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A novel score for evaluating cerebral aneurysms treated with flow diversion: 4F-flow diversion predictive score.

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收录情况： ◇ SCIE

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机构： [1]Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [2]Beijing Tiantan Hospital, Capital Medical University, Beijing, China [3]Xuanwu Hospital, Capital Medical University, Beijing, China [4]Zhengzhou University People’s Hospital, Zhengzhou, China [5]Shanghai Donglei Brain Hospital, Fudan University, Shanghai, China [6]Peking University International Hospital, Beijing, China [7]First Affiliated Hospital of Zhengzhou University, Zhengzhou, China [8]Qilu Hospital of Shandong University, Jinan, China [9]Nanfang Hospital, Southern Medical University, Guangzhou, China [10]First Affiliated Hospital of Nanchang University, Nanchang, China [11]First Affiliated Hospital of Harbin Medical University, Harbin, China [12]Changhai Hospital Affiliated to Naval Medical University, Shanghai, China [13]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, No.119 South Fourth Ring West Road, Fengtai District, Beijing 100050, China

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关键词： endovascular treatment flow diversion grading scale intracranial aneurysm prediction

摘要：

Although grading scales for angiography outcomes following cerebral aneurysm treatment with flow diversion have been published, physicians have not widely adopted these scales in practice. The aim of this study is to propose and validate a novel Flow diversion Predictive Score (4F-FPS) grading scale based on previously established scales that is simple and reliable.We retrospectively analyzed consecutive patients who underwent endovascular treatment for cerebral aneurysms with flow diversion between January 2014 and September 2019. The included patients were randomly divided into the derivation and validation group in a 70/30 ratio, respectively. Aneurysms were classified as incomplete or complete occlusion based on final angiography outcomes. 4F-FPS was derived to predict aneurysm occlusion from multivariate logistic regression analyses in the derivation group and validated with previously published grading scales in the validation group.Overall, 662 patients [mean age, 53.8 years; 72.5% (480/662) female] with 662 aneurysms treated with the PipelineTM flow diverter were included [69.9% (463/662) derivation group, 30.1% (199/662) validation group]. The incidence of aneurysm occlusion was 82.7%. 4F-FPS demonstrated significant discrimination in 10-fold cross validation [mean receiver operating characteristic (ROC) area, 0.862 ± 0.055] and calibration (Cox & Snell R 2, 0.251; Nagelkerke R 2, 0.413) in the derivation group. The ROC area of 4F-FPS score in both the derivation and validation groups is the largest compared with previously published grading scales/scores (p < 0.05), which shows better sensitivity and specificity. The 4F-FPS score showed excellent prediction, discrimination, and calibration properties.The 4F-FPS score is a simple and reliable tool to predict angiography outcome after flow diversion treatment. If widely adopted, it may provide a common language to be used in future reporting of flow diversion results for clinical trials and daily practice.http://www.clinicaltrials.gov. Unique identifier: NCT03831672.© The Author(s), 2021.

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出版当年[2020]版：

大类 | 2 区医学

小类 | 2 区临床神经病学

最新[2023]版：

大类 | 2 区医学

小类 | 2 区临床神经病学

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出版当年[2019]版：

Q1 CLINICAL NEUROLOGY

最新[2023]版：

Q1 CLINICAL NEUROLOGY

影响因子： 4.7 最新[2023版] 4.9 最新五年平均 5 出版当年[2019版] 4.281 出版当年五年平均 3.58 出版前一年[2018版] 6.57 出版后一年[2020版]

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第一作者机构： [1]Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China

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通讯作者：

通讯机构： [13]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, No.119 South Fourth Ring West Road, Fengtai District, Beijing 100050, China [*1]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, No.119 South Fourth Ring West Road, Fengtai District, Beijing 100050, China

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A novel score for evaluating cerebral aneurysms treated with flow diversion: 4F-flow diversion predictive score.

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