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フナツ タカユキ
FUNATSU Takayuki
船津 尭之 所属 医学部 医学科（東京女子医科大学病院） 職種 助教 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | PulseRider-Assisted Coil Embolization for Treatment of Intracranial Bifurcation Aneurysms: A Single-Center Case Series with 24-Month Follow-up. |
| 掲載誌名 | 正式名：World neurosurgery 略 称：World Neurosurg ISSNコード：18788769/18788750 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 128,pp.e461-e467 |
| 著者・共著者 | Sakai Nobuyuki, Imamura Hirotoshi, Arimura Koichi, Funatsu Takayuki, Beppu Mikiya, Suzuki Keita, Adachi Hiromasa, Okuda Tomohiro, Matsui Yuichi, Kawabata Shuhei, Akiyama Ryo, Horiuchi Kazufumi, Tani Shoichi, Adachi Hidemitsu, Sakai Chiaki, Kaneko Naoki, Tateshima Satoshi |
| 発行年月 | 2019/08 |
| 概要 | BACKGROUND:Although endovascular coiling of unruptured aneurysms is widely accepted, the endovascular treatment of wide-neck bifurcation aneurysms remains one of the most challenging morphologies. Our purpose was to describe our experience with 24-month follow-up for the treatment of unruptured intracranial bifurcation aneurysms using the PulseRider (Cerenovus, New Brunswick, NJ).METHODS:This study is a single-center, single-arm registry performed under institutional review board control to evaluate efficacy and safety of the PulseRider. Patients with bifurcation aneurysms were identified and enrolled prospectively. Angiography immediately after treatment and at 6 months, and magnetic resonance imaging and magnetic resonance angiography at 12- and 24-month follow-up were retrospectively analyzed. A modified Rankin score was obtained prior to procedure, at discharge, and at 6-, 12- and 24-month follow-up visits.RESULTS:Eight patients with a mean age of 66 years were treated with the PulseRider. All patients had bifurcation aneurysms (2 anterior communicating, 2 carotid terminus, and 4 basilar apex). The aneurysm diameters ranged from 4.6 to 13.6 mm (mean 7.4 mm) with dome/neck ratio ranging from 1.4 to 2.2 (mean 1.6). In all cases, the PulseRider was successfully deployed. Complete occlusion was demonstrated at 6-month follow-up on 6 of 8 (75%), near complete occlusion in 1 of 8 (12.5%), and residual aneurysm in 1 of 8 (12.5%) patients. There was no change or recurrence on magnetic resonance angiography, nor clinical complication after the procedure through 24-month follow-up.CONCLUSIONS:Our experience with 24-month follow-up demonstrated favorable efficacy in the treatment of intracranial wide-neck bifurcation aneurysms using the PulseRider. |
| DOI | 10.1016/j.wneu.2019.04.177 |
| PMID | 31042599 |