1. Five-year results of randomized bioactive versus bare metal coils in the treatment of intracranial aneurysms: the Matrix and Platinum Science (MAPS) Trial
- Author
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John C Chaloupka, Allan J. Fox, Alain Bonafe, Cameron G. McDougall, Donatella Tampieri, Christopher F. Dowd, Juan Carlos Vazquez Suarez, Ajay K. Wakhloo, Anil Gholkar, Javier Romero, Aquilla S Turk, Steven W. Hetts, Stanley L. Barnwell, and S. Claiborne Johnston
- Subjects
business.industry ,Intracranial Aneurysm ,General Medicine ,Aneurysm, Ruptured ,medicine.disease ,Embolization, Therapeutic ,Aneurysm recurrence ,law.invention ,Treatment Outcome ,Aneurysm ,Tar (tobacco residue) ,Randomized controlled trial ,law ,medicine ,Humans ,Bare metal ,Surgery ,Neurology (clinical) ,Nuclear medicine ,business - Abstract
BackgroundNo randomized trial of intracranial aneurysm coiling has compared long-term efficacy of polymer-modified coils to bare metal coils (BMCs). We report 5-year results comparing Matrix2 coils to BMCs. The primary objective was to compare the rates of target aneurysm recurrence (TAR) at 12 months. Secondary objectives included angiographic outcomes at TAR or 12 months and TAR at 5 years.MethodsA total of 626 patients were randomized to BMCs or Matrix2 coils. Detailed methods and 1-year results have been published previously.ResultsOf 580 patients eligible for 5-year follow-up, 431 (74.3%) completed follow-up or reached TAR. Matrix2 coils were non-inferior to BMCs (P=0.8) but did not confer any benefit. Core lab reported post-treatment residual aneurysm filling (Raymond III) correlated with TAR (PConclusionsAfter 5 years Matrix2 coils were non-inferior to BMCs but no benefit was demonstrated. Post-treatment residual angiographic aneurysm filling (Raymond III) is strongly associated with TAR (P
- Published
- 2020