{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:50:55Z","timestamp":1777729855262,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T00:00:00Z","timestamp":1689638400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Surpass Streamline (SS; Stryker\n                      <jats:sup>\u00a9<\/jats:sup>\n                      ) is an over-the-wire first-generation flow diverter (FD). There is a scarcity of data on real-world outcomes and complications of this FD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of consecutive cases between January 2019 and July 2021 at two high-volume comprehensive stroke centers, involving SS was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty-five patients harbored 69 treated aneurysms, of which 96% were in the internal carotid petrous to terminus segments and 88% were &lt;10 mm in size, and 12% measuring 10\u201324 mm. Raymond Roy Grade 1 occlusion was noted in 55 aneurysms (79.7%) at 1 year. Median follow-up duration was 26 months (mean\u2009=\u200926.06). Major complications were seen in eight patients (14.5%; 95% CI 6.5\u201326.7) and mortality attributable to SS stenting complications occurred in two (4.3%) patients. Four (7.2%) had ophthalmologic thromboembolic complications and two had (3.6%) ischemic complications. Procedural complications occurred in 10 patients (18.18%; 95% CI 9.1\u201330.9). Technical complications during procedure (n\u2009=\u20093, 5.3%) were: \u201cconfirmed\u201d distal middle cerebral artery (MCA) guidewire perforation; \u201csuspected\u201d distal MCA guidewire perforation causing post-procedural subarachnoid hemorrhage and internal carotid artery dissection causing ischemic stroke. Seizures were seen in 5 (9.09%) and carotid-cavernous fistula in 1 (1.8%). Multivariate regression analysis showed technical challenges significantly predicted occurrence of major complications (p\u2009=\u20090.001;\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      <jats:sup>2\u2009<\/jats:sup>\n                      =\u20090.39,\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      (13,43)\u2009=\u20092.15, p\u2009=\u20090.029). Univariate analysis showed technical challenges significantly predicted ophthalmological complications (\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      <jats:sup>2\u2009<\/jats:sup>\n                      =\u20090.06,\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      (1,55)\u2009=\u20094.04, p\u2009=\u20090.049) and major complications (\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      <jats:sup>2\u2009<\/jats:sup>\n                      =\u20090.21,\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      (1,55)\u2009=\u200915.11, p\u2009=\u20090.0002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Large-scale future registry should focus on national data regarding SS safety, technical challenges, and procedural complications. We present one of the longest follow-ups for SS in literature.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15910199231188760","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T02:04:44Z","timestamp":1689732284000},"page":"817-825","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Surpass embolization of intracranial aneurysms: Perspective from a 2-year longitudinal follow-up study across high volume comprehensive stroke centers"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3873-6518","authenticated-orcid":false,"given":"Gaurav","family":"Gupta","sequence":"first","affiliation":[{"name":"Robert Wood Johnson Medical School & University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjeev","family":"Sreenivasan","sequence":"additional","affiliation":[{"name":"Robert Wood Johnson Medical 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