Safety and Efficacy of Stent Deployment for Intracranial Aneurysms (SESIA)

NCT ID: NCT03387995

Last Updated: 2024-09-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

4157 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-09-01

Study Completion Date

2024-08-30

Brief Summary

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Intracranial aneurysms (IA) regarded the third cause of cerebral vascular disease is the majoy cause of subarachnoid hemorrhage (SAH). The mortality and morbidity account for 22% to 25% in cerebrovascular disease. More than half of the ruptured IA survivors has serious nerve dysfunction such as hemiplegia, aphasia,which seriously harms to human health. Endovascular embolization is one of the main treatment ways of IA.However,there are no studies on the multicenter cases of stent selection strategy at home and abroad.Therefore, the investigators conduct a prospective study by comparing the clinical efficacy, follow-up results, and hemodynamics between preoperative and postoperative patients with different types of stent assisted embolization treatment of IA.The investigators also study the relationship between cyclin dependent kinase inhibitor 2B antisense RNA 1 gene(CDKN2BAS1 gene)of IA patients and the results, for making indication of stents, improving the cure rate, reducing the recurrence rate of IA patients, providing theory gist for interventional therapy of complex IA and simplying slection of stent.

Detailed Description

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Studies showed 3.6% - 6% for the incidence and 1% - 2% for the ruptctued rate of IA.The mortality and morbidity account for 22% to 25% in cerebrovascular disease ,which is a growing trend. IA is one of the major diseases which relate with people's living standards. Endovascular embolization is one of the main treatments of IA with less invasive, Better cure rates and higher safety. It has been developed rapidly and improve quality of patients' lives after treatmen.With the rapid development of neural intervention and the proliferation of specialized stents in IA, stent-assisted embolization technique is becoming more and more common .Especially, stents play an important role in intracranial aneurysmal aneurysm.

There are many kinds intracranial stents for clinical surgery, but how to choose the appropriate stent type is one of the key issues that clinicians need to settle. And, there is no relevant multicenter cases study about selection strategy of intracranial stent at home and abroad.

Conditions

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Treatment Outcome by Stent-assisted Embolization

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Anterior communicating artery aneurysm

Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.

LVIS stent

Intervention Type DEVICE

The paitents treated by LVIS stent implantation.

Solitaire stent

Intervention Type DEVICE

The paitents treated by Solitaire stent implantation.

Enterprise stent

Intervention Type DEVICE

The paitents treated by Enterprise stent implantation.

Neuroform stent

Intervention Type DEVICE

The paitents treated by Neuroform stent implantation.

Flow diverter (FD) stent

Intervention Type DEVICE

The paitents treated by Enterprise FD implantation.

Middle cerebral artery aneurysm

Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.

LVIS stent

Intervention Type DEVICE

The paitents treated by LVIS stent implantation.

Solitaire stent

Intervention Type DEVICE

The paitents treated by Solitaire stent implantation.

Enterprise stent

Intervention Type DEVICE

The paitents treated by Enterprise stent implantation.

Neuroform stent

Intervention Type DEVICE

The paitents treated by Neuroform stent implantation.

Flow diverter (FD) stent

Intervention Type DEVICE

The paitents treated by Enterprise FD implantation.

Posterior communicating artery aneurysm

Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.

LVIS stent

Intervention Type DEVICE

The paitents treated by LVIS stent implantation.

Solitaire stent

Intervention Type DEVICE

The paitents treated by Solitaire stent implantation.

Enterprise stent

Intervention Type DEVICE

The paitents treated by Enterprise stent implantation.

Neuroform stent

Intervention Type DEVICE

The paitents treated by Neuroform stent implantation.

Flow diverter (FD) stent

Intervention Type DEVICE

The paitents treated by Enterprise FD implantation.

Internal carotid artery aneurysm

Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.

LVIS stent

Intervention Type DEVICE

The paitents treated by LVIS stent implantation.

Solitaire stent

Intervention Type DEVICE

The paitents treated by Solitaire stent implantation.

Enterprise stent

Intervention Type DEVICE

The paitents treated by Enterprise stent implantation.

Neuroform stent

Intervention Type DEVICE

The paitents treated by Neuroform stent implantation.

Flow diverter (FD) stent

Intervention Type DEVICE

The paitents treated by Enterprise FD implantation.

Vertebrobasilar system aneurysms

Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.

LVIS stent

Intervention Type DEVICE

The paitents treated by LVIS stent implantation.

Solitaire stent

Intervention Type DEVICE

The paitents treated by Solitaire stent implantation.

Enterprise stent

Intervention Type DEVICE

The paitents treated by Enterprise stent implantation.

Neuroform stent

Intervention Type DEVICE

The paitents treated by Neuroform stent implantation.

Flow diverter (FD) stent

Intervention Type DEVICE

The paitents treated by Enterprise FD implantation.

Interventions

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LVIS stent

The paitents treated by LVIS stent implantation.

Intervention Type DEVICE

Solitaire stent

The paitents treated by Solitaire stent implantation.

Intervention Type DEVICE

Enterprise stent

The paitents treated by Enterprise stent implantation.

Intervention Type DEVICE

Neuroform stent

The paitents treated by Neuroform stent implantation.

Intervention Type DEVICE

Flow diverter (FD) stent

The paitents treated by Enterprise FD implantation.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subject has intracranial aneurysms confirmed by CT arteriography (CTA) or magnetic resonance angiography (MRA) or digital subtraction angiography(DSA)
* Subject has accepted stent - assisted embolization or flow-diversion treatment of intracranial aneurysm

Exclusion Criteria

* Subject has secondary intracranial aneurysms(e.g.traumatic aneurysm, infected aneurysm)
* Subject has received previous surgical clipping or endovascular treatment
* Subject has no intracranial aneurysms by DSA
* Subject with poor image quality
* Subject cannot use stent because of the small parent artery
* Subject do not need to use stent because of narrow-neck aneurysm
* History of aneurysm
Minimum Eligible Age

14 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nanfang Hospital, Southern Medical University

OTHER

Sponsor Role collaborator

Guangdong Provincial People's Hospital

OTHER

Sponsor Role collaborator

Beijing Tiantan Hospital

OTHER

Sponsor Role collaborator

First Affiliated Hospital of Chongqing Medical University

OTHER

Sponsor Role collaborator

The Affiliated Hospital Of Southwest Medical University

OTHER

Sponsor Role collaborator

Guangdong 999 Brain Hospital

OTHER

Sponsor Role collaborator

Eighth Affiliated Hospital, Sun Yat-sen University

OTHER

Sponsor Role collaborator

Zhujiang Hospital

OTHER

Sponsor Role lead

Responsible Party

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Duan Chuanzhi

Neurovascular Center of Zhujiang Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chuanzhi Duan, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Department of Neurosurgery, Zhujiang Hospital,Southern Medical University

Locations

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ZhuJiang Hospital,Southern Medical University

Guangzhou, Guangdong, China

Site Status

Countries

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China

References

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Zhang X, Long XA, Luo B, Karuna T, Duan CZ. Factors responsible for poor outcome after intraprocedural rerupture of ruptured intracranial aneurysms: identification of risk factors, prevention and management on 18 cases. Eur J Radiol. 2012 Jan;81(1):e77-85. doi: 10.1016/j.ejrad.2011.02.015. Epub 2011 Feb 24.

Reference Type BACKGROUND
PMID: 21353424 (View on PubMed)

Standhardt H, Boecher-Schwarz H, Gruber A, Benesch T, Knosp E, Bavinzski G. Endovascular treatment of unruptured intracranial aneurysms with Guglielmi detachable coils: short- and long-term results of a single-centre series. Stroke. 2008 Mar;39(3):899-904. doi: 10.1161/STROKEAHA.107.496372. Epub 2008 Feb 7.

Reference Type BACKGROUND
PMID: 18258836 (View on PubMed)

Ishibashi T, Murayama Y, Urashima M, Saguchi T, Ebara M, Arakawa H, Irie K, Takao H, Abe T. Unruptured intracranial aneurysms: incidence of rupture and risk factors. Stroke. 2009 Jan;40(1):313-6. doi: 10.1161/STROKEAHA.108.521674. Epub 2008 Oct 9.

Reference Type BACKGROUND
PMID: 18845802 (View on PubMed)

Gu DQ, Zhang X, Luo B, Long XA, Duan CZ. The effect of Neuroform stent-assisted coil embolization of wide-necked intracranial aneurysms and clinical factors on progressive aneurysm occlusion on angiographic follow-up. J Clin Neurosci. 2013 Feb;20(2):244-7. doi: 10.1016/j.jocn.2012.01.053. Epub 2012 Nov 30.

Reference Type BACKGROUND
PMID: 23201094 (View on PubMed)

Ye HW, Liu YQ, Wang QJ, Zheng T, Cui XB, Gao YY, Lai LF, Zhang X, Li XF, Su SX, He XY, Duan CZ. Comparison between Solitaire AB and Enterprise stent-assisted coiling for intracranial aneurysms. Exp Ther Med. 2015 Jul;10(1):145-153. doi: 10.3892/etm.2015.2481. Epub 2015 May 8.

Reference Type BACKGROUND
PMID: 26170926 (View on PubMed)

Li H, He XY, Li XF, Zhang X, Liu YC, Duan CZ. Treatment of giant/large internal carotid aneurysms: parent artery occlusion or stent-assisted coiling. Int J Neurosci. 2016;126(1):46-52. doi: 10.3109/00207454.2014.992427. Epub 2015 Jan 7.

Reference Type BACKGROUND
PMID: 25565057 (View on PubMed)

Naggara ON, White PM, Guilbert F, Roy D, Weill A, Raymond J. Endovascular treatment of intracranial unruptured aneurysms: systematic review and meta-analysis of the literature on safety and efficacy. Radiology. 2010 Sep;256(3):887-97. doi: 10.1148/radiol.10091982. Epub 2010 Jul 15.

Reference Type BACKGROUND
PMID: 20634431 (View on PubMed)

Mitra D, Herwadkar A, Soh C, Gholkar A. Follow-up of intracranial aneurysms treated with matrix detachable coils: a single-center experience. AJNR Am J Neuroradiol. 2007 Feb;28(2):362-7.

Reference Type BACKGROUND
PMID: 17297013 (View on PubMed)

Lopes D, Sani S. Histological postmortem study of an internal carotid artery aneurysm treated with the Neuroform stent. Neurosurgery. 2005 Feb;56(2):E416; discussion E416. doi: 10.1227/01.neu.0000147977.07736.66.

Reference Type BACKGROUND
PMID: 15670395 (View on PubMed)

Feng X, Huang C, Tong X, Wen Z, Zhu Y, Huang M, Lin J, Huang J, Yuan H, Xu A, Ma G, Ge R, Li C, Peng C, Su S, Zhang X, Li X, Guo Z, Liu A, Duan C. Effect of LDL-Cholesterol Levels and Oral Atorvastatin on Outcomes After Pipeline Therapy for Intracranial Aneurysms. Stroke. 2025 Oct;56(10):3002-3013. doi: 10.1161/STROKEAHA.124.049833. Epub 2025 Aug 6.

Reference Type DERIVED
PMID: 40765506 (View on PubMed)

Other Identifiers

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LC2016ZD024

Identifier Type: -

Identifier Source: org_study_id

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