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The New Double-Layer Micromesh Stent (Roadsaver®): Use in Endovascular Treatment of Supraaortic and Visceral Artery Aneurysms and Pseudoaneurysms

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Abstract

Purpose

This study was designed to present our preliminary experience with the Roadsaver® double-layer micromesh (DLM) stent in the endovascular treatment of supra-aortic and visceral aneurysms and to utilize the flow-diverting effect of this new design in the treatment of these aneurysms.

Methods

DLM stent (Roadsaver®, Terumo, Tokyo, Japan) was used in five patients (median age 61.8 years; three men) for treating arterial aneurysms (one common carotid artery, one vertebral artery V1 segment, one superior mesenteric artery, and two renal artery aneurysms).

Results

All stents were successfully deployed. Follow-up imaging with conventional catheter angiography or computed tomography showed successful treatment of all aneurysms.

Conclusions

The new DLM stent appears to be promising for the treatment of supra-aortic and visceral aneurysms.

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Abbreviations

DLM:

Double layer micro-mesh

SAA:

Supra-aortic artery aneurysm

VAA:

Visceral artery aneurysm

References

  1. Ruffino MA, Rabbia C, Italian Cardiatis Registry Investigators Group. Endovascular repair of peripheral and visceral aneurysms with the Cardiatis multilayer flow modulator: one-year results from the Italian Multicenter Registry. J Endovasc Ther. 2012;19(5):599–610.

    Article  PubMed  Google Scholar 

  2. Tulsyan N, Kashyap VS, Greenberg RK, et al. The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg. 2007;45(2):276–83.

    Article  PubMed  Google Scholar 

  3. Ikeda O, Tamura Y, Nakasone Y, Iryou Y, Yamashita Y. Nonoperative management of unruptured visceral artery aneurysms: treatment by transcatheter coil embolization. J Vasc Surg. 2008;47(6):1212–9.

    Article  PubMed  Google Scholar 

  4. Cury M, Greenberg RK, Morales JP, Mohabbat W, Hernandez AV. Supra-aortic vessels aneurysms: diagnosis and prompt intervention. J Vasc Surg. 2009;49(1):4–10.

    Article  PubMed  Google Scholar 

  5. Li Z, Chang G, Yao C, Guo L, Liu Y, Wang M, Liu D, Wang S. Endovascular stenting of extracranial carotid artery aneurysm: a systematic review. Eur J Vasc Endovasc Surg. 2011;42(4):419–26.

    Article  CAS  PubMed  Google Scholar 

  6. Mauri G, Sconfienza LM, Casilli F, Massaro S, Inglese L. Cardiatis multilayer stent for endovascular treatment of peripheral and visceral aneurysms: where do we stand? J Endovasc Ther. 2013;20(4):575–7.

    Article  PubMed  Google Scholar 

  7. Cremonesi A, Castriota F, Secco GG, Macdonald S, Roffi M. Carotid artery stenting: an update. Eur Heart J. 2015;36(1):13–21.

    Article  PubMed  Google Scholar 

  8. Kabbasch C, Bangard C, Liebig T, Majd P, Mpotsaris A, Faymonville A. The dual layer Casper® micromesh stent: taking advantage of flow-diverting capabilities for the treatment of extracranial aneurysms and pseudoaneurysms. Cardiovasc Intervent Radiol. 2016;39(3):472–6.

    Article  PubMed  Google Scholar 

  9. Hopf-Jensen S, Marques L, Preiß M, Müller-Hülsbeck S. Initial clinical experience with the micromesh Roadsaver carotid artery stent for the treatment of patients with symptomatic carotid artery disease. J Endovasc Ther. 2015;22(2):220–5.

    Article  PubMed  Google Scholar 

  10. Regina G, Greco L, Fullone M, Testini M, Caruso G, Rizzi R. The emergency treatment of aneurysms of the supra-aortic trunks and of the internal carotid. Ann Ital Chir. 2000;71(4):469–73.

    CAS  PubMed  Google Scholar 

  11. Loffroy R, Favelier S, Pottecher P, et al. Endovascular management of visceral artery aneurysms: when to watch, when to intervene? World J Radiol. 2015;7(7):143–8.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Belli AM, Markose G, Morgan R. The role of interventional radiology in the management of abdominal visceral artery aneurysms. Cardiovasc Interv Radiol. 2012;35(2):234–43.

    Article  Google Scholar 

  13. Pitton MB, Dappa E, Jungmann F, et al. Visceral artery aneurysms: incidence, management, and outcome analysis in a tertiary care center over one decade. Eur Radiol. 2015;25(7):2004–14.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Gabelmann A, Görich J, Merkle EM. Endovascular treatment of visceral artery aneurysms. J Endovasc Ther. 2002;9(1):38–47.

    PubMed  Google Scholar 

  15. Sfyroeras GS, Dalainas I, Giannakopoulos TG, et al. Flow-diverting stents for the treatment of arterial aneurysms. J Vasc Surg. 2012;56(3):839–46.

    Article  PubMed  Google Scholar 

  16. Alderazi YJ, Shastri D, Kass-Hout T, Prestigiacomo CJ, Gandhi CD. Flow diverters for intracranial aneurysms. Stroke Res Treat. 2014;2014:415653.

    PubMed  PubMed Central  Google Scholar 

  17. Nerla R, Castriota F, Micari A, et al. Carotid artery stenting with a new generation double-mesh stent in three high-volume Italian centers: clinical results of multidisciplinary approach. Eurointervention. 2016;12(5):677–83.

    Article  Google Scholar 

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Correspondence to Koray Akkan.

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Conflict of interest

The authors declare that they have no conflicts of interest.

Informed Consent

Informed consent was obtained from all patients in the study.

Ethical Conduct of the Study

Institutional review board approval was obtained to conduct this retrospective study.

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Akkan, K., Ilgit, E., Karaman, K. et al. The New Double-Layer Micromesh Stent (Roadsaver®): Use in Endovascular Treatment of Supraaortic and Visceral Artery Aneurysms and Pseudoaneurysms. Cardiovasc Intervent Radiol 40, 1338–1343 (2017). https://doi.org/10.1007/s00270-017-1656-7

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  • DOI: https://doi.org/10.1007/s00270-017-1656-7

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