Results for stents with mechanical failuresa
Angiograms | Micro-CT | Histology Grade | SEM Grade | ||||||
---|---|---|---|---|---|---|---|---|---|
Case | Prestent | Poststent | Post/Pre Ratio | Follow-Up Grade | Total Aneurysm Occlusion (%) | Domeb | Neck | Stent Struts | Patch |
3-A | 0.68 | 3.14 | 4.62 | 2 | 55 | 4 | 0 | 1 | 1 |
12-B | 3.44 | 0.33 | 0.10 | 3 | 60 | 4 | 0 | 3 | 2 |
13-B | 1.53 | 2.70 | 1.76 | 2 | 20 | 0 | 0 | 3 | 3 |
15-B | 1.82 | 0.69 | 0.38 | 3 | 30 | 3 | 0 | 3 | 2 |
Average | 2.83 ± 2.02 | 0.69 ± 1.1 | 0.45 ± 1.06 | 4.5 | 85 ± 25 | 4 | 1.5 | 3 | 2 |
a Columns 2 and 3, maximum percentage of total injected contrast material entering the aneurysm dome pre- and immediately poststent; 4, immediate poststent/prestent ratios of maximum CA volume entering the aneurysm dome; 5, follow-up angiographic grades: 0) intact aneurysm, 1) 0.75–0.50 filling, 2) 0.50–0.25 filling, 3) <0.25 filling, 4) no filling but exhibiting some remnant neck, 5) no CA flow in the aneurysm dome or neck (total occlusion); 6, conebeam micro-CT scanning result—thrombosed volume relative to total aneurysm dome volume (%)—total aneurysm occlusion; 7 and 8, histology grade for dome and neck20: 0) fresh blood clot or no thrombus, 1) organized thrombus in less than one-third of the area, 2) organized thrombus in one-third to two-thirds of the area, 3) organized thrombus in more than two-thirds of the area, 4) completely organized loose thrombus, 5) completely organized dense fibrous thrombus; 9 and 10, SEM grade for degree of endothelialization of stent and patch: 0) no cell coverage, 1) partial coverage with ECM and endothelial cells, 2) full coverage with ECM and endothelial cells, 3) full coverage with endothelial cells.
b Histology grade for the partially thrombosed aneurysm dome and refers to the thrombosed portion of the dome.