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3. Abstract Number: LBA5 Predictors of Occlusion After Flow Diversion of Internal Carotid Artery Aneurysms: A Pooled Analysis

Author

Vivanco‐Suarez, Juan, primary, Farooqui, Mudassir, additional, Singer, Justin A, additional, Rodriguez‐Calienes, Aaron, additional, Bekelis, Kimon, additional, Javeed, Kainaat, additional, Altschul, David J, additional, Fif, Johanna T, additional, Matsoukas, Stavros, additional, Cooper, Jared, additional, Al‐Mufti, Fawaz, additional, Gross, Bradley, additional, Jankowicz, Brian, additional, Kan, Peter T, additional, Hafeez, Muhammad, additional, Orru, Emanuele, additional, Malaga, Marco, additional, Galecio‐Castillo, Milagros, additional, Zevallos, Cynthia B, additional, Wakhloo, Ajay K, additional, and Oretega‐Gutierrez, Santiago, additional

Published
2023
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4. Safety and efficacy of the surpass streamline for intracranial aneurysms (SESSIA): A multi-center US experience pooled analysis.

Author

Vivanco-Suarez, Juan, Mendez-Ruiz, Alan, Farooqui, Mudassir, Bekelis, Kimon, Singer, Justin A, Javed, Kainaat, Altschul, David J, Fifi, Johanna T, Matsoukas, Stavros, Cooper, Jared, Al-Mufti, Fawaz, Gross, Bradley, Jankowitz, Brian, Kan, Peter T, Hafeez, Muhammad, Orru, Emanuele, Dajles, Andres, Galecio-Castillo, Milagros, Zevallos, Cynthia B, and Wakhloo, Ajay K

Subjects
CHROMIUM alloys, ISCHEMIC stroke, INTRACRANIAL arterial diseases, URINARY diversion, ANEURYSMS, INTRACRANIAL aneurysms, HYPERTENSION, SUBARACHNOID hemorrhage
Abstract

Background and purpose: Flow diversion has established as standard treatment for intracranial aneurysms, the Surpass Streamline is the only FDA-approved braided cobalt/chromium alloy implant with 72-96 wires. We aimed to determine the safety and efficacy of the Surpass in a post-marketing large United States cohort. Materials and methods: This is a retrospective multicenter study of consecutive patients treated with the Surpass for intracranial aneurysms between 2018 and 2021. Baseline demographics, comorbidities, and aneurysm characteristics were collected. Efficacy endpoint included aneurysm occlusion on radiographic follow-up. Safety endpoints were major ipsilateral ischemic stroke or treatment-related death. Results: A total of 277 patients with 314 aneurysms were included. Median age was 60 years, 202 (73%) patients were females. Hypertension was the most common comorbidity in 156 (56%) patients. The most common location of the aneurysms was the anterior circulation in 89% (279/314). Mean aneurysm dome width was 5.77 ± 4.75 mm, neck width was 4.22 ± 3.83 mm, and dome/neck ratio was 1.63 ± 1.26. Small-sized aneurysms were 185 (59%). Single device was used in 94% of the patients, mean number of devices per patient was 1.06. At final follow-up, complete obliteration rate was 81% (194/239). Major stroke and death were encountered in 7 (3%) and 6 (2%) cases, respectively. Conclusion: This is the largest cohort study using a 72–96 wire flow diverter. The Surpass Streamline demonstrated a favorable safety and efficacy profile, making it a valuable option for treating not only large but also wide-necked small and medium-sized intracranial aneurysms. [ABSTRACT FROM AUTHOR]

Published
2023
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5. Safety and efficacy of the surpass streamline for intracranial aneurysms (SESSIA): A multi-center US experience pooled analysis

Author

Vivanco-Suarez, Juan, primary, Mendez-Ruiz, Alan, additional, Farooqui, Mudassir, additional, Bekelis, Kimon, additional, Singer, Justin A, additional, Javed, Kainaat, additional, Altschul, David J, additional, Fifi, Johanna T, additional, Matsoukas, Stavros, additional, Cooper, Jared, additional, Al-Mufti, Fawaz, additional, Gross, Bradley, additional, Jankowitz, Brian, additional, Kan, Peter T, additional, Hafeez, Muhammad, additional, Orru, Emanuele, additional, Dajles, Andres, additional, Galecio-Castillo, Milagros, additional, Zevallos, Cynthia B, additional, Wakhloo, Ajay K, additional, and Ortega-Gutierrez, Santiago, additional

Published
2022
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7. sj-docx-1-ine-10.1177_15910199221118148 - Supplemental material for Safety and efficacy of the surpass streamline for intracranial aneurysms (SESSIA): A multi-center US experience pooled analysis

Author

Vivanco-Suarez, Juan, Mendez-Ruiz, Alan, Farooqui, Mudassir, Bekelis, Kimon, Singer, Justin A, Javed, Kainaat, Altschul, David J, Fifi, Johanna T, Matsoukas, Stavros, Cooper, Jared, Al-Mufti, Fawaz, Gross, Bradley, Jankowitz, Brian, Kan, Peter T, Hafeez, Muhammad, Orru, Emanuele, Dajles, Andres, Galecio-Castillo, Milagros, Zevallos, Cynthia B, Wakhloo, Ajay K, and Ortega-Gutierrez, Santiago

Subjects
FOS: Clinical medicine, 110904 Neurology and Neuromuscular Diseases, Neuroscience
Abstract

Supplemental material, sj-docx-1-ine-10.1177_15910199221118148 for Safety and efficacy of the surpass streamline for intracranial aneurysms (SESSIA): A multi-center US experience pooled analysis by Juan Vivanco-Suarez, Alan Mendez-Ruiz, Mudassir Farooqui, Kimon Bekelis, Justin A Singer, Kainaat Javed, David J Altschul, Johanna T Fifi, Stavros Matsoukas, Jared Cooper, Fawaz Al-Mufti, Bradley Gross, Brian Jankowitz, Peter T Kan, Muhammad Hafeez, Emanuele Orru, Andres Dajles, Milagros Galecio-Castillo, Cynthia B Zevallos, Ajay K Wakhloo and Santiago Ortega-Gutierrez in Interventional Neuroradiology

Published
2022
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9. Abstract 1122‐000142: Safety and Efficacy of Surpass Streamline for Intracranial Aneurysms: A Multicenter US Real‐World Experience (SESSIA)

Author

Vivanco‐Suarez, Juan, primary, Mendez‐Ruiz, Alan, additional, Mudassir, Farooqui, additional, Zevallos, Cynthia B, additional, Galecio‐Castillo, Milagros, additional, Bekelis, Kimon, additional, Singer, Justin A, additional, Altschul, David J, additional, Fifi, Johanna, additional, Al‐Mufti, Fawaz, additional, Gross, Bradley, additional, Jankowitz, Brian, additional, Kan, Peter T, additional, Rabinovich, Rita, additional, Newman, Sarah, additional, Orru, Emanuele, additional, Wakhloo, Ajay, additional, and Ortega‐Gutierrez, Santiago, additional

Published
2021
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13. Bilateral and symmetric isolated dorsospinal arteries with prominent anterior radiculomedullary contribution.

Author

Orru' E and Gailloud P

Subjects
Adolescent, Arteriovenous Fistula physiopathology, Arteriovenous Fistula surgery, Central Nervous System Vascular Malformations physiopathology, Central Nervous System Vascular Malformations surgery, Female, Humans, Incidental Findings, Laminectomy, Recovery of Function, Treatment Outcome, Angiography, Arteriovenous Fistula diagnostic imaging, Central Nervous System Vascular Malformations diagnostic imaging, Spinal Cord blood supply, Vertebral Artery abnormalities
Abstract

We present the case of a 15-year-old girl with a left T7 spinal epidural arteriovenous fistula (SEAVF), in whom bilateral and symmetric isolated T9 dorsospinal arteries (DAs) were incidentally documented, each providing a significant contribution to the anterior spinal artery. Recognizing the existence of isolated DAs of direct aortic origin is critical, both for the diagnostic evaluation and for the management of spinal vascular diseases. Notably, isolated DAs tend to branch off significant radiculomedullary arteries, which vascularize the normal spinal cord but have also been shown to supply spinal vascular malformations., (2016 BMJ Publishing Group Ltd.)

Published
2016
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