AUTHOR=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 , Cao Wenfeng , Yang Donghong , Zhang Qingrong , Wang Lei , Gu Binxian , Cheng Guangsen , Zhang Yongcheng , Fang Chun , Li Minghua TITLE=Use of covered stents to treat complex cerebrovascular diseases: Expert consensus JOURNAL=Frontiers in Cardiovascular Medicine VOLUME=9 YEAR=2022 URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2022.934496 DOI=10.3389/fcvm.2022.934496 ISSN=2297-055X ABSTRACT=

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.