Mid-term and long-term follow-up of intracranial aneurysms treated by the p64 Flow Modulation Device: a multicenter experience

Francesco Briganti, Giuseppe Leone, Lorenzo Ugga, Mariano Marseglia, Antonio Macera, Andrea Manto, Luigi Delehaye, Maurizio Resta, Mariachiara Resta, Nicola Burdi, Nunzio Paolo Nuzzi, Ignazio Divenuto, Ferdinando Caranci, Mario Muto, Domenico Solari, Paolo Cappabianca, Francesco Maiuri

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Experience with the endovascular treatment of cerebral aneurysms using the p64 Flow Modulation Device is still limited. This study discusses the results and complications of this new flow diverter device.

METHODS: 40 patients (30 women, 10 men) with 50 cerebral aneurysms treated in six Italian neurointerventional centers with the p64 Flow Modulation Device between April 2013 and September 2015 were retrospectively reviewed.

RESULTS: Complete occlusion was obtained in 44/50 aneurysms (88%) and partial occlusion in 3 (6%). In the other three aneurysms (6%), two cases of asymptomatic in-stent thrombosis and one intraprocedural occlusion of the parent vessel occurred. Technical complications were observed in eight procedures (16%). Permanent morbidity due to acute in-stent thrombosis and consequent ischemic stroke occurred in one patient (2.5%). No delayed aneurysm rupture, subarachnoid or intraparenchymal hemorrhage, or ischemic complications occurred and there were no deaths.

CONCLUSIONS: Endovascular treatment with the p64 Flow Modulation Device is a safe treatment for unruptured cerebral aneurysms, resulting in a high rate of occlusion. As with other flow diverter devices, we recommend this treatment mainly for large-necked aneurysms of the internal carotid artery siphon. However, endovascular treatment with the p64 device should also be encouraged in difficult cases such as aneurysms of the posterior circulation and beyond the circle of Willis.

Original languageEnglish
Pages (from-to)70-76
Number of pages7
JournalJournal of NeuroInterventional Surgery
Volume9
Issue number1
DOIs
Publication statusPublished - Jan 2017

Keywords

  • Adult
  • Aged
  • Carotid Artery, Internal
  • Cerebral Angiography
  • Embolization, Therapeutic
  • Endovascular Procedures
  • Female
  • Follow-Up Studies
  • Humans
  • Intracranial Aneurysm
  • Male
  • Middle Aged
  • Retrospective Studies
  • Stents
  • Stroke
  • Time Factors
  • Treatment Outcome
  • Journal Article
  • Multicenter Study

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  • Cite this

    Briganti, F., Leone, G., Ugga, L., Marseglia, M., Macera, A., Manto, A., Delehaye, L., Resta, M., Resta, M., Burdi, N., Nuzzi, N. P., Divenuto, I., Caranci, F., Muto, M., Solari, D., Cappabianca, P., & Maiuri, F. (2017). Mid-term and long-term follow-up of intracranial aneurysms treated by the p64 Flow Modulation Device: a multicenter experience. Journal of NeuroInterventional Surgery, 9(1), 70-76. https://doi.org/10.1136/neurintsurg-2016-012502