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Zhu Y, Tan H, Wu Z, Li T, Ma L, Liu J, Zhang H, Gu Y, Li T, Guan S, Xie X, Jiang C, Zhao Z, Duan C, Wan J, Zhang X, Feng W, He X, Shi H, Wang Q, Lin D, Li Q, Jiang W, Mao G, Zhong S, Chen E, Shi H, Ren S, Wang D, Liu Y, Liu Z, Wu J, Wang F, Hu X, Wang J, Zhang F, Cao W, Yang D, Zhang Q, Wang L, Gu B, Cheng G, Zhang Y, Fang C, Li M. Use of covered stents to treat complex cerebrovascular diseases: Expert consensus. Front Cardiovasc Med 2022; 9:934496. [PMID: 36186960 PMCID: PMC9524574 DOI: 10.3389/fcvm.2022.934496] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Accepted: 08/22/2022] [Indexed: 11/26/2022] Open
Abstract
The treatment of complex cerebrovascular diseases (CCVDs) at the skull base, such as complex intracranial aneurysms, carotid-cavernous sinus fistulas, and intracranial artery traumatic injuries, is a difficult clinical problem despite advances in endovascular and surgical therapies. Covered stents or stent graft insertion is a new concept for endovascular treatment that focuses on arterial wall defect reconstruction, differing from endovascular lesion embolization or flow diverter therapies. In recent years, covered stents specifically designed for cerebrovascular treatment have been applied in the clinical setting, allowing thousands of patients with CCVDs to undergo intraluminal reconstruction treatment and achieving positive results, even in the era of flow diverters. Since there is no unified reference standard for the application of covered stents for treating CCVDs, it is necessary to further standardize and guide the clinical application of this technique. Thus, we organized authoritative experts in the field of neurointervention in China to write an expert consensus, which aims to summarize the results of covered stent insertion in the treatment of CCVDs and propose suitable standards for its application in the clinical setting. Based on the contents of this consensus, clinicians can use individualized intraluminal reconstruction treatment techniques for patients with CCVDs.
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Affiliation(s)
- Yueqi Zhu
- Department of Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
- Chun Fang
| | - Huaqiao Tan
- Department of Interventional Radiology, Tongji Hospital Affiliated of Tongji University, Shanghai, China
| | - Zhongxue Wu
- Department of Neurointervention Center, Beijing Tiantan Hospital Affiliated of Capital Medical University, Beijing, China
| | - Tielin Li
- Department of Neurosurgery, Zhujiang Hospital Affiliated of Southern Medical University, Guangzhou, China
| | - Lianting Ma
- Department of Neurosurgery, General Hospital of PLA Central Theater Command Neurosurgical Institute of PLA, Wuhan, China
| | - Jianmin Liu
- Neurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China
| | - Hongqi Zhang
- Department of Neurosurgery, Beijing Xuanwu Hospital Affiliated of Capital Medical University, Beijing, China
| | - Yuxiang Gu
- Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China
| | - Tianxiao Li
- Department of Interventional Radiology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, China
| | - Sheng Guan
- Department of Neuro-Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Xiaodong Xie
- Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, China
| | - Chuhan Jiang
- Department of Neurointervention Center, Beijing Tiantan Hospital Affiliated of Capital Medical University, Beijing, China
| | - Zhenwei Zhao
- Department of Neurosurgery, The Second Affiliated Hospital of Xian Medical College, Tangdu Hospital, Xi'an, China
| | - Chuanzhi Duan
- Department of Neurosurgery, Zhujiang Hospital Affiliated of Southern Medical University, Guangzhou, China
| | - Jieqing Wan
- Department of Neurosurgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xiaolong Zhang
- Department of Interventional Radiology, Huashan Hospital, Fudan University, Shanghai, China
| | - Wenfeng Feng
- Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, China
| | - Xuying He
- Department of Neurosurgery, Zhujiang Hospital Affiliated of Southern Medical University, Guangzhou, China
| | - Haibin Shi
- Department of Interventional Radiology, Jiangsu Province Hospital, Nanjing, China
| | - Qiujing Wang
- Department of Cerebrovascular Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - Dong Lin
- Department of Neurosurgery, Rui Jin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Qiuping Li
- Department of Neurosurgery, Zhongshan Hospital, Fudan University (Xiamen Branch), Xiamen, China
| | - Weixi Jiang
- Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China
| | - Guohua Mao
- Department of Neurosurgery, The Second Affiliated Hospital of Nanchang University, Nanchang, China
| | - Shu Zhong
- Department of Neurosurgery, Guangxi Academy of Medical Science, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China
| | - E. Chen
- Department of Neurosurgery, Zhongshan Hospital, Xiamen University, Xiamen, China
| | - Huaizhang Shi
- Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Shaohua Ren
- Department of Neurosurgery, Shanxi Provincial People's Hospital,Taiyuan, China
| | - Donghai Wang
- Department of Neurosurgery, Qilu Hospital of Shangdong University, Jinan, China
| | - Yizhi Liu
- Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Zengpin Liu
- Department of Neurology, The Second Hospital of Hebei Medical University, Shijiazhuang, China
| | - Jianliang Wu
- Department of Neurosurgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China
| | - Feng Wang
- Department of Interventional Radiology, The First Hospital Affiliated Dalian Medical University, Dalian, China
| | - Xuebin Hu
- Department of Neurosurgery, Wuhan Union Hospital, Tongji Medical College, Huazhong University of Sciences and Technology, Wuhan, China
| | - Jun Wang
- Department of Neurology, The First Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Fan Zhang
- Department of Neurointerventional Radiology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou, China
| | - Wenfeng Cao
- Department of Neurology, People's Hospital of Jiangxi Province, Nanchang, China
| | - Donghong Yang
- Department of Neurosurgery, Daping Hospital, Third Military Medical University, Chongqing, China
| | - Qingrong Zhang
- Department of Neurosurgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China
| | - Lei Wang
- Department of Neurosurgery, Yichang Central People's Hospital, The First College of Clinical Medical Science, China Three Gorges University, Yichang, China
| | - Binxian Gu
- Department of Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
| | - Guangsen Cheng
- Cerebrovascular Diseases Department, Zhuhai Hospital Affiliated With Jinan University, Zhuhai, China
| | - Yongcheng Zhang
- Department of Neurology, Affiliated Hospital of Jinggangshan University, Ji'an, China
| | - Chun Fang
- Department of Interventional Radiology, Tongji Hospital Affiliated of Tongji University, Shanghai, China
- Chun Fang
| | - Minghua Li
- Department of Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
- *Correspondence: Minghua Li
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