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Ultra-Early “Fishmouth stenosis” and thrombosis of a Surpass Evolve flow diversion device following treatment of multiples right siphon aneurysms

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Abstract

We present a case of ultra-early symptomatic fish-mouth type stenosis (FMTS) of a Surpass Evolve flow diverter stent (SE-FDS) occurring within 24 h after deployment for the treatment of multiple unruptured right siphon aneurysms in a 44-year-old patient. The patient developed left hemiplegia and hemineglect, and was treated with mechanical thrombectomy (MT) and Tirofiban infusion. This is the first report of an ultra-early FMTS with a SE-FDS and its mechanism is discussed in the light of available data in the literature.

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References

  1. Fujita K, Fujii S, Hirai S, Yamaoka H, Ishikawa M, Karakama J et al (2022) P2Y12 reaction units and ischemic and bleeding events after neuro-endovascular treatment. J Stroke Cerebrovasc Dis Off J Natl Stroke Assoc 31(9):106631

    Article  Google Scholar 

  2. Chancellor B, Raz E, Shapiro M, Tanweer O, Nossek E, Riina HA et al (2020) Flow diversion for intracranial aneurysm treatment: trials involving flow diverters and long-term outcomes. Neurosurgery 86(Suppl 1):S36-45

    Article  PubMed  Google Scholar 

  3. Maus V, Weber W, Berlis A, Maurer C, Fischer S (2021) (2021) Initial experience with surpass evolve flow diverter in the treatment of intracranial aneurysms. Clin Neuroradiol 31(3):681–689

    Article  CAS  PubMed  Google Scholar 

  4. Rautio R, Alpay K, Sinisalo M, Numminen J (2022) Treatment of intracranial aneurysms using the new Surpass Evolve flow diverter: safety outcomes and six-month imaging follow-up. J Neuroradiol 49(1):80–86

    Article  PubMed  Google Scholar 

  5. Jee TK, Yeon JY, Kim KH, Kim JS, Hong SC, Jeon P (2022) Early clinical experience of using the Surpass Evolve flow diverter in the treatment of intracranial aneurysms. Neuroradiology 64(2):343–351

    Article  PubMed  Google Scholar 

  6. Orru E, Rice H, De Villiers L, Klostranec JM, Wakhloo AK, Coon AL et al (2020) First clinical experience with the new Surpass Evolve flow diverter: technical and clinical considerations. J Neurointerventional Surg 12(10):974–980

    Article  Google Scholar 

  7. Miller TR, Jindal G, Gandhi D (2015) Focal, transient mechanical narrowing of a pipeline embolization device following treatment of an internal carotid artery aneurysm. J Neurointerventional Surg 7(10):e35

    Article  Google Scholar 

  8. Kocer N, Mondel PK, Yamac E, Kavak A, Kizilkilic O, Islak C (2017) Is there an association between flow diverter fish mouthing and delayed-type hypersensitivity to metals?-a case-control study. Neuroradiology 59(11):1171–1178

    Article  PubMed  Google Scholar 

  9. Essbaiheen F, AlQahtani H, Almansoori TM, Cora EA, Patro S, Tsehmaister-Abitbul V et al (2019) Transient in-stent stenosis at mid-term angiographic follow-up in patients treated with SILK flow diverter stents: incidence, clinical significance and long-term follow-up. J Neurointerventional Surg 11(2):166–170

    Article  Google Scholar 

  10. Vajda Z, Güthe T, Perez MA, Heuschmid A, Schmid E, Bäzner H et al (2011) Neurovascular in-stent stenoses: treatment with conventional and drug-eluting balloons. AJNR Am J Neuroradiol 32(10):1942–1947

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Cohen JE, Gomori JM, Moscovici S, Leker RR, Itshayek E (2014) Delayed complications after flow-diverter stenting: reactive in-stent stenosis and creeping stents. J Clin Neurosci 21(7):1116–1122

    Article  PubMed  Google Scholar 

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Funding

No funding was received for conducting this study.

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Authors and Affiliations

  1. Department of Neuroradiology, Hôpital Pierre Wertheimer, Hospices Civils de Lyon, Bron, France

    Esteban Torche, Roberta Cao, Adonis Mattar, Morgane Laubacher, Roberto Riva & Omer F. Eker

  2. Department of Neurosurgery, Sanatorio Aleman, Concepción, Chile

    Esteban Torche

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  1. Esteban Torche
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  2. Roberta Cao
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  3. Adonis Mattar
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  4. Morgane Laubacher
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  5. Roberto Riva
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  6. Omer F. Eker
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Correspondence to Esteban Torche.

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Torche, E., Cao, R., Mattar, A. et al. Ultra-Early “Fishmouth stenosis” and thrombosis of a Surpass Evolve flow diversion device following treatment of multiples right siphon aneurysms. Neuroradiology 65, 1803–1807 (2023). https://doi.org/10.1007/s00234-023-03239-1

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  • DOI: https://doi.org/10.1007/s00234-023-03239-1

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