Abstract
Smoking is a major risk factor for patients with intracranial aneurysms, yet the effects of smoking on outcomes of aneurysm with flow-diverter treatment remain unknown. We studied the impact of smoking on long-term angiographic and clinical outcomes after flow-diverter treatment of intracranial aneurysms. We retrospectively reviewed data from patients treated with the Pipeline Embolization Device and included in the International Retrospective Study of the Pipeline Embolization Device, the Pipeline for Uncoilable or Failed Aneurysms Study, and the Aneurysm Study of Pipeline in an Observational Registry. Patients were stratified according to smoking status into 3 groups: 1) never smoker, 2) current smoker, and 3) former smoker. We studied angiographic and clinical outcomes. Outcomes were compared by using χ(2) and Student t tests. A multivariate analysis was performed to determine whether smoking was independently associated with poor outcomes. Six hundred sixteen patients with 694 aneurysms were included. Current smokers had a smaller mean aneurysm size compared with the other 2 groups (P = .005) and lower rates of multiple Pipeline Embolization Device use (P = .015). On multivariate analysis, former smokers (OR, 1.08; 95% CI, ...Continue Reading
References
Jul 29, 1978·Lancet·D B Petitti, J Wingerd
Jan 1, 1991·Journal of Clinical Epidemiology·P KnektO Impivaara
Sep 1, 1986·Stroke; a Journal of Cerebral Circulation·R Bonita
Jul 1, 1984·Neurology·R L SaccoR D'Agostino
May 1, 1993·Stroke; a Journal of Cerebral Circulation·S JuvelaP Koskinen
Feb 7, 2001·Stroke; a Journal of Cerebral Circulation·S JuvelaM Porras
Jan 31, 2004·Stroke; a Journal of Cerebral Circulation·Craig S AndersonUNKNOWN Australasian Cooperative Research on Subarachnoid Hemorrhage Study (ACROSS) Group
Dec 31, 2005·Neurosurgery·Hyun-Seung KangSung Hyun Kim
Apr 2, 2008·Journal of Neurosurgery·Rafael OrtizErol Veznedaroglu
May 18, 2011·Neuroscience Letters·Hui-Jie WeiJian-Ning Zhang
Jul 12, 2012·European Radiology·Yue-Qi ZhuPei-Lei Zhang
Aug 4, 2012·Lancet Neurology·Brajesh K LalUNKNOWN CREST Investigators
Sep 1, 2012·Journal of Neurology, Neurosurgery, and Psychiatry·Chi Kyung KimByung-Woo Yoon
Feb 19, 2013·Radiology·Tibor BecskePeter K Nelson
Jun 21, 2013·JAMA Surgery·Khaled M MusallamFaek R Jamali
Oct 3, 2013·Radiology·Ramanathan KadirvelDavid F Kallmes
Oct 31, 2014·AJNR. American Journal of Neuroradiology·D F KallmesP Lylyk
Nov 8, 2014·Journal of Neurosurgery·Waleed BrinjikjiDavid F Kallmes
Mar 21, 2015·Journal of the American College of Cardiology·Yao-Jun ZhangPatrick W Serruys
Jun 4, 2015·Clinical Neurology and Neurosurgery·Jihye SongPyoung Jeon
Jun 21, 2015·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Yoshimitsu SogaUNKNOWN SCALLOP Investigators
Jun 22, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Khung Keong YeoJason H Rogers
Jun 24, 2015·Journal of Neurology·Jia-Xiang ChenChuan-Zhi Duan
Jul 19, 2015·The American Journal of Cardiology·Alexis MatteauLaura Mauri
Citations
Apr 27, 2019·Journal of Neurosurgery·Georgios A MaragkosAjith J Thomas
Jul 16, 2019·Neurointervention·Buqing LiangJason H Huang
Apr 12, 2019·Frontiers in Neurology·Yupeng ZhangChuhan Jiang
Oct 6, 2018·AJNR. American Journal of Neuroradiology·F CagnazzoV Costalat
Sep 16, 2017·AJNR. American Journal of Neuroradiology·N AdeebC S Ogilvy
Oct 13, 2021·Stroke; a Journal of Cerebral Circulation·Mohamed M SalemAjith J Thomas
Oct 31, 2021·Journal of Neurointerventional Surgery·Ricardo A HanelDavid F Kallmes