Wide-neck bifurcation aneurysms of the middle cerebral artery and basilar apex treated by endovascular techniques: a multicentre, core lab adjudicated study evaluating safety and durability of occlusion (BRANCH).
Reade A De LeacyKyle M FargenJustin R MascitelliJohanna FifiLena TurkheimerXiangnan ZhangAman B PatelMatthew J KochAditya S PandeyD Andrew WilkinsonJulius GriauzdeRobert F JamesEnzo M FortunyAurora CruzAlan BoulosEmad Nourollah-ZadehAlexandra PaulEric SauvageauRicardo HanelPedro Aguilar-SalinasRoberta L NovakovicBabu G WelchRanyah AlmardawiGaurav JindalHarish ShownkeenElad I LevyAdnan H SiddiquiJ MoccoPublished in: Journal of neurointerventional surgery (2018)
Endovascular treatment of wide-neck MCA and basilar apex aneurysms resulted in a core lab adjudicated RR1 occlusion rate of 30.6%. Self-reported results at follow-up favour better angiographic outcomes, with OR 1.75 (95% CI 1.08 to 2.83). These data demonstrate the need for novel endovascular devices specifically designed to treat complex intracranial aneurysms, as well as the importance of core lab adjudication in assessing outcomes in such a trial.