Non-ischemic cerebral enhancing lesions after intracranial aneurysm endovascular repair: a retrospective French national registry
BackgroundNon-ischemic cerebral enhancing (NICE) lesions are exceptionally rare following aneurysm endovascular therapy (EVT).ObjectiveTo investigate the presenting features and longitudinal follow-up of patients with NICE lesions following aneurysm EVT.MethodsPatients included in a retrospective na...
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Published in | Journal of neurointerventional surgery Vol. 14; no. 9; pp. 925 - 930 |
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Abstract | BackgroundNon-ischemic cerebral enhancing (NICE) lesions are exceptionally rare following aneurysm endovascular therapy (EVT).ObjectiveTo investigate the presenting features and longitudinal follow-up of patients with NICE lesions following aneurysm EVT.MethodsPatients included in a retrospective national multicentre inception cohort were analysed. NICE lesions were defined, using MRI, as delayed onset punctate, nodular or annular foci enhancements with peri-lesion edema, distributed in the vascular territory of the aneurysm EVT, with no other confounding disease.ResultsFrom a pool of 58 815 aneurysm endovascular treatment procedures during the study sampling period (2006–2019), 21/37 centres identified 31 patients with 32 aneurysms of the anterior circulation who developed NICE lesions (mean age 45±10 years). Mean delay to diagnosis was 5±9 months, with onset occurring a month or less after the index EVT procedure in 10 out of 31 patients (32%). NICE lesions were symptomatic at time of onset in 23 of 31 patients (74%). After a mean follow-up of 25±26 months, 25 patients (81%) were asymptomatic or minimally symptomatic without disability (modified Rankin Scale (mRS) score 0–1) at last follow-up while 4 (13%) presented with mild disability (mRS score 2). Clinical follow-up data were unavailable for two patients. Follow-up MRI (available in 27 patients; mean time interval after onset of 22±22 months) demonstrated persistent enhancement in 71% of cases.ConclusionsThe clinical spectrum of NICE lesions following aneurysm EVT therapy spans a wide range of neurological symptoms. Clinical course is most commonly benign, although persistent long-term enhancement is frequent. |
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AbstractList | Background Non-ischemic cerebral enhancing (NICE) lesions are exceptionally rare following aneurysm endovascular therapy (EVT). Objective To investigate the presenting features and longitudinal follow-up of patients with NICE lesions following aneurysm EVT. Methods Patients included in a retrospective national multicentre inception cohort were analysed. NICE lesions were defined, using MRI, as delayed onset punctate, nodular or annular foci enhancements with peri-lesion edema, distributed in the vascular territory of the aneurysm EVT, with no other confounding disease. Results From a pool of 58 815 aneurysm endovascular treatment procedures during the study sampling period (2006–2019), 21/37 centres identified 31 patients with 32 aneurysms of the anterior circulation who developed NICE lesions (mean age 45±10 years). Mean delay to diagnosis was 5±9 months, with onset occurring a month or less after the index EVT procedure in 10 out of 31 patients (32%). NICE lesions were symptomatic at time of onset in 23 of 31 patients (74%). After a mean follow-up of 25±26 months, 25 patients (81%) were asymptomatic or minimally symptomatic without disability (modified Rankin Scale (mRS) score 0–1) at last follow-up while 4 (13%) presented with mild disability (mRS score 2). Clinical follow-up data were unavailable for two patients. Follow-up MRI (available in 27 patients; mean time interval after onset of 22±22 months) demonstrated persistent enhancement in 71% of cases. Conclusions The clinical spectrum of NICE lesions following aneurysm EVT therapy spans a wide range of neurological symptoms. Clinical course is most commonly benign, although persistent long-term enhancement is frequent. BackgroundNon-ischemic cerebral enhancing (NICE) lesions are exceptionally rare following aneurysm endovascular therapy (EVT).ObjectiveTo investigate the presenting features and longitudinal follow-up of patients with NICE lesions following aneurysm EVT.MethodsPatients included in a retrospective national multicentre inception cohort were analysed. NICE lesions were defined, using MRI, as delayed onset punctate, nodular or annular foci enhancements with peri-lesion edema, distributed in the vascular territory of the aneurysm EVT, with no other confounding disease.ResultsFrom a pool of 58 815 aneurysm endovascular treatment procedures during the study sampling period (2006–2019), 21/37 centres identified 31 patients with 32 aneurysms of the anterior circulation who developed NICE lesions (mean age 45±10 years). Mean delay to diagnosis was 5±9 months, with onset occurring a month or less after the index EVT procedure in 10 out of 31 patients (32%). NICE lesions were symptomatic at time of onset in 23 of 31 patients (74%). After a mean follow-up of 25±26 months, 25 patients (81%) were asymptomatic or minimally symptomatic without disability (modified Rankin Scale (mRS) score 0–1) at last follow-up while 4 (13%) presented with mild disability (mRS score 2). Clinical follow-up data were unavailable for two patients. Follow-up MRI (available in 27 patients; mean time interval after onset of 22±22 months) demonstrated persistent enhancement in 71% of cases.ConclusionsThe clinical spectrum of NICE lesions following aneurysm EVT therapy spans a wide range of neurological symptoms. Clinical course is most commonly benign, although persistent long-term enhancement is frequent. |
Author | Velasco, Stéphane Lenck, Stéphanie Saleme, Suzana Pierot, Laurent Premat, Kevin Arteaga, Charles Janot, Kevin Michelozzi, Caterina Bricout, Nicolas Guédon, Alexis Eugene, Francois Labeyrie, Marc-Antoine Saliou, Guillaume Shotar, Eimad Thouant, Pierre Chabert, Emmanuel Boubagra, Kamel Sourour, Nader-Antoine Clarençon, Frédéric Ikka, Leon Anxionnat, René Redjem, Hocine Tahon, Florence Biondi, Alessandra Herbreteau, Denis Consoli, Arturo Bourcier, Romain Boulouis, Grégoire di Maria, Federico Ferré, Jean-Christophe Marnat, Gaultier Daumas-Duport, Benjamin Guetarni, Zakaria Dormont, Didier |
Author_xml | – sequence: 1 givenname: Eimad orcidid: 0000-0002-8712-8431 surname: Shotar fullname: Shotar, Eimad email: eimad.shotar@gmail.com organization: Department of Neuroradiology, Pitié Salpêtrière Hospital, Paris, France – sequence: 2 givenname: Marc-Antoine surname: Labeyrie fullname: Labeyrie, Marc-Antoine organization: Department of Interventional Neuroradiology, Lariboisière Hospital, Paris, France – sequence: 3 givenname: Alessandra surname: Biondi fullname: Biondi, Alessandra organization: Department of Neuroradiology and Endovascular Therapy, Besançon University Hospital, Besancon, France – sequence: 4 givenname: Stéphane surname: Velasco fullname: Velasco, Stéphane organization: Interventional Neuroradiology Department, Poitiers University Hospital, Poitiers, France – sequence: 5 givenname: Guillaume orcidid: 0000-0003-3832-7976 surname: Saliou fullname: Saliou, Guillaume organization: Faculty of Medicine, UNIL, Lausanne, Switzerland – sequence: 6 givenname: Grégoire 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Pierot, Laurent organization: Department of Radiology, University Hospital Reims, Reims, France – sequence: 18 givenname: Florence surname: Tahon fullname: Tahon, Florence organization: Neuroradiology Department, Grenoble University Hospital, Grenoble, France – sequence: 19 givenname: Kamel surname: Boubagra fullname: Boubagra, Kamel organization: Neuroradiology Department, Grenoble University Hospital, Grenoble, France – sequence: 20 givenname: Leon surname: Ikka fullname: Ikka, Leon organization: Department of Interventional Neuroradiology, Kremlin Bicetre University Hospital, Kremlin Bicetre, France – sequence: 21 givenname: Emmanuel surname: Chabert fullname: Chabert, Emmanuel organization: Department of Neuroradiology, Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France – sequence: 22 givenname: Stéphanie surname: Lenck fullname: Lenck, Stéphanie organization: Department of Neuroradiology, Pitié Salpêtrière Hospital, Paris, France – sequence: 23 givenname: Alexis surname: Guédon fullname: Guédon, Alexis organization: Department of Diagnostic and Therapeutic Neuroradiology, Foch Hospital, Suresnes, France – sequence: 24 givenname: Arturo orcidid: 0000-0001-6640-8541 surname: Consoli fullname: Consoli, Arturo organization: Department of Diagnostic and Therapeutic Neuroradiology, Foch Hospital, Suresnes, France – sequence: 25 givenname: Suzana surname: Saleme fullname: Saleme, Suzana organization: Department of Interventional Neuroradiology, CHU Limoges, Limoges, France – sequence: 26 givenname: Federico surname: di Maria fullname: di Maria, Federico organization: Department of Diagnostic and Therapeutic Neuroradiology, Foch Hospital, Suresnes, France – sequence: 27 givenname: Jean-Christophe surname: Ferré fullname: Ferré, Jean-Christophe organization: Department of Neuroradiology, University Hospital of Rennes, Rennes, France – sequence: 28 givenname: Francois orcidid: 0000-0001-7367-8793 surname: Eugene fullname: Eugene, 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Frédéric surname: Clarençon fullname: Clarençon, Frédéric organization: Sorbonne Université, Paris, France |
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CitedBy_id | crossref_primary_10_1007_s10072_023_07247_0 crossref_primary_10_1007_s00234_022_02919_8 crossref_primary_10_1055_a_2109_9023 crossref_primary_10_1136_jnis_2023_020060 crossref_primary_10_1016_j_jstrokecerebrovasdis_2023_106990 crossref_primary_10_1007_s00062_023_01283_1 crossref_primary_10_1136_jnis_2023_021176 crossref_primary_10_1007_s10072_024_07378_y crossref_primary_10_3390_jcm12020496 crossref_primary_10_1016_j_heliyon_2024_e33541 crossref_primary_10_7759_cureus_60187 crossref_primary_10_1016_j_wneu_2024_03_110 |
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Keywords | Complication Inflammation Embolic Aneurysm |
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Snippet | BackgroundNon-ischemic cerebral enhancing (NICE) lesions are exceptionally rare following aneurysm endovascular therapy (EVT).ObjectiveTo investigate the... Background Non-ischemic cerebral enhancing (NICE) lesions are exceptionally rare following aneurysm endovascular therapy (EVT). Objective To investigate the... BACKGROUNDNon-ischemic cerebral enhancing (NICE) lesions are exceptionally rare following aneurysm endovascular therapy (EVT). OBJECTIVETo investigate the... |
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SubjectTerms | aneurysm Aneurysms Asymptomatic Bioengineering Biopsy Brain damage Carotid arteries complication Computer Science Computer Vision and Pattern Recognition embolic Engineering Sciences Image Processing Imaging inflammation Life Sciences Medical Imaging Neurobiology Neuroimaging Neurons and Cognition Patients Questionnaires Signal and Image processing Thromboembolism Veins & arteries |
Title | Non-ischemic cerebral enhancing lesions after intracranial aneurysm endovascular repair: a retrospective French national registry |
URI | http://dx.doi.org/10.1136/neurintsurg-2021-017992 https://www.proquest.com/docview/2703594153/abstract/ https://search.proquest.com/docview/2575066600 https://inria.hal.science/hal-03525447 |
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