The FRESH study: treatment of intracranial aneurysms with the new FRED X flow diverter with antithrombotic surface treatment technology - first multicenter experience in 161 patients
BACKGROUND AND PURPOSE: Flow diverters with antithrombotic coatings are increasingly used to improve the safety of flow diverter treatments of intracranial aneurysms. This study aimed to investigate the safety and short-term efficacy of the new FRED X flow diverter. - MATERIALS AND METHODS: Medical...
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| Hauptverfasser: | , , , , , , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
April 10, 2023
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| In: |
American journal of neuroradiology
Year: 2023, Jahrgang: 44, Heft: 4, Pages: 474-480 |
| ISSN: | 1936-959X |
| DOI: | 10.3174/ajnr.A7834 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.3174/ajnr.A7834 Verlag, lizenzpflichtig, Volltext: https://www.ajnr.org/content/44/4/474 |
| Verfasserangaben: | D.F. Vollherbst, H. Lücking, J. DuPlessis, M. Sonnberger, C. Maurer, N. Kocer, M. Killer-Oberpfalzer, R. Rautio, L. Valvassori, A. Berlis, S. Gasser, S. Gatt, A. Dörfler, M. Bendszus, and M.A. Möhlenbruch |
MARC
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| 245 | 1 | 4 | |a The FRESH study |b treatment of intracranial aneurysms with the new FRED X flow diverter with antithrombotic surface treatment technology - first multicenter experience in 161 patients |c D.F. Vollherbst, H. Lücking, J. DuPlessis, M. Sonnberger, C. Maurer, N. Kocer, M. Killer-Oberpfalzer, R. Rautio, L. Valvassori, A. Berlis, S. Gasser, S. Gatt, A. Dörfler, M. Bendszus, and M.A. Möhlenbruch |
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| 520 | |a BACKGROUND AND PURPOSE: Flow diverters with antithrombotic coatings are increasingly used to improve the safety of flow diverter treatments of intracranial aneurysms. This study aimed to investigate the safety and short-term efficacy of the new FRED X flow diverter. - MATERIALS AND METHODS: Medical charts and procedural and imaging data of a consecutive series of patients with intracranial aneurysms who were treated with the FRED X at 9 international neurovascular centers were retrospectively analyzed. - RESULTS: One hundred sixty-one patients (77.6% women; mean age, 55 years) with 184 aneurysms (11.2% acutely ruptured) were included in this study. Most aneurysms were located in the anterior circulation (77.0%), most frequently at the ICA (72.7%). The FRED X was successfully implanted in all procedures. Additional coiling was performed in 29.8%. In-stent balloon angioplasty was necessary in 2.5%. The rate of major adverse events was 3.1%. Thrombotic events occurred in 7 patients (4.3%) with 4 intra- and 4 postprocedural in-stent thromboses, respectively (1 patient had both peri- and postprocedural thrombosis). Of these thrombotic events, only 2 (1.2%) led to major adverse events (ischemic strokes). Postinterventional neurologic morbidity and mortality were observed in 1.9% and 1.2%, respectively. The rate of complete aneurysm occlusion after a mean follow-up of 7.0 months was 66.0%. - CONCLUSIONS: The new FRED X is a safe and feasible device for aneurysm treatment. In this retrospective multicenter study, the rate of thrombotic complications was low, and the short-term occlusion rates are satisfactory. | ||
| 700 | 1 | |a Lücking, H. |e VerfasserIn |4 aut | |
| 700 | 1 | |a DuPlessis, J. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Sonnberger, M. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Maurer, C. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Kocer, N. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Killer-Oberpfalzer, M. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Rautio, R. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Valvassori, L. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Berlis, A. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Gasser, S. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Gatt, S. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Dörfler, A. |e VerfasserIn |4 aut | |
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