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Literature review and DELPHI consensus on follow-up and retreatment of intracranial aneurysms with intrasaccular devices

2025-09Artigo científico Acesso aberto
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dc.contributor.authorStebner, Alexander
dc.contributor.authorCimflova, Petra
dc.contributor.authorBosshart, Salome L.
dc.contributor.authorSchüngel, Marie Sophie
dc.contributor.authorFujiwara, Satoru
dc.contributor.authorMilot, Genevieve
dc.contributor.authorVolders, David
dc.contributor.authorUchida, Kazutaka
dc.contributor.authorHawkes, Christine
dc.contributor.authorMoreu, Manuel
dc.contributor.authorFragata, Isabel
dc.contributor.authorPaul, Alexandra
dc.contributor.authorPensato, Umberto
dc.contributor.authorUlfert, Christian
dc.contributor.authorFrei, Donald
dc.contributor.authorBhogal, Pervinder
dc.contributor.authorSchaafsma, Joanna
dc.contributor.authorNardai, Sandor
dc.contributor.authorZaidi, Syed
dc.contributor.authorAlmekhlafi, Mohammed
dc.contributor.authorNimjee, Shahid
dc.contributor.authorMosimann, Pascal
dc.contributor.authorKennedy, James
dc.contributor.authorRempel, Jeremy
dc.contributor.authorInoa, Violiza
dc.contributor.authorYoshimura, Shinichi
dc.contributor.authorRibo, Marc
dc.contributor.authorLopes, Demetrius
dc.contributor.authorWong, John
dc.contributor.authorOspel, Johanna
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblJapanese Society for Intravascular Neosurgery
dc.date.accessioned2026-01-14T15:52:25Z
dc.date.available2026-01-14T15:52:25Z
dc.date.issued2025-09
dc.descriptionPublisher Copyright: © The Author(s) 2025. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
dc.description.abstractBackground: Intracranial aneurysms are increasingly detected incidentally due to broader use of neuroimaging. Intrasaccular devices are frequently used to prevent rupture, yet standardized follow-up and retreatment strategies remain undefined. We performed a scoping literature review and DELPHI consensus to gauge current practice patterns and expert opinions on managing intracranial aneurysms that were previously treated with intrasaccular devices. Methods: A DELPHI consensus was conducted during an invite-only meeting of international neurointerventional experts. The process was informed by a scoping literature review and included three iterative rounds of structured questionnaires to establish consensus on follow-up imaging timing, modality, and retreatment decision-making. Results: Twenty-four experts participated. The literature review identified 16 key studies, which were presented to the panel. For completely occluded aneurysms, MRA at 6 months was preferred by 58% of participants, with annual imaging favored thereafter. For incompletely occluded aneurysms, 6-month DSA followed by annual imaging was recommended. No consensus was reached on the imaging modality for annual follow-up. Retreatment decisions were primarily driven by aneurysm growth (>2 mm). Endovascular retreatment was preferred over open surgery, with risks such as ischemia and rupture identified as key concerns. Conclusion: This DELPHI consensus highlights current practice trends and open questions in the follow-up and retreatment of aneurysms treated with intrasaccular devices.en
dc.description.versionpublishersversion
dc.description.versioninpress
dc.format.extent1438686
dc.identifier.doi10.1177/15910199251380361
dc.identifier.issn1591-0199
dc.identifier.otherPURE: 147418795
dc.identifier.otherPURE UUID: ebcc42aa-93c2-4430-9d6e-e5438d63a910
dc.identifier.otherScopus: 105023396540
dc.identifier.otherPubMed: 40990642
dc.identifier.urihttp://hdl.handle.net/10362/199007
dc.identifier.urlhttps://www.scopus.com/pages/publications/105023396540
dc.language.isoeng
dc.peerreviewedyes
dc.subjectAneurysm
dc.subjectcoiling
dc.subjectendovascular
dc.subjectintrasaccular
dc.subjectwoven endobridge
dc.subjectRadiology Nuclear Medicine and imaging
dc.subjectClinical Neurology
dc.subjectCardiology and Cardiovascular Medicine
dc.titleLiterature review and DELPHI consensus on follow-up and retreatment of intracranial aneurysms with intrasaccular devicesen
dc.typejournal article
degois.publication.titleInterventional Neuroradiology
dspace.entity.typePublication
rcaap.rightsopenAccess

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