Optimizing Patient Care : A Multicentric Study on the Clinical Impact of Sim&Size™ Simulation Software in Intracranial Aneurysm Treatment With Pipeline Embolization Devices

Copyright © 2024 Elsevier Inc. All rights reserved..

BACKGROUND: To determine the clinical effects (stent size, and number of stents used) of the Sim&Size™ simulation software on the endovascular treatment of unruptured saccular intracranial aneurysms with Pipeline Embolization Devices (PED).

METHODS: This study is a retrospective analytical multicenter study of patients treated with PED (Flex and Flex with SHIELD) for intracranial aneurysm in FOSCAL clinic and CHU de Montpellier.

RESULTS: The study included 253 patients, of which 75 were treated in Colombia and 178 were treated in France. The majority of patients were women (83.8%), with a median age of 57.48 years, and had large vessel location (88.1%), with most aneurysms located in the ICA paraclinoid segment (56.8%). Patients in the group with Sim&Size™ simulation had shorter stents than those without simulation (15.62 mm versus 17.36 mm, P-value = 0.001). Also, a lower proportion of these patients required more than one stent (1.4% versus 7.3%, P-value = 0.022). There were 7 complications reported in the group that used the Sim&Size™ simulation software, compared to 9 complications in the group that did not use the software.

CONCLUSIONS: Using Sim&Size™ simulation software for endovascular treatment of patients with intracranial aneurysms using PED reduces the stent length and decreasing the number of devices needed per treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

World neurosurgery - (2024) vom: 18. März

Sprache:

Englisch

Beteiligte Personen:

Mantilla, Daniel [VerfasserIn]
D Vera, Daniela [VerfasserIn]
Ortiz, Andrés Felipe [VerfasserIn]
Piergallini, Lorenzo [VerfasserIn]
Lara, Juan José [VerfasserIn]
Nicoud, Franck [VerfasserIn]
Vargas, Oliverio [VerfasserIn]
Costalat, Vincent [VerfasserIn]

Links:

Volltext

Themen:

Artificial Intelligence
Computer simulation
Endovascular procedures
Intracranial aneurysm
Journal Article

Anmerkungen:

Date Revised 12.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.wneu.2024.03.052

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36997963X