Femoral-Long Sheath-Reshape-Anchoring-Stenting (FLRAS) Technique in Venous Sinus Stenting for Idiopathic Intracranial Hypertension.
retrospective_cohort · Level III
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- Record sourced from PubMed, PMID 30590216.
- Also identified by DOI 10.1016/j.wneu.2018.12.052.
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Abstract
To evaluate efficacy and safety of the novel femoral-long sheath-reshape-anchoring-stenting (FLRAS) technique for venous sinus stenting in patients with idiopathic intracranial hypertension. In a retrospective, single-center study, we comparatively analyzed clinical and imaging data from consecutive patients with idiopathic intracranial hypertension who underwent venous sinus stenting using either traditional technique from June 2013 to May 2015 or FLRAS technique from May 2015 to May 2018. The study enrolled 20 patients (mean age 36.7 years; range, 17-50 years; 15 women). In the FLRAS group (n = 12) versus traditional stenting group (n = 8), mean procedure duration was significantly shorter (48.3 minutes vs. 92.5 minutes, P < 0.001), and procedure success rate was higher (100% vs. 87.5%, P > 0.05), with no complications versus 2 complications. Use of FLRAS technique for venous sinus stenting in patients with idiopathic intracranial hypertension appeared to yield favorable outcomes relative to use of traditional stenting technique. A large, multicenter, randomized study is warranted to confirm these findings.