Use of covered stents to treat complex cerebrovascular diseases: Expert consensus

作者：Zhu, Yueqi^*; Tan, Huaqiao; Wu, Zhongxue; Li, Tielin; Ma, Lianting; Liu, Jianmin; Zhang, Hongqi; Gu, Yuxiang; Li, Tianxiao; Guan, Sheng; Xie, Xiaodong; Jiang, Chuhan; Zhao, Zhenwei; Duan, Chuanzhi; Wan, Jieqing; Zhang, Xiaolong; Feng, Wenfeng; He, Xuying; Shi, Haibin; Wang, Qiujing; Lin, Dong; Li, Qiuping; Jiang, Weixi; Mao, Guohua; Zhong, Shu; Chen, E.; Shi, Huaizhang; Ren, Shaohua; Wang, Donghai; Liu, Yizhi; Liu, Zengpin; Wu, Jianliang; Wang, Feng; Hu, Xuebin; Wang, Jun; Zhang, Fan

来源：Frontiers in Cardiovascular Medicine, 2022, 9: 934496.

DOI：10.3389/fcvm.2022.934496

• cerebrovascular disease
• covered stent
• intraluminal reconstruction treatment
• expert consensus
• endovascular treatment

The treatment of complex cerebrovascular diseases (CCVDs) at the skull base, such as complex intracranial aneurysms, carotid-cavernous sinus fistulas, and intracranial artery traumatic injuries, is a difficult clinical problem despite advances in endovascular and surgical therapies. Covered stents or stent graft insertion is a new concept for endovascular treatment that focuses on arterial wall defect reconstruction, differing from endovascular lesion embolization or flow diverter therapies. In recent years, covered stents specifically designed for cerebrovascular treatment have been applied in the clinical setting, allowing thousands of patients with CCVDs to undergo intraluminal reconstruction treatment and achieving positive results, even in the era of flow diverters. Since there is no unified reference standard for the application of covered stents for treating CCVDs, it is necessary to further standardize and guide the clinical application of this technique. Thus, we organized authoritative experts in the field of neurointervention in China to write an expert consensus, which aims to summarize the results of covered stent insertion in the treatment of CCVDs and propose suitable standards for its application in the clinical setting. Based on the contents of this consensus, clinicians can use individualized intraluminal reconstruction treatment techniques for patients with CCVDs.

• 单位
  1; 南京大学; 苏州大学; 复旦大学; 6; 河北医科大学; 华中科技大学; 上海交通大学; 中山大学; 厦门大学; 哈尔滨医科大学; 郑州大学; 四川大学; 南昌大学; 山东大学; 同济大学; 南方医科大学; 海南医学院