{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T05:09:17Z","timestamp":1784264957291,"version":"3.55.0"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["SVIN"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">The presence of an incorporated branch as well as its anatomical relationship to the intracranial aneurysms (IAs) and the parent artery may affect the occlusion outcome following flow diversion. This study evaluated the safety and effectiveness of the cobalt\u2010chromium Surpass Evolve (Stryker), a 64\u2010wire flow diversion device for the treatment of IAs with incorporated branches.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods<\/jats:title>\n            <jats:p xml:lang=\"en\">This subanalysis uses data from the SEASE (Safety and Effectiveness Assessment of Surpass Evolve) registry to retrieve data related to IAs with incorporated branches. Those IAs were classified by a core lab into 4 categories based on their anatomical relationship to the parent artery and branch: (A) sidewall anatomic, (B) sidewall hemodynamic, (C) neck branch, and (D) dome branch. We compared the outcomes based on their incorporated branch's relation to the dome (A\u2013C versus D).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              This study included 67 patients and IAs. Most IAs were in the posterior communicating artery (46.3%), with a median size of 4.35 mm. Age, sex, comorbidities, baseline functional\u2010status, and IA features were similar between the 2 groups. Among those, 53 (79.1%) had branches emerging from the dome, and 14 (20.9%) had branches originating from other locations (A = 7, B = 2, and C = 5). At a median imaging follow\u2010up of 10.5 months, complete occlusion was lower in IAs with a branch from the sac compared with those with the neck (60.8% versus 92.9%;\n              <jats:italic>P<\/jats:italic>\n              = 0.026), with an overall occlusion of 67.7%. Thromboembolic and hemorrhagic complications, as well as retreatment, were reported in 1.6% and 3.1% of cases, respectively, with no significant differences between groups.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p xml:lang=\"en\">Our analysis underscores the influence of branch origin on occlusion rates, with the neck\u2010originating branch demonstrating higher occlusion rates. These insights emphasize the role of anatomical considerations in treatment strategies, follow\u2010up timelines, and designing future clinical trials. Further studies are warranted to explore these variations across different flow diversion technologies.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/svin.124.001448","type":"journal-article","created":{"date-parts":[[2024,10,26]],"date-time":"2024-10-26T02:29:26Z","timestamp":1729909766000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Flow Diversion for Intracranial Aneurysms With Incorporated Branch: A Subanalysis From the SEASE International Registry"],"prefix":"10.1161","volume":"4","author":[{"given":"Mahmoud","family":"Dibas","sequence":"first","affiliation":[{"name":"University of Iowa Hospitals and Clinics","place":["Iowa City"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Vivanco\u2010Suarez","sequence":"additional","affiliation":[{"name":"University of Iowa Hospitals and Clinics","place":["Iowa 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Medicine","place":["Bronx"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitor M.","family":"Pereira","sequence":"additional","affiliation":[{"name":"St Michael's Hospital","place":["Toronto, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao Yu Eileen","family":"Liu","sequence":"additional","affiliation":[{"name":"St Michael's Hospital","place":["Toronto, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajit S.","family":"Puri","sequence":"additional","affiliation":[{"name":"University of Massachusetts Chan Medical School","place":["Worcester"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna L.","family":"K\u00fchn","sequence":"additional","affiliation":[{"name":"University of Massachusetts Chan Medical School","place":["Worcester"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waldo R.","family":"Guerrero","sequence":"additional","affiliation":[{"name":"University of South 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