Safety and Efficacy of Stent Deployment for Intracranial Aneurysms (SESIA)
SESIA
1 other identifier
observational
4,157
1 country
1
Brief Summary
Intracranial aneurysms (IA) regarded the third cause of cerebral vascular disease is the majoy cause of subarachnoid hemorrhage (SAH). The mortality and morbidity account for 22% to 25% in cerebrovascular disease. More than half of the ruptured IA survivors has serious nerve dysfunction such as hemiplegia, aphasia,which seriously harms to human health. Endovascular embolization is one of the main treatment ways of IA.However,there are no studies on the multicenter cases of stent selection strategy at home and abroad.Therefore, the investigators conduct a prospective study by comparing the clinical efficacy, follow-up results, and hemodynamics between preoperative and postoperative patients with different types of stent assisted embolization treatment of IA.The investigators also study the relationship between cyclin dependent kinase inhibitor 2B antisense RNA 1 gene(CDKN2BAS1 gene)of IA patients and the results, for making indication of stents, improving the cure rate, reducing the recurrence rate of IA patients, providing theory gist for interventional therapy of complex IA and simplying slection of stent.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Sep 2016
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2016
CompletedFirst Submitted
Initial submission to the registry
November 27, 2017
CompletedFirst Posted
Study publicly available on registry
January 2, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
August 30, 2024
CompletedSeptember 23, 2024
September 1, 2024
7.3 years
November 27, 2017
September 19, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
The safety evaluation of interventional therapy
Modified Rankin Scale (mRS) score to measure the safety of of interventional therapy
6 months later after operation
The efficacy evaluation of interventional treatment
Raymond-Ray scale (for common stent) and O'Kelley Morrota scale (for FD) to measure the effectiveness of interventional treatment
6 months later after operation
Evaluate the relationship between intracranial aneurysm and cyclin dependent
The investigators will take the participant's blood and the relationship between intracranial aneurysm and CDKN2BAS1 will be evaluated by ligase detection reaction-polymerase chain reaction(LDP-PCR)
6 months later after operation
The cerebrovascular complication after interventional therapy
Perioperative and delayed cerebrovascular complication after stent deployment
6 months later after operation
The incidence of in-stent stenosis after stent deployment
the rate and degree of in-stent stenosis after stent deployment
6 months later after operation
Other Outcomes (4)
The safety evaluation of interventional therapy
24 months later after operation
The efficacy evaluation of interventional treatment
24 months later after operation
The cerebrovascular complication after interventional therapy
24 months later after operation
- +1 more other outcomes
Study Arms (5)
Anterior communicating artery aneurysm
Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.
Middle cerebral artery aneurysm
Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.
Posterior communicating artery aneurysm
Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.
Internal carotid artery aneurysm
Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.
Vertebrobasilar system aneurysms
Contains 5 subgroups: LVIS stent, Solitire stent, Enterprise stent, Neuroform stent and flow diveter stent.
Interventions
The paitents treated by LVIS stent implantation.
The paitents treated by Solitaire stent implantation.
The paitents treated by Enterprise stent implantation.
The paitents treated by Neuroform stent implantation.
The paitents treated by Enterprise FD implantation.
Eligibility Criteria
Subject has intracranial aneurysms confirmed by CT arteriography (CTA) or magnetic resonance angiography (MRA) or digital subtraction angiography (DSA).
You may qualify if:
- Subject has intracranial aneurysms confirmed by CT arteriography (CTA) or magnetic resonance angiography (MRA) or digital subtraction angiography(DSA)
- Subject has accepted stent - assisted embolization or flow-diversion treatment of intracranial aneurysm
You may not qualify if:
- Subject has secondary intracranial aneurysms(e.g.traumatic aneurysm, infected aneurysm)
- Subject has received previous surgical clipping or endovascular treatment
- Subject has no intracranial aneurysms by DSA
- Subject with poor image quality
- Subject cannot use stent because of the small parent artery
- Subject do not need to use stent because of narrow-neck aneurysm
- History of aneurysm
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Zhujiang Hospitallead
- Nanfang Hospital, Southern Medical Universitycollaborator
- Guangdong Provincial People's Hospitalcollaborator
- Beijing Tiantan Hospitalcollaborator
- First Affiliated Hospital of Chongqing Medical Universitycollaborator
- The Affiliated Hospital Of Southwest Medical Universitycollaborator
- Guangdong 999 Brain Hospitalcollaborator
- Eighth Affiliated Hospital, Sun Yat-sen Universitycollaborator
Study Sites (1)
ZhuJiang Hospital,Southern Medical University
Guangzhou, Guangdong, 510282, China
Related Publications (10)
Zhang X, Long XA, Luo B, Karuna T, Duan CZ. Factors responsible for poor outcome after intraprocedural rerupture of ruptured intracranial aneurysms: identification of risk factors, prevention and management on 18 cases. Eur J Radiol. 2012 Jan;81(1):e77-85. doi: 10.1016/j.ejrad.2011.02.015. Epub 2011 Feb 24.
PMID: 21353424BACKGROUNDStandhardt H, Boecher-Schwarz H, Gruber A, Benesch T, Knosp E, Bavinzski G. Endovascular treatment of unruptured intracranial aneurysms with Guglielmi detachable coils: short- and long-term results of a single-centre series. Stroke. 2008 Mar;39(3):899-904. doi: 10.1161/STROKEAHA.107.496372. Epub 2008 Feb 7.
PMID: 18258836BACKGROUNDIshibashi T, Murayama Y, Urashima M, Saguchi T, Ebara M, Arakawa H, Irie K, Takao H, Abe T. Unruptured intracranial aneurysms: incidence of rupture and risk factors. Stroke. 2009 Jan;40(1):313-6. doi: 10.1161/STROKEAHA.108.521674. Epub 2008 Oct 9.
PMID: 18845802BACKGROUNDGu DQ, Zhang X, Luo B, Long XA, Duan CZ. The effect of Neuroform stent-assisted coil embolization of wide-necked intracranial aneurysms and clinical factors on progressive aneurysm occlusion on angiographic follow-up. J Clin Neurosci. 2013 Feb;20(2):244-7. doi: 10.1016/j.jocn.2012.01.053. Epub 2012 Nov 30.
PMID: 23201094BACKGROUNDYe HW, Liu YQ, Wang QJ, Zheng T, Cui XB, Gao YY, Lai LF, Zhang X, Li XF, Su SX, He XY, Duan CZ. Comparison between Solitaire AB and Enterprise stent-assisted coiling for intracranial aneurysms. Exp Ther Med. 2015 Jul;10(1):145-153. doi: 10.3892/etm.2015.2481. Epub 2015 May 8.
PMID: 26170926BACKGROUNDLi H, He XY, Li XF, Zhang X, Liu YC, Duan CZ. Treatment of giant/large internal carotid aneurysms: parent artery occlusion or stent-assisted coiling. Int J Neurosci. 2016;126(1):46-52. doi: 10.3109/00207454.2014.992427. Epub 2015 Jan 7.
PMID: 25565057BACKGROUNDNaggara ON, White PM, Guilbert F, Roy D, Weill A, Raymond J. Endovascular treatment of intracranial unruptured aneurysms: systematic review and meta-analysis of the literature on safety and efficacy. Radiology. 2010 Sep;256(3):887-97. doi: 10.1148/radiol.10091982. Epub 2010 Jul 15.
PMID: 20634431BACKGROUNDMitra D, Herwadkar A, Soh C, Gholkar A. Follow-up of intracranial aneurysms treated with matrix detachable coils: a single-center experience. AJNR Am J Neuroradiol. 2007 Feb;28(2):362-7.
PMID: 17297013BACKGROUNDLopes D, Sani S. Histological postmortem study of an internal carotid artery aneurysm treated with the Neuroform stent. Neurosurgery. 2005 Feb;56(2):E416; discussion E416. doi: 10.1227/01.neu.0000147977.07736.66.
PMID: 15670395BACKGROUNDFeng X, Huang C, Tong X, Wen Z, Zhu Y, Huang M, Lin J, Huang J, Yuan H, Xu A, Ma G, Ge R, Li C, Peng C, Su S, Zhang X, Li X, Guo Z, Liu A, Duan C. Effect of LDL-Cholesterol Levels and Oral Atorvastatin on Outcomes After Pipeline Therapy for Intracranial Aneurysms. Stroke. 2025 Oct;56(10):3002-3013. doi: 10.1161/STROKEAHA.124.049833. Epub 2025 Aug 6.
PMID: 40765506DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Chuanzhi Duan, Ph.D.
Department of Neurosurgery, Zhujiang Hospital,Southern Medical University
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Neurovascular Center of Zhujiang Hospital
Study Record Dates
First Submitted
November 27, 2017
First Posted
January 2, 2018
Study Start
September 1, 2016
Primary Completion
December 30, 2023
Study Completion
August 30, 2024
Last Updated
September 23, 2024
Record last verified: 2024-09
Data Sharing
- IPD Sharing
- Will not share
Anonymized data that support the findings of this article can be provided upon reasonable request by the SESIA steering committee.