• World Neurosurg · Mar 2024

    Optimizing Patient Care: A Multicentric Study on the Clinical Impact of Sim&SizeTM Simulation Software in Intracranial Aneurysm Treatment with Pipeline Embolization Devices.

    • Daniel Mantilla, D VeraDanielaDInterventional radiology Department, Fundación oftalmológica de Santander - Clínica Ardila Lülle, Floridablanca, Colombia. Electronic address: dd@unab.edu.co., Andrés Felipe Ortiz, Lorenzo Piergallini, Juan José Lara, Franck Nicoud, Oliverio Vargas, and Vincent Costalat.
    • Interventional radiology Department, Fundación oftalmológica de Santander - Clínica Ardila Lülle, Floridablanca, Colombia; Interventional radiology Department, Universidad Autónoma de Bucaramanga, Bucaramanga, Colombia; Neuroradiology, Hôpital Güi-de-Chauliac, CHU de Montpellier, Montpellier, France.
    • World Neurosurg. 2024 Mar 18.

    BackgroundTo determine the clinical effects (stent size, and number of stents used) of the Sim&Size™ simulation software on the endovascular treatment of unruptured saccular intracranial aneurysms with Pipeline Embolization Devices (PED).MethodsThis study is a retrospective analytical multicenter study of patients treated with PED (Flex and Flex with SHIELD) for intracranial aneurysm in FOSCAL clinic and CHU de Montpellier.ResultsThe study included 253 patients, of which 75 were treated in Colombia and 178 were treated in France. The majority of patients were women (83.8%), with a median age of 57.48 years, and had large vessel location (88.1%), with most aneurysms located in the ICA paraclinoid segment (56.8%). Patients in the group with Sim&Size™ simulation had shorter stents than those without simulation (15.62 mm versus 17.36 mm, P-value = 0.001). Also, a lower proportion of these patients required more than one stent (1.4% versus 7.3%, P-value = 0.022). There were 7 complications reported in the group that used the Sim&Size™ simulation software, compared to 9 complications in the group that did not use the software.ConclusionsUsing Sim&Size™ simulation software for endovascular treatment of patients with intracranial aneurysms using PED reduces the stent length and decreasing the number of devices needed per treatment.Copyright © 2024 Elsevier Inc. All rights reserved.

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