Intimal thickening after placement of a neuroform stent

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dc.contributor.author Lee, D.H.
dc.contributor.author Arat, A.
dc.contributor.author Mosri, H.
dc.contributor.author Diaz, O.
dc.contributor.author Jou, L.-D.
dc.contributor.author Mawad, M.E.
dc.date.accessioned 2019-07-10T10:56:35Z
dc.date.available 2019-07-10T10:56:35Z
dc.date.copyright 2007 en_US
dc.identifier.issn 2385-2011 en_US
dc.identifier.uri http://hdl.handle.net/10725/11029
dc.description.abstract Little attention has been given to the intimal thickening of the parent artery associated with the use of Neuroform stent. The purposes of this study were are to analyze quantifyanalyze the incidence of the parent artery intimal thickening the incidence and pattern of luminal changes, to to see somedetermine possible predictors of the phenomenonof the intimal thickening, to to evaluate the its effectthe phenomenonrestenosis on the aneurysm treatment results. We reviewed the initial and six-month follow-up angiographic images in 32 intracranial aneurysm patients treated with Neuroform stent and coilsin wide-necked aneurysm treatment. The initial embolization results were evaluated by the Raymond and Roy classification. The angiographic changes from immediate post-embolization to the six-month follow-up were classified as ‘improved’, ‘unchanged’ and ‘worse’. The occurrencerates of parent artery intimal thickening was observed. Any perceivable change in the stented segment of the parent artery was considered as ‘intimal thickening’ and any change of ≥50% as ‘significant thickening’. Fisher exact tests and logistic regression analysis were applied to determine the relation between the occurrence of the intimal thickening and several variables. The incidence of the intimal thickening was 18.8% (6/32) and of significant thickening, 3.1% (1/32). The change in angiographic occlusion of the aneurysm was ‘improved’ in 40.6% (13/32), ‘unchanged’ in 37.5% (12/32), and ‘worse’ in 21.9% (7/32). Among the variables, patient's age (≥55) and follow-up angiographic results (‘improved’) correlated with the occurrence of the intimal thickening. Of notable finding was all six cases with intimal thickening of the parent artery were associated with ‘improved’ in their follow-up angiographic result. Neuroform-associated intimal thickening usually occurs in younger patients and is frequently associated with improved angiographic result of the aneurysm embolization on follow-up. en_US
dc.language.iso en en_US
dc.title Intimal thickening after placement of a neuroform stent en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle its incidence and relation to angiographic follow-up results of aneurysm embolization en_US
dc.author.school SOM en_US
dc.author.idnumber 201700518 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Interventional Neuroradiology en_US
dc.journal.volume 13 en_US
dc.journal.issue 3 en_US
dc.article.pages 239-246 en_US
dc.keywords Cerebral aneurysms en_US
dc.keywords Coil embolization en_US
dc.keywords Stent-assisted coiling en_US
dc.keywords Stent-related stenosis en_US
dc.identifier.doi https://doi.org/10.1177/159101990701300303 en_US
dc.identifier.ctation Lee, D. H., Arat, A., Morsi, H., Diaz, O., Jou, L. D., & Mawad, M. E. (2007). Intimal Thickening after Placement of a Neuroform Stent: Its Incidence and Relation to Angiographic Follow-up Results of Aneurysm Embolization. Interventional Neuroradiology, 13(3), 239-246. en_US
dc.author.email michel.mawad@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://journals.sagepub.com/doi/abs/10.1177/159101990701300303 en_US
dc.author.affiliation Lebanese American University en_US

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