PMID- 35238673
OWN - NLM
STAT- MEDLINE
DCOM- 20230612
LR  - 20230728
IS  - 2385-2011 (Electronic)
IS  - 1591-0199 (Print)
IS  - 1591-0199 (Linking)
VI  - 29
IP  - 3
DP  - 2023 Jun
TI  - Predisposing factors for the deformation of parent artery of anterior circulation 
      saccular aneurysm after stent-assisted embolization: A retrospective cohort 
      study.
PG  - 243-250
LID - 10.1177/15910199221084797 [doi]
AB  - BACKGROUND: It has been previously reported in several studies that deformation 
      of parent artery (DPA) occurs after stent-assisted coil embolization (SACE) for 
      intracranial aneurysms (IAs). OBJECTIVE: To investigate the predisposing factors 
      of stent-induced DPA, as well as its effect on the follow-up of aneurysm 
      embolization. METHODS: Clinical and imaging data were collected from 198 patients 
      (201 aneurysms). Angles of the stent-covered parental artery were measured before 
      treatment and during follow-up. Cases in which the angle had changed more than 5 
      degrees, were defined as DPA. The related factors of DPA were analyzed. The 
      relation between DPA and follow-up results was also studied. RESULTS: Univariate 
      analysis revealed that sex (p = 0.014), age (p = 0.017), aneurysm location 
      (p < 0.001), stent type (p < 0.001), aneurysm size (p = 0.019), and pretreatment 
      angle (p = 0.002) correlated with DPA. On the other hand, multivariate analysis 
      revealed that aneurysms located in the anterior communicating artery (ACOA) 
      (OR = 4.559, p = 0.013) and middle cerebral artery (MCA) (OR = 9.474, p < 0.001) 
      were independent predisposing factors for DPA after stent implantation, whereas a 
      braided stent (OR = 0.221, p = 0.030), flow diverter (FD) device (OR = 0.100, 
      p = 0.028) were negative factors to develop DPA. The complete occlusion rate in 
      the DPA group was higher (p = 0.035) than in the non-DPA group. CONCLUSIONS: 
      Aneurysms located in ACOA and MCA are more prone to DPA after SACE than aneurysms 
      at other locations in the anterior circulation, braided stents and FD devices do 
      not predispose to induce vascular deformation. DPA may be beneficial for the 
      long-term cure of IAs after SACE.
FAU - Lu, Yuzhao
AU  - Lu Y
AUID- ORCID: 0000-0003-0291-5573
AD  - Department of Neurosurgery, First affiliated Hospital of Nanchang University, 
      Nanchang University, Nanchang, China. RINGGOLD: 117970
FAU - Ding, Cong
AU  - Ding C
AD  - Department of Neurosurgery, First affiliated Hospital of Nanchang University, 
      Nanchang University, Nanchang, China. RINGGOLD: 117970
FAU - Tan, Song
AU  - Tan S
AD  - Department of Neurosurgery, First affiliated Hospital of Nanchang University, 
      Nanchang University, Nanchang, China. RINGGOLD: 117970
FAU - Zhou, Xiaobing
AU  - Zhou X
AD  - Department of Neurosurgery, First affiliated Hospital of Nanchang University, 
      Nanchang University, Nanchang, China. RINGGOLD: 117970
FAU - Wang, Yang
AU  - Wang Y
AD  - Department of Neurosurgery, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing, China. RINGGOLD: 74639
LA  - eng
PT  - Journal Article
DEP - 20220303
PL  - United States
TA  - Interv Neuroradiol
JT  - Interventional neuroradiology : journal of peritherapeutic neuroradiology, 
      surgical procedures and related neurosciences
JID - 9602695
SB  - IM
MH  - Humans
MH  - *Intracranial Aneurysm/therapy/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Stents
MH  - Middle Cerebral Artery
MH  - *Embolization, Therapeutic/methods
MH  - Causality
MH  - Follow-Up Studies
PMC - PMC10369118
OTO - NOTNLM
OT  - Anterior circulation saccular aneurysm
OT  - deformation of the parent artery
OT  - follow up
OT  - stent
COIS- The author(s) declared no potential conflicts of interest with respect to the 
      research, authorship, and/or publication of this article.
EDAT- 2022/03/04 06:00
MHDA- 2023/06/12 06:42
PMCR- 2024/06/01
CRDT- 2022/03/03 12:16
PHST- 2024/06/01 00:00 [pmc-release]
PHST- 2023/06/12 06:42 [medline]
PHST- 2022/03/04 06:00 [pubmed]
PHST- 2022/03/03 12:16 [entrez]
AID - 10.1177_15910199221084797 [pii]
AID - 10.1177/15910199221084797 [doi]
PST - ppublish
SO  - Interv Neuroradiol. 2023 Jun;29(3):243-250. doi: 10.1177/15910199221084797. Epub 
      2022 Mar 3.