Frontiers in Cardiovascular Medicine (Sep 2022)
Use of covered stents to treat complex cerebrovascular diseases: Expert consensus
- Yueqi Zhu,
- Huaqiao Tan,
- Zhongxue Wu,
- Tielin Li,
- Lianting Ma,
- Jianmin Liu,
- Hongqi Zhang,
- Yuxiang Gu,
- Tianxiao Li,
- Sheng Guan,
- Xiaodong Xie,
- Chuhan Jiang,
- Zhenwei Zhao,
- Chuanzhi Duan,
- Jieqing Wan,
- Xiaolong Zhang,
- Wenfeng Feng,
- Xuying He,
- Haibin Shi,
- Qiujing Wang,
- Dong Lin,
- Qiuping Li,
- Weixi Jiang,
- Guohua Mao,
- Shu Zhong,
- E. Chen,
- Huaizhang Shi,
- Shaohua Ren,
- Donghai Wang,
- Yizhi Liu,
- Zengpin Liu,
- Jianliang Wu,
- Feng Wang,
- Xuebin Hu,
- Jun Wang,
- Fan Zhang,
- Wenfeng Cao,
- Donghong Yang,
- Qingrong Zhang,
- Lei Wang,
- Binxian Gu,
- Guangsen Cheng,
- Yongcheng Zhang,
- Chun Fang,
- Minghua Li
Affiliations
- Yueqi Zhu
- Department of Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
- Huaqiao Tan
- Department of Interventional Radiology, Tongji Hospital Affiliated of Tongji University, Shanghai, China
- Zhongxue Wu
- Department of Neurointervention Center, Beijing Tiantan Hospital Affiliated of Capital Medical University, Beijing, China
- Tielin Li
- Department of Neurosurgery, Zhujiang Hospital Affiliated of Southern Medical University, Guangzhou, China
- Lianting Ma
- Department of Neurosurgery, General Hospital of PLA Central Theater Command Neurosurgical Institute of PLA, Wuhan, China
- Jianmin Liu
- Neurovascular Center, Changhai Hospital, Naval Medical University, Shanghai, China
- Hongqi Zhang
- Department of Neurosurgery, Beijing Xuanwu Hospital Affiliated of Capital Medical University, Beijing, China
- Yuxiang Gu
- Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China
- Tianxiao Li
- Department of Interventional Radiology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, China
- Sheng Guan
- 0Department of Neuro-Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
- Xiaodong Xie
- 1Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, China
- Chuhan Jiang
- Department of Neurointervention Center, Beijing Tiantan Hospital Affiliated of Capital Medical University, Beijing, China
- Zhenwei Zhao
- 2Department of Neurosurgery, The Second Affiliated Hospital of Xian Medical College, Tangdu Hospital, Xi'an, China
- Chuanzhi Duan
- Department of Neurosurgery, Zhujiang Hospital Affiliated of Southern Medical University, Guangzhou, China
- Jieqing Wan
- 3Department of Neurosurgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Xiaolong Zhang
- 4Department of Interventional Radiology, Huashan Hospital, Fudan University, Shanghai, China
- Wenfeng Feng
- 5Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, China
- Xuying He
- Department of Neurosurgery, Zhujiang Hospital Affiliated of Southern Medical University, Guangzhou, China
- Haibin Shi
- 6Department of Interventional Radiology, Jiangsu Province Hospital, Nanjing, China
- Qiujing Wang
- 7Department of Cerebrovascular Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
- Dong Lin
- 8Department of Neurosurgery, Rui Jin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
- Qiuping Li
- 9Department of Neurosurgery, Zhongshan Hospital, Fudan University (Xiamen Branch), Xiamen, China
- Weixi Jiang
- 0Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China
- Guohua Mao
- 1Department of Neurosurgery, The Second Affiliated Hospital of Nanchang University, Nanchang, China
- Shu Zhong
- 2Department of Neurosurgery, Guangxi Academy of Medical Science, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China
- E. Chen
- 3Department of Neurosurgery, Zhongshan Hospital, Xiamen University, Xiamen, China
- Huaizhang Shi
- 4Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China
- Shaohua Ren
- 5Department of Neurosurgery, Shanxi Provincial People's Hospital,Taiyuan, China
- Donghai Wang
- 6Department of Neurosurgery, Qilu Hospital of Shangdong University, Jinan, China
- Yizhi Liu
- 7Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou, China
- Zengpin Liu
- 8Department of Neurology, The Second Hospital of Hebei Medical University, Shijiazhuang, China
- Jianliang Wu
- 9Department of Neurosurgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China
- Feng Wang
- 0Department of Interventional Radiology, The First Hospital Affiliated Dalian Medical University, Dalian, China
- Xuebin Hu
- 1Department of Neurosurgery, Wuhan Union Hospital, Tongji Medical College, Huazhong University of Sciences and Technology, Wuhan, China
- Jun Wang
- 2Department of Neurology, The First Medical Center of Chinese PLA General Hospital, Beijing, China
- Fan Zhang
- 3Department of Neurointerventional Radiology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou, China
- Wenfeng Cao
- 4Department of Neurology, People's Hospital of Jiangxi Province, Nanchang, China
- Donghong Yang
- 5Department of Neurosurgery, Daping Hospital, Third Military Medical University, Chongqing, China
- Qingrong Zhang
- 6Department of Neurosurgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China
- Lei Wang
- 7Department of Neurosurgery, Yichang Central People's Hospital, The First College of Clinical Medical Science, China Three Gorges University, Yichang, China
- Binxian Gu
- Department of Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
- Guangsen Cheng
- 8Cerebrovascular Diseases Department, Zhuhai Hospital Affiliated With Jinan University, Zhuhai, China
- Yongcheng Zhang
- 9Department of Neurology, Affiliated Hospital of Jinggangshan University, Ji'an, China
- Chun Fang
- Department of Interventional Radiology, Tongji Hospital Affiliated of Tongji University, Shanghai, China
- Minghua Li
- Department of Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
- DOI
- https://doi.org/10.3389/fcvm.2022.934496
- Journal volume & issue
-
Vol. 9
Abstract
The treatment of complex cerebrovascular diseases (CCVDs) at the skull base, such as complex intracranial aneurysms, carotid-cavernous sinus fistulas, and intracranial artery traumatic injuries, is a difficult clinical problem despite advances in endovascular and surgical therapies. Covered stents or stent graft insertion is a new concept for endovascular treatment that focuses on arterial wall defect reconstruction, differing from endovascular lesion embolization or flow diverter therapies. In recent years, covered stents specifically designed for cerebrovascular treatment have been applied in the clinical setting, allowing thousands of patients with CCVDs to undergo intraluminal reconstruction treatment and achieving positive results, even in the era of flow diverters. Since there is no unified reference standard for the application of covered stents for treating CCVDs, it is necessary to further standardize and guide the clinical application of this technique. Thus, we organized authoritative experts in the field of neurointervention in China to write an expert consensus, which aims to summarize the results of covered stent insertion in the treatment of CCVDs and propose suitable standards for its application in the clinical setting. Based on the contents of this consensus, clinicians can use individualized intraluminal reconstruction treatment techniques for patients with CCVDs.
Keywords
- cerebrovascular disease
- covered stent
- intraluminal reconstruction treatment
- expert consensus
- endovascular treatment
