nach oben

Erschienen in:

07.06.2019 | Original Article - Tumor - Other

A comparison of the prevalence and risk factors of complications in intracranial tumor embolization between the Japanese Registry of NeuroEndovascular Therapy 2 (JR-NET2) and JR-NET3

verfasst von: Tomohito Hishikawa, Kenji Sugiu, Satoshi Murai, Yu Takahashi, Naoya Kidani, Shingo Nishihiro, Masafumi Hiramatsu, Isao Date, Tetsu Satow, Koji Iihara, Nobuyuki Sakai, on behalf of the JR-NET2 and JR-NET3 study groups

Erschienen in: Acta Neurochirurgica | Ausgabe 8/2019

Einloggen, um Zugang zu erhalten

Abstract

Background

The Japanese Registry of NeuroEndovascular Therapy 2 (JR-NET2) and 3 (JR-NET3) were nationwide surveys that evaluated clinical outcomes after neuroendovascular therapy in Japan. The aim of this study was to compare the prevalence and risk factors of complications of intracranial tumor embolization between JR-NET2 and JR-NET3.

Methods

A total of 1018 and 1545 consecutive patients with intracranial tumors treated with embolization were enrolled in JR-NET2 and JR-NET3, respectively. The prevalence of complications in intracranial tumor embolization and related risk factors were compared between JR-NET2 and JR-NET3.

Results

The prevalence of complications in JR-NET3 (3.69%) was significantly higher than that in JR-NET2 (1.48%) (p = 0.002). The multivariate analysis in JR-NET2 showed that embolization for tumors other than meningioma was the only significant risk factor for complication (odds ratio [OR], 3.88; 95% confidence interval [CI], 1.13–12.10; p = 0.032), and that in JR-NET3 revealed that embolization for feeders other than external carotid artery (ECA) (OR, 3.56; 95% CI, 2.03–6.25; p < 0.001) and use of liquid materials (OR, 2.65; 95% CI, 1.50–4.68; p < 0.001) were significant risks for complications. The frequency of embolization for feeders other than ECA in JR-NET3 (15.3%) was significantly higher than that in JR-NET2 (9.2%) (p < 0.001). Also, there was a significant difference in the frequency of use of liquid materials between JR-NET2 (21.2%) and JR-NET3 (41.2%) (p < 0.001).

Conclusions

Embolization for feeders other than ECA and use of liquid materials could increase the complication rate in intracranial tumor embolization.

Aihara M, Naito I, Shimizu T, Fujimaki H, Asakura K, Miyamoto N, Yoshimoto Y (2015) Preoperative embolization of intracranial meningiomas using n-butyl cyanoacrylate. Neuroradiology 57:713–719CrossRef

Egashira Y, Yoshimura S, Sakai N, Enomoto Y, investigators JR-NET (2014) Real-world experience of carotid artery stenting in Japan: analysis of 7134 cases from JR-NET1 and 2 nationwide retrospective multi-center registries. Neuro Med Chir (Tokyo) 54:32–39CrossRef

Hayakawa M, Yamagami H, Sakai N, Matsumaru Y, Yoshimura S, Toyoda K, on behalf of JR-NET study group (2014) Endovascular treatment of acute stroke with major vessel occlusion before approval of mechanical thrombectomy devices in Japan: Japanese Registry of Neuroendovascular therapy (JR-NET) and JR-NET2. Neuro Med Chir (Tokyo) 54:23–31CrossRef

Hayashi K, Hirao T, Sakai N, Nagata I, JR-NET2 Study Group (2014) Current status of endovascular treatment for vasospasm following subarachnoid hemorrhage: analysis of JR-NET2. Neuro Med Chir (Tokyo) 54:107–112CrossRef

Hiramatsu M, Sugiu K, Hishikawa T, Haruma J, Tokunaga K, Date I, Kuwayama N, Sakai N (2014) Epidemiology of dural arteriovenous fistula in Japan: analysis of Japanese Registry of Neuroendovascular Therapy (JR-NET2). Neuro Med Chir (Tokyo) 54:63–71CrossRef

Hishikawa T, Sugiu K, Hiramatsu M, Haruma J, Tokunaga K, Date I, Sakai N (2014) Nationwide survey of the nature and risk factors of complications in embolization of meningiomas and other intracranial tumors: Japanese registry of neuroendovascular therapy 2 (JR-NET2). Neuroradiology 56:139–144CrossRefPubMed

Imamura H, Sakai N, Sakai C, Fujinaka T, Ishii A, Investigators JR-NET (2014) Endovascular treatment of aneurysmal subarachnoid hemorrhage in Japanese Registry of Neuroendovascular Therapy (JR-NET) 1 and 2. Neuro Med Chir (Tokyo) 54:81–90CrossRef

Ishii A, Miyamoto S, Ito Y, Fujinaka T, Sakai C, Sakai N, Japanese Registry of Neuroendovascular Therapy (JR-NET) Investigators (2014) Parent artery occlusion for unruptured cerebral aneurysms: the Japanese Registry of Neuroendovascular Therapy (JR-NET) 1 and 2. Neuro Med Chir (Tokyo) 54:91–97CrossRef

Izumi T, Imamura H, Sakai N, Miyachi S (2014) Angioplasty and stenting for intracranial stenosis. Neuro Med Chir (Tokyo) 54:46–53CrossRef

10.

Kanda Y (2013) Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant 48:452–458CrossRef

11.

Kikuchi T, Ishii A, Nakahara I, Miyamoto S, Sakai N (2014) Japanese Registry of Neuroendovascular Therapy: extracranial steno-occlusive diseases except for internal carotid artery stenosis. Neuro Med Chir (Tokyo) 54:40–45CrossRef

12.

Kim LJ, Albuquerque FC, Aziz-Sultan A, Spetzler RF, McDougall CG (2006) Low morbidity associated with use of n-butyl cyanoacrylate liquid adhesive for preoperative transarterial embolization of central nervous tumors. Neurosurgery 59:98–104CrossRefPubMed

13.

Kominami S, Watanabe A, Suzuki M, Mizutani T, Kobayashi S, Teramoto A (2012) Preoperative embolization of meningioma with N-butyl cyanoacrylate. Interv Neuroradiol 18:133–139CrossRefPubMedPubMedCentral

14.

Kondo R, Matsumoto Y, Endo H, Miyachi S, Ezura M, Sakai N (2014) Endovascular embolization of cerebral arteriovenous malformations: results of the Japanese Registry of Neuroendovascular Therapy (JR-NET 1 and 2). Neuro Med Chir (Tokyo) 54:54–62CrossRef

15.

Lay-ye B, Clarencon F, Sourour NA, Di Maria F, Jean B, Bonneville F, Biondi A, Iosif C, Navarro S, Cornu P, Chiras J (2013) Risks of presurgical embolization of feeding arteries in 137 intracranial meningeal tumors. Acta Neurochir 155:707–714CrossRef

16.

Rosen CL, Ammerman JM, Sekhar LN, Bank WO (2002) Outcome analysis of preoperative embolization in cranial base surgery. Acta Neurochir 144:1157–1164CrossRefPubMed

17.

Sakai N, Yoshimura S, Taki W, Hyodo A, Miyachi S, Nagai Y, Sakai C, Satow T, Terada T, Ezura M, Hyogo T, Matsubara S, Hayashi K, Fujinaka T, Ito Y, Kobayashi S, Komiyama M, Kuwayama N, Matsumaru Y, Matsumoto Y, Murayama Y, Nakahara I, Nemoto S, Satoh K, Sugiu K, Ishii A, Imamura H, Japanese Registry of Neuroendovascular Therapy (JR-NET) Investigators (2014) Recent trends in neuroendovascular therapy in Japan: analysis of a nationwide survey – Japanese Registry of Neuroendovascular Therapy (JR-NET) 1 and 2. Neuro Med Chir (Tokyo) 54:1–8CrossRef

18.

Satow T, Ishii D, Iihara K, Sakai N, JR-NET Study Group (2014) Endovascular treatment for ruptured vertebral artery dissection aneurysms: results from Japanese Registry of Neuroendovascular Therapy (JR-NET) 1 and 2. Neuro Med Chir (Tokyo) 54:98–106CrossRef

19.

Shah AH, Patel N, Raper DM, Bregy A, Ashour R, Elhammady MS, Aziz-Sultan MA, Morcos JJ, Heros RC, Komotar RJ (2013) The role of preoperative embolization for intracranial meningiomas. J Neurosurg 119:364–372CrossRefPubMed

20.

Shigematsu T, Fujinaka T, Yoshimine T, Imamura H, Ishii A, Sakai C, Sakai N, for the JR-NET Investigators (2013) Endovascular therapy for asymptomatic unruptured intracranial aneurysms: JR-NET and JR-NET2 findings. Stroke 44:2735–2742CrossRefPubMed

21.

Sugiu K, Hishikawa T, Murai S, Takahashi Y, Kidani N, Nishihiro S, Hiramatsu M, Date I, Satow T, Iihara K, Sakai N (2019) Treatment outcome of intracranial tumor embolization in Japan: Japanese Registry of Neuroendovascular Therapy 3 (JR-NET3). Neuro Med Chir (Tokyo). https://doi.org/10.2176/nmc.st.2018-0220

22.

Tsuruta W, Matsumaru Y, Miyachi S, Sakai N (2014) Endovascular treatment of spinal vascular lesion in Japan: Japanese Registry of Neruoendovascular Therapy (JR-NET) and JR-NET2. Neuro Med Chir (Tokyo) 54:72–78CrossRef

23.

Waldron JS, Sughrue ME, Hetts SW, Wilson SP, Millis SA, McDermott MW, Dowd CF, Parsa AT (2011) Embolization of skull base meningiomas and feeding vessels arising from the internal carotid circulation. Neurosurgery 68:162–169CrossRefPubMed

24.

Yoon N, Shah A, Couldwell WT, Kalani MYS, Park MS (2018) Preoperative embolization of skull base menigiomas: current indications, techniques, and pearls for complication avoidance. Neurosurg Focus 44(4):E5CrossRefPubMed

Titel: A comparison of the prevalence and risk factors of complications in intracranial tumor embolization between the Japanese Registry of NeuroEndovascular Therapy 2 (JR-NET2) and JR-NET3
verfasst von: Tomohito Hishikawa
Kenji Sugiu
Satoshi Murai
Yu Takahashi
Naoya Kidani
Shingo Nishihiro
Masafumi Hiramatsu
Isao Date
Tetsu Satow
Koji Iihara
Nobuyuki Sakai
on behalf of the JR-NET2 and JR-NET3 study groups
Publikationsdatum: 07.06.2019
Verlag: Springer Vienna
Erschienen in: Acta Neurochirurgica / Ausgabe 8/2019
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-019-03970-w

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Neurologie

25.04.2024 | Hypotonie | Nachrichten

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

A comparison of the prevalence and risk factors of complications in intracranial tumor embolization between the Japanese Registry of NeuroEndovascular Therapy 2 (JR-NET2) and JR-NET3

Abstract

Background

Methods

Results

Conclusions

Leitlinien kompakt für die Neurologie

Neu im Fachgebiet Neurologie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Demenzkranke durch Antipsychotika vielfach gefährdet

Parkinson-Therapie im Wandel – aktuelle Leitlinie im Fokus

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Neurologie

Springer Medizin

Abstract

Background

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 8/2019

WEB-only treatment of ruptured and unruptured intracranial aneurysms: a retrospective analysis of 47 aneurysms

Endoscopic endo- and extra-orbital corridors for spheno-orbital region: anatomic study with illustrative case

Intra-operative MRI vs endoscopy in achieving gross total resection of pituitary adenomas: a systematic review

Home telemonitoring of intracranial pressure

The approach angle to the interoptic triangle limits surgical workspace when targeting the contralateral internal carotid artery

Reply to letter “Pituitary tumors and oculomotor cistern”

Leitlinien kompakt für die Neurologie

Neu im Fachgebiet Neurologie

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

Demenzkranke durch Antipsychotika vielfach gefährdet

Parkinson-Therapie im Wandel – aktuelle Leitlinie im Fokus

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Neurologie