Your browser doesn't support javascript.
loading
Clinical outcomes of first- and second-generation hydrogel coils compared with bare platinum coils: a systematic literature review.
Abi-Aad, Karl R; Rahme, Rudy J; Patra, Devi P; Turcotte, Evelyn L; Richter, Kent R; Merrill, Sarah A; Syal, Arjun; Neville, Matthew R; Hudson, Miles; Garcia, Jose O; Tawk, Rabih G; Chong, Brian W; Krishna, Chandan; Bendok, Bernard R.
Afiliación
  • Abi-Aad KR; Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, AZ, USA.
  • Rahme RJ; Department of Neurosurgery, Mayo Clinic, 5777 E Mayo Blvd, Phoenix, AZ, 85213, USA.
  • Patra DP; Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, AZ, USA.
  • Turcotte EL; Department of Neurosurgery, Mayo Clinic, 5777 E Mayo Blvd, Phoenix, AZ, 85213, USA.
  • Richter KR; Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, AZ, USA.
  • Merrill SA; Department of Neurosurgery, Mayo Clinic, 5777 E Mayo Blvd, Phoenix, AZ, 85213, USA.
  • Syal A; Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, AZ, USA.
  • Neville MR; Department of Neurosurgery, Mayo Clinic, 5777 E Mayo Blvd, Phoenix, AZ, 85213, USA.
  • Hudson M; Mayo Clinic Alix School of Medicine, Scottsdale, AZ, USA.
  • Garcia JO; Mayo Clinic Alix School of Medicine, Scottsdale, AZ, USA.
  • Tawk RG; Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, AZ, USA.
  • Chong BW; Department of Neurosurgery, Mayo Clinic, 5777 E Mayo Blvd, Phoenix, AZ, 85213, USA.
  • Krishna C; Mayo Clinic Kern Center for the Science of Health Care Delivery, Phoenix, AZ, USA.
  • Bendok BR; Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, AZ, USA.
Neurosurg Rev ; 45(3): 1873-1882, 2022 Jun.
Article en En | MEDLINE | ID: mdl-35031898
Endovascular coiling has revolutionized intracranial aneurysm treatment; however, recurrence continues to represent a major limitation. The hydrogel coil was developed to increase packing density and improve neck healing and therefore decrease recurrence rates. In this paper, we review treatment outcomes of first- (1HCs) and second-generation (2HCs) hydrogel coils and compare them to those of bare platinum coils (BPC). A query of multiple databases was performed. Articles with at least 10 aneurysms treated with either 1HC or 2HC were selected for analysis. Collected data included aneurysm size, rupture status, initial occlusion, initial residual neck/aneurysm, packing density, mortality, morbidity, recurrence, and retreatment rates. The primary endpoint was recurrence at final follow-up. Secondary endpoints included residual neck and dome rates as well as procedure-related complications and functional dependence at final follow-up. Studies that compared 1HC to BPC showed significant lower recurrence (24% vs. 30.8%, p = 0.02) and higher packing density (58.5% vs. 24.1%, p < 0.001) in 1HC but no significant difference in initial occlusion rate (p = 0.08). Studies that compared 2HC to BPC showed lower recurrence (6.3% vs. 14.3%, p = 0.007) and retreatment rates (3.4% vs. 7.7%, p = 0.010) as well as higher packing density (36.4% vs. 29.2%, p = 0.002) in 2HC, with similar initial occlusion rate (p = 0.86). The rate of complications was not statistically different between HC (25.5%) and BPC (22.6%, p = 0.06). Based on our review, the 1HC and 2HC achieved higher packing density and lower recurrence rates compared to BPC. The safety profile was similar between both groups.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Intracraneal / Embolización Terapéutica Tipo de estudio: Observational_studies / Prognostic_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Neurosurg Rev Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Intracraneal / Embolización Terapéutica Tipo de estudio: Observational_studies / Prognostic_studies / Systematic_reviews Límite: Humans Idioma: En Revista: Neurosurg Rev Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania