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Diagnostic reliability of the Berlin classification for complex MCA aneurysms-usability in a series of only giant aneurysms.
Wessels, Lars; Fekonja, Lucius Samo; Achberger, Johannes; Dengler, Julius; Czabanka, Marcus; Hecht, Nils; Schneider, Ulf; Tkatschenko, Dimitri; Schebesch, Karl-Michael; Schmidt, Nils Ole; Mielke, Dorothee; Hosch, Henning; Ganslandt, Oliver; Gräwe, Alexander; Hong, Bujung; Walter, Jan; Güresir, Erdem; Bijlenga, Philippe; Haemmerli, Julien; Maldaner, Nicolai; Marbacher, Serge; Nurminen, Ville; Zitek, Hynek; Dammers, Ruben; Kato, Naoki; Linfante, Italo; Pedro, Maria-Teresa; Wrede, Karsten; Wang, Wei-Te; Wostrack, Maria; Vajkoczy, Peter.
Afiliación
  • Wessels L; Department of Neurosurgery and Center for Stroke Research Berlin (CSB), Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
  • Fekonja LS; Department of Neurosurgery and Center for Stroke Research Berlin (CSB), Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
  • Achberger J; Department of Neurosurgery and Center for Stroke Research Berlin (CSB), Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
  • Dengler J; Department of Neurosurgery and Center for Stroke Research Berlin (CSB), Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
  • Czabanka M; Department of Neurosurgery, Helios Clinic, Bad Saarow, Germany.
  • Hecht N; Brandenburg Medical School Theodor Fontane, Campus Bad Saarow, Germany.
  • Schneider U; Department of Neurosurgery and Center for Stroke Research Berlin (CSB), Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
  • Tkatschenko D; Department of Neurosurgery and Center for Stroke Research Berlin (CSB), Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
  • Schebesch KM; Department of Neurosurgery and Center for Stroke Research Berlin (CSB), Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
  • Schmidt NO; Department of Neurosurgery and Center for Stroke Research Berlin (CSB), Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
  • Mielke D; Department of Neurosurgery, University of Regensburg, Regensburg, Germany.
  • Hosch H; Department of Neurosurgery, University of Regensburg, Regensburg, Germany.
  • Ganslandt O; Department of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Gräwe A; Department of Neurosurgery, Georg-August-University Goettingen, Göttingen, Germany.
  • Hong B; Department of Neurosurgery, Vivantes Klinikum im Friedrichshain, Berlin, Germany.
  • Walter J; Department of Neurosurgery, Klinikum Stuttgart, Germany.
  • Güresir E; Department of Neurosurgery, Unfallkrankenhaus Berlin, Germany.
  • Bijlenga P; Department of Neurosurgery, Hannover Medical School, Hannover, Germany.
  • Haemmerli J; Department of Neurosurgery, University Hospital Jena, Jena, Germany.
  • Maldaner N; Department of Neurosurgery, Medical Center Saarbrücken, Saarbrücken, Germany.
  • Marbacher S; Department of Neurosurgery, University Hospital Bonn, Bonn, Germany.
  • Nurminen V; Service de Neurochirurgie, Faculté de Médecine de Genève and Hôpitaux Universitaire de Genève, Geneva, Switzerland.
  • Zitek H; Department of Neurosurgery and Center for Stroke Research Berlin (CSB), Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
  • Dammers R; Service de Neurochirurgie, Faculté de Médecine de Genève and Hôpitaux Universitaire de Genève, Geneva, Switzerland.
  • Kato N; Department of Neurosurgery, University Hospital of Zurich, Zürich, Switzerland.
  • Linfante I; Department of Neurosurgery, Kantonsspital Aarau, Aarau, Switzerland.
  • Pedro MT; Neurosurgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
  • Wrede K; Department of Neurosurgery, J. E. Purkinje University, Masaryk Hospital, Ústí nad Labem, Czech Republic.
  • Wang WT; Erasmus Stroke Center, Erasmus MC University Hospital, Rotterdam, The Netherlands.
  • Wostrack M; Department of Neurosurgery, Jikei University School of Medicine, Tokyo, Japan.
  • Vajkoczy P; Interventional Neuroradiology and Endovascular Neurosurgery at Miami Cardiac and Vascular Institute and Baptist Neuroscience Institute, Miami, USA.
Acta Neurochir (Wien) ; 162(11): 2753-2758, 2020 11.
Article en En | MEDLINE | ID: mdl-32929543
BACKGROUND AND OBJECTIVE: The main challenge of bypass surgery of complex MCA aneurysms is not the selection of the bypass type but the initial decision-making of how to exclude the affected vessel segment from circulation. To this end, we have previously proposed a classification for complex MCA aneurysms based on the preoperative angiography. The current study aimed to validate this new classification and assess its diagnostic reliability using the giant aneurysm registry as an independent data set. METHODS: We reviewed the pretreatment neuroimaging of 51 patients with giant (> 2.5 cm) MCA aneurysms from 18 centers, prospectively entered into the international giant aneurysm registry. We classified the aneurysms according to our previously proposed Berlin classification for complex MCA aneurysms. To test for interrater diagnostic reliability, the data set was reviewed by four independent observers. RESULTS: We were able to classify all 51 aneurysms according to the Berlin classification for complex MCA aneurysms. Eight percent of the aneurysm were classified as type 1a, 14% as type 1b, 14% as type 2a, 24% as type 2b, 33% as type 2c, and 8% as type 3. The interrater reliability was moderate with Fleiss's Kappa of 0.419. CONCLUSION: The recently published Berlin classification for complex MCA aneurysms showed diagnostic reliability, independent of the observer when applied to the MCA aneurysms of the international giant aneurysm registry.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Angiografía Cerebral / Aneurisma Intracraneal / Revascularización Cerebral / Arteria Cerebral Media / Neuroimagen Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Acta Neurochir (Wien) Año: 2020 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Austria
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Angiografía Cerebral / Aneurisma Intracraneal / Revascularización Cerebral / Arteria Cerebral Media / Neuroimagen Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Acta Neurochir (Wien) Año: 2020 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Austria