, Kim T-S (2019) Microsurgical management of ruptured blood blister aneurysms of the internal carotid artery without bypass: a retrospective single-center study of 36 patients over 20 years. World Neurosurg 128:e956–e65
doi: 10.1016/j.wneu.2019.05.043
pubmed: 31100528
Rouchaud A, Brinjikji W, Cloft H, Kallmes D (2015) Endovascular treatment of ruptured blister-like aneurysms: a systematic review and meta-analysis with focus on deconstructive versus reconstructive and flow-diverter treatments. Am J Neuroradiol 36(12):2331–2339
doi: 10.3174/ajnr.A4438
pubmed: 26381557
pmcid: 7964271
Kim MJ, Chung J, Shin YS, Lim YC (2019) Forward deployed coil embolization with multiple overlapping stents for ruptured blood blister-like aneurysms: technical considerations and outcomes. Neurol Res 41(6):562–568
doi: 10.1080/01616412.2019.1584424
pubmed: 30821662
Meling TR, Patet G (2021) The role of EC-IC bypass in ICA blood blister aneurysms—a systematic review. Neurosurg Rev 44(2):905–914
doi: 10.1007/s10143-020-01302-6
pubmed: 32318921
Brouillard AM, Sun X, Siddiqui AH, Lin N (2016) The use of flow diversion for the treatment of intracranial aneurysms: expansion of indications. Cureus. ;8(1)
Cagnazzo F, Di Carlo D, Cappucci M, Lefevre P-H, Costalat V, Perrini P (2018) Acutely ruptured intracranial aneurysms treated with flow-diverter stents: a systematic review and meta-analysis. Am J Neuroradiol 39(9):1669–1675
doi: 10.3174/ajnr.A5730
pubmed: 30049721
pmcid: 7655299
Pistocchi S, Blanc R, Bartolini B, Piotin M (2012) Flow diverters at and beyond the level of the circle of Willis for the treatment of intracranial aneurysms. Stroke 43(4):1032–1038
doi: 10.1161/STROKEAHA.111.636019
pubmed: 22282890
Çinar C, Oran İ, Bozkaya H, Ozgiray E (2013) Endovascular treatment of ruptured blister-like aneurysms with special reference to the flow-diverting strategy. Neuroradiology 55:441–447
doi: 10.1007/s00234-013-1136-y
pubmed: 23322455
Gonzalez AM, Narata AP, Yilmaz H et al (2014) Blood blister-like aneurysms: single center experience and systematic literature review. Eur J Radiol 83(1):197–205
doi: 10.1016/j.ejrad.2013.09.017
pubmed: 24231267
Hu YC, Chugh C, Mehta H, Stiefel MF (2014) Early angiographic occlusion of ruptured blister aneurysms of the internal carotid artery using the Pipeline Embolization device as a primary treatment option. J NeuroInterventional Surg 6(10):740–743
doi: 10.1136/neurintsurg-2013-010937
Nerva JD, Morton RP, Levitt MR et al (2015) Pipeline Embolization device as primary treatment for blister aneurysms and iatrogenic pseudoaneurysms of the internal carotid artery. J Neurointerventional Surg 7(3):210–216
doi: 10.1136/neurintsurg-2013-011047
Yoon JW, Siddiqui AH, Dumont TM et al (2014) Feasibility and safety of pipeline embolization device in patients with ruptured carotid blister aneurysms. Neurosurgery 75(4):419–429
doi: 10.1227/NEU.0000000000000487
pubmed: 24991709
Chalouhi N, Zanaty M, Tjoumakaris S et al (2014) Treatment of blister-like aneurysms with the pipeline embolization device. Neurosurgery 74(5):527–532
doi: 10.1227/NEU.0000000000000309
pubmed: 24553092
Lin N, Brouillard AM, Keigher KM et al (2015) Utilization of Pipeline embolization device for treatment of ruptured intracranial aneurysms: US multicenter experience. J NeuroInterventional Surg 7(11):808–815
doi: 10.1136/neurintsurg-2014-011320
Shankar JJS, Tampieri D, Iancu D et al (2016) SILK flow diverter for complex intracranial aneurysms: a Canadian registry. J NeuroInterventional Surg 8(3):273–278
doi: 10.1136/neurintsurg-2015-011708
Aydin K, Arat A, Sencer S et al (2015) Treatment of ruptured blood blister-like aneurysms with flow diverter SILK stents. J NeuroInterventional Surg 7(3):202–209
doi: 10.1136/neurintsurg-2013-011090
Linfante I, Mayich M, Sonig A, Fujimoto J, Siddiqui A, Dabus G (2017) Flow diversion with Pipeline Embolic device as treatment of subarachnoid hemorrhage secondary to blister aneurysms: dual-center experience and review of the literature. J Neurointerventional Surg 9(1):29–33
doi: 10.1136/neurintsurg-2016-012287
Yang C, Vadasz A, Szikora I (2017) Treatment of ruptured blood blister aneurysms using primary flow-diverter stenting with considerations for adjunctive coiling: a single-centre experience and literature review. Interventional Neuroradiol 23(5):465–476
doi: 10.1177/1591019917720805
Lozupone E, Piano M, Valvassori L et al (2018) Flow diverter devices in ruptured intracranial aneurysms: a single-center experience. J Neurosurg 128(4):1037–1043
doi: 10.3171/2016.11.JNS161937
pubmed: 28387623
Luecking H, Engelhorn T, Lang S et al (2017) FRED flow diverter: a study on safety and efficacy in a consecutive group of 50 patients. Am J Neuroradiol 38(3):596–602
doi: 10.3174/ajnr.A5052
pubmed: 28104636
pmcid: 7959990
Cerejo R, Bain M, John S et al (2017) Flow diverter treatment of cerebral blister aneurysms. Neuroradiol vol 59(12):1285–1290
doi: 10.1007/s00234-017-1936-6
Ryan RW, Khan AS, Barco R, Choulakian A (2017) Pipeline flow diversion of ruptured blister aneurysms of the supraclinoid carotid artery using a single-device strategy. Neurosurg Focus 42(6):E11
doi: 10.3171/2017.3.FOCUS1757
pubmed: 28565992
Hellstern V, Aguilar-Pérez M, AlMatter M et al (2018) Microsurgical clipping and endovascular flow diversion of ruptured anterior circulation blood blister-like aneurysms. Interventional Neuroradiol 24(6):615–623
doi: 10.1177/1591019918785911
Mokin M, Chinea A, Primiani CT et al (2018) Treatment of blood blister aneurysms of the internal carotid artery with flow diversion. J Neurointerv Surg 10(11):1074–1078
doi: 10.1136/neurintsurg-2017-013701
pubmed: 29478029
Kaschner MG, Petridis A, Turowski B (2020) Single-center experience with the new generation Derivo Embolization Device in ruptured dissecting and blister aneurysms. Acta Radiol 61(1):37–46
doi: 10.1177/0284185119852731
pubmed: 31166695
Capocci R, Shotar E, Di Maria F et al (2020) Delayed treatment (≥ 5 days) by flow diversion of ruptured blister-like cerebral aneurysms: case series of 8 consecutive patients. Clin Neuroradiol 30:287–296
doi: 10.1007/s00062-019-00758-4
pubmed: 30683969
Ghorbani M, Griessenauer CJ, Wipplinger C et al (2019) Flow diverter embolization device for endovascular treatment of ruptured blister and wide necked very small aneurysms. Heliyon. ;5(9)
Zhang P, Zhong W, Li T et al (2021) Flow Diverter-assisted Coil Embolization of Blood Blister-Like Aneurysm using semi-deploying technique. Front Neurol 11:625203
doi: 10.3389/fneur.2020.625203
pubmed: 33519705
pmcid: 7838673
Tanburoglu A, Andic C (2021) Early treatment of ruptured blood blister-like Aneurysms of the Internal Carotid Artery with Flow Diverters using single antiplatelet therapy: a single-center experience with Long-Term Follow-Up. Front Neurol 12:708411
doi: 10.3389/fneur.2021.708411
pubmed: 34630284
pmcid: 8492904
Dossani RH, Patra DP, Kosty J et al (2019) Early Versus delayed Flow Diversion for ruptured intracranial aneurysms: a Meta-analysis. World Neurosurg 126:41–52. https://doi.org/10.1016/j.wneu.2019.02.044
doi: 10.1016/j.wneu.2019.02.044
pubmed: 30822578
Fang YB, Li Q, Yang PF et al (2013) Treatment of blood blister-like aneurysms of the internal carotid artery with stent-assisted coil embolization. Clin Neurol Neurosurg 115(7):920–925. https://doi.org/10.1016/j.clineuro.2012.09.022
doi: 10.1016/j.clineuro.2012.09.022
pubmed: 23041379
Zhou G, Zhu YQ, Su M, Gao KD, Li MH (2016) Flow-Diverting devices versus Coil Embolization for Intracranial aneurysms: a systematic literature review and Meta-analysis. World Neurosurg 88:640–645. https://doi.org/10.1016/j.wneu.2015.11.007
doi: 10.1016/j.wneu.2015.11.007
pubmed: 26585732
Gaughen JR Jr, Hasan D, Dumont AS, Jensen ME, McKenzie J, Evans AJ (2010) The efficacy of endovascular stenting in the treatment of supraclinoid internal carotid artery blister aneurysms using a stent-in-stent technique. AJNR Am J Neuroradiol 31(6):1132–1138. https://doi.org/10.3174/ajnr.A2016
doi: 10.3174/ajnr.A2016
pubmed: 20150303
pmcid: 7963918
Nasra M, Mitreski G, Kok HK et al (2021) Contemporary Treatment of Intracranial Blood Blister aneurysms - a systematic review. J Stroke Cerebrovasc Dis 30(9):105968
doi: 10.1016/j.jstrokecerebrovasdis.2021.105968
pubmed: 34271273
Sanchez VE, Haider AS, Rowe SE et al (2021) Comparison of Blister Aneurysm Treatment techniques: a systematic review and Meta-analysis. World Neurosurg 154:e82–e101
doi: 10.1016/j.wneu.2021.06.129
pubmed: 34224880
Zhu D, Yan Y, Zhao P et al (2018) Safety and Efficacy of Flow Diverter Treatment for Blood Blister-Like Aneurysm: a systematic review and Meta-analysis. World Neurosurg 118:e79
doi: 10.1016/j.wneu.2018.06.123
pubmed: 29944999