Ignite Creation Date:
2024-05-06 @ 6:48 PM
Last Modification Date:
2024-10-26 @ 2:55 PM
Study NCT ID:
NCT05796986
Status:
RECRUITING
Last Update Posted:
2024-04-16
First Post:
2023-03-14
Brief Title:
Endovascular Treatment of Wide Neck Saccular Cerebral Aneurysms
Sponsor:
Sohag University
Organization:
Sohag University
Study Overview
Official Title:
Endovascular Treatment of Wide Neck Saccular Cerebral Aneurysms
Status:
RECRUITING
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Intracranial aneurysm IA is a cerebrovascular disorder in which the weakness of a cerebral artery wall causes a localized dilation of the blood vessel Intracranial aneurysm can develop and rupture and about 85 of spontaneous subarachnoid hemorrhage SAH cases are caused by the rupture of Intracerebral aneurysm
Two treatments are available globally microsurgical clipping and endovascular treatment
Endovascular treatment of Intracerebral aneurysms using detachable platinum coils was introduced in 1990 by Guido Guglielmi an Italian neurosurgeon of different shapes and sizes are deposited into the aneurysm through a microcatheter which reduces the blood flow and induces thrombus formation
Wide neck aneurysm defined by neck diameter greater than 4 mm or dome-to-neck ratio less than 2 Despite advances in endovascular techniques the treatment of wide-necked aneurysms remains problematic Endovascular treatment of intracranial aneurysms is associated with lower morbidity and mortality rates and faster recovery compared with traditional microsurgical clipping
In wide-necked Intracerebral aneurysms complete coil embolization is often technically difficult owing to the risks of distal coil migration or coil impingement on the parent vessel
Complete coil embolization using a single microcatheter without a supporting device in cases of wide-necked Intracerebral aneurysm is technically difficult Total occlusion rates have increased recently as a result of the advancement of supporting devices These may include balloon remodeling use of three-dimensional 3D coils Russian Doll Technique combined use of stents and coils Stent assisted coiling flow diverters use of intrasaccular flow disruption like WEB Double catheter Technique or combined extra- and intrasaccular devices
Two treatments are available globally microsurgical clipping and endovascular treatment
Endovascular treatment of Intracerebral aneurysms using detachable platinum coils was introduced in 1990 by Guido Guglielmi an Italian neurosurgeon of different shapes and sizes are deposited into the aneurysm through a microcatheter which reduces the blood flow and induces thrombus formation
Wide neck aneurysm defined by neck diameter greater than 4 mm or dome-to-neck ratio less than 2 Despite advances in endovascular techniques the treatment of wide-necked aneurysms remains problematic Endovascular treatment of intracranial aneurysms is associated with lower morbidity and mortality rates and faster recovery compared with traditional microsurgical clipping
In wide-necked Intracerebral aneurysms complete coil embolization is often technically difficult owing to the risks of distal coil migration or coil impingement on the parent vessel
Complete coil embolization using a single microcatheter without a supporting device in cases of wide-necked Intracerebral aneurysm is technically difficult Total occlusion rates have increased recently as a result of the advancement of supporting devices These may include balloon remodeling use of three-dimensional 3D coils Russian Doll Technique combined use of stents and coils Stent assisted coiling flow diverters use of intrasaccular flow disruption like WEB Double catheter Technique or combined extra- and intrasaccular devices
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None