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Unruptured Intracranial AneurysmFD-SAC BASNCT07754188

Early Complications After Flow Diverter Versus Stent-Assisted Coiling for Unruptured Wide-Neck Intracranial Bifurcation Aneurysms

An observational study of Unruptured Intracranial Aneurysm and Intracranial Bifurcation Aneurysm, run by Nanfang Hospital, Southern Medical University at 3 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This prospective real-world cohort study aims to compare early postoperative complications between flow diverter treatment and stent-assisted coiling in patients with unruptured wide-neck intracranial bifurcation aneurysms. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
Flow Diverter and Stent-Assisted Coiling
Type of treatment
Medical device
How many people
274 participants
Where
3 sitesChina
Study dates
19 Mar 2026to 19 Mar 2028
How long will I take part?
30 Days
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients aged 18 to 75 years with unruptured, saccular, wide-neck intracranial bifurcation aneurysms diagnosed by CTA, MRA, or DSA who meet the clinical indications for endovascular treatment and are treated at participating centers. Eligible patients must provide written informed consent and will receive either flow diverter treatment or stent-assisted coiling according to the study protocol.

Who may be able to join

  • Voluntarily provides written informed consent.
  • Aged 18 to 75 years.
  • Diagnosed by CTA, MRA, or DSA as having an unruptured, bifurcation, saccular, wide-neck intracranial aneurysm.
  • Able to understand the purpose of the study.

Who cannot join

  • Patients with two or more multiple aneurysms, all of which require treatment within 1 year.
  • Patients with other cerebrovascular diseases such as arteriovenous malformation or moyamoya disease.
  • Patients with ruptured aneurysms or narrow-neck aneurysms.
  • Patients who experienced stroke, including cerebral hemorrhage or cerebral infarction, within the past 1 month.
  • Patients with poor clinical condition, defined as modified Rankin Scale score ≥3.
  • Patients who have already planned to undergo surgical or interventional treatment within 3 months.
Show all 15Show fewer
  • Patients considered by the investigator to be unsuitable for endovascular treatment, such as those with no suitable vascular access, excessively tortuous vessels, or difficulty in stent delivery.
  • Patients unsuitable for anesthesia or endovascular treatment, including those with major heart, lung, liver, spleen, or kidney disease, brain tumor, severe active infection, disseminated intravascular coagulation, or a history of severe psychiatric disorder.
  • Patients unable to receive antiplatelet or anticoagulant therapy.
  • Patients with a previous or possible severe reaction to contrast agents that would prevent completion of pre-treatment medication or treatment.
  • Patients with a known history of allergy to cobalt-chromium or nickel-titanium alloy materials.
  • Patients who participated in another drug or medical device clinical trial before enrollment and have not reached the time point of the primary endpoint.
  • Pregnant or lactating women.
  • Patients with life expectancy less than 12 months.
  • Patients judged by the investigator to have poor compliance and inability to complete the study as required

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Huibin Kang Study Contact, MD contact

13520296286

kanghuibindoctor@163.com

China3 sites, 3 recruiting
  • Nanfang Hospital, Southern Medical University

    Guangzhou, Guangdong

    Wenfeng Feng Feng, Principal Investigator, MD, 13501509911, fengwf1967@163.com

    Recruiting
  • Guangdong Province People's Hospital

    Guangzhou

    Shengpan Chen, MD, 19801168712@163.com

    Recruiting
  • Zhujiang Hospital, Southern Medical University

    Guangzhou

    Xin Feng, Principal Investigator, 11111111@163.com

    Recruiting

Other trials in China

About this study

Official title: Early Complications After Flow Diverter Versus Stent-Assisted Coiling for Unruptured Wide-Neck Intracranial Bifurcation Aneurysms: A Prospective Real-World Cohort Study

This prospective real-world cohort study aims to compare early postoperative complications between flow diverter treatment and stent-assisted coiling in patients with unruptured wide-neck intracranial bifurcation aneurysms. A total of 274 patients from three centers in China will be enrolled and assigned to the flow diverter group or the stent-assisted coiling group according to the treatment received in routine clinical practice. The primary outcome is a composite of any stroke or all-cause death within 30 days after the procedure. The study will also collect demographic, clinical, laboratory, imaging, aneurysm morphological, procedural, and follow-up data to evaluate the safety of these two endovascular treatment strategies in a real-world setting.

Read the detailed description

Intracranial bifurcation aneurysms are common and are challenging to treat because of their complex anatomy. Flow diverters have emerged as an innovative endovascular therapy and have shown preliminary efficacy in bifurcation aneurysms. However, compared with conventional stent-assisted coiling, real-world evidence regarding early postoperative complication risks and related influencing factors remains limited.

This study will establish a prospective multicenter real-world database to compare the incidence of early complications after treatment with a flow diverter versus stent-assisted coiling in patients with unruptured wide-neck intracranial bifurcation aneurysms. Eligible patients who provide informed consent and meet the inclusion and exclusion criteria will be enrolled from three centers in China. Patients treated with a flow diverter will enter the flow diverter group, and patients treated with stent-assisted coiling will enter the stent-assisted coiling group.

All patients will undergo preoperative evaluation, perioperative management, postoperative antiplatelet therapy, and follow-up according to clinical practice and relevant guidelines. Data collected will include demographic characteristics, medical history, physical examination, laboratory tests, imaging findings, aneurysm morphology, procedural details, device information, medication history, and adverse events. Follow-up will be performed at 30 days after treatment to assess safety outcomes.

Being tested
Flow Diverter, Stent-Assisted Coiling
Keywords
Intracranial bifurcation aneurysm, Wide-neck aneurysm, Flow diverter, Stent-assisted coiling, Endovascular treatment, Early complications, Stroke, All-cause mortality, Real-world study, Prospective cohort
Medical subject headings
Stroke

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Flow DiverterDevice

    Flow diverter treatment will be performed according to routine clinical practice and relevant guidelines. A flow-diverting stent will be deployed to cover the aneurysm neck after angiographic evaluation and device sizing. Perioperative management and antiplatelet therapy will be performed according to the study protocol and clinical practice.

  • Stent-Assisted CoilingDevice

    Stent-assisted coiling will be performed according to routine clinical practice and relevant guidelines. A stent will be deployed across the aneurysm neck, followed by coil embolization of the aneurysm. Perioperative management and antiplatelet therapy will be performed according to the study protocol and clinical practice.

Study groups in NCT07754188
Study groupRoleWhat they receive
Flow Diverter GroupPatients with unruptured wide-neck intracranial bifurcation aneurysms who receive flow diverter treatment in routine clinical practice.
Receives: Device: Flow Diverter
Stent-Assisted Coiling GroupPatients with unruptured wide-neck intracranial bifurcation aneurysms who receive stent-assisted coiling in routine clinical practice.
Receives: Device: Stent-Assisted Coiling

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Composite incidence of any stroke or all-cause death within 30 days after procedure

    The primary outcome is the occurrence of any stroke or all-cause death within 30 days after the endovascular procedure. Stroke is defined as an acute onset of focal or global neurological dysfunction caused by vascular injury of the brain, spinal cord, or retina due to hemorrhage or infarction, with symptoms lasting 24 hours or longer.

    Measured: Within 30 days after procedure

Secondary outcomes (4)
  1. Incidence of any stroke within 30 days after procedure

    Incidence of any ischemic or hemorrhagic stroke within 30 days after the procedure.

    Measured: Within 30 days after procedure

  2. Incidence of transient ischemic attack within 30 days after procedure

    Incidence of transient ischemic attack within 30 days after the procedure. Transient ischemic attack is defined as a transient episode of focal neurological dysfunction caused by ischemia of the brain, spinal cord, or retina, with symptoms lasting less than 24 hours and without acute infarction.

    Measured: Within 30 days after procedure

  3. Incidence of all-cause death within 30 days after procedure

    Incidence of death from any cause within 30 days after the procedure.

    Measured: Within 30 days after procedure

  4. Incidence of adverse events and serious adverse events within 30 days after procedure

    Incidence of adverse events and serious adverse events recorded during the perioperative period and follow-up period.

    Measured: Within 30 days after procedure

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Aug 2026
  2. Study start19 Mar 2026
  3. Primary completion19 Mar 2027 (estimated)
  4. Study completion19 Mar 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
274 participants (estimated)
Target duration
30 Days
IDs, dates and publications
ClinicalTrials.gov ID
NCT07754188
Sponsor's protocol ID
2026STI341
Other IDs
2026STI341
Acronym
FD-SAC BAS
Status last verified
Aug 2026
First submitted
4 Aug 2026
Last updated
10 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: The individual participant data sharing plan has not yet been determined and will be decided according to institutional policy, ethics committee requirements, and participant privacy considerations.

Publications

  • Rouchaud A, Brinjikji W, Lanzino G, Cloft HJ, Kadirvel R, Kallmes DF. Delayed hemorrhagic complications after flow diversion for intracranial aneurysms: a literature overview. Neuroradiology. 2016 Feb;58(2):171-7. doi: 10.1007/s00234-015-1615-4. Epub 2015 Nov 9.

    PubMed 26553302
  • Cagnazzo F, Fanti A, Lefevre PH, Derraz I, Dargazanli C, Gascou G, Riquelme C, Ahmed R, Bonafe A, Costalat V. Distal anterior cerebral artery aneurysms treated with flow diversion: experience of a large-volume center and systematic review of the literature. J Neurointerv Surg. 2021 Jan;13(1):42-48. doi: 10.1136/neurintsurg-2020-015980. Epub 2020 May 26.

    PubMed 32457222
  • Choi JH, Park JE, Kim MJ, Kim BS, Shin YS. Aneurysmal Neck Clipping as the Primary Treatment Option for Both Ruptured and Unruptured Middle Cerebral Artery Aneurysms. J Korean Neurosurg Soc. 2016 May;59(3):269-75. doi: 10.3340/jkns.2016.59.3.269. Epub 2016 May 10.

    PubMed 27226859
  • Cagnazzo F, Limbucci N, Nappini S, Renieri L, Rosi A, Laiso A, Tiziano di Carlo D, Perrini P, Mangiafico S. Y-Stent-Assisted Coiling of Wide-Neck Bifurcation Intracranial Aneurysms: A Meta-Analysis. AJNR Am J Neuroradiol. 2019 Jan;40(1):122-128. doi: 10.3174/ajnr.A5900. Epub 2018 Dec 6.

    PubMed 30523146
  • Kashkoush A, El-Abtah ME, Petitt JC, Glauser G, Winkelman R, Achey RL, Davison M, Abdulrazzak MA, Hussain SM, Toth G, Bain M, Moore N. Flow diversion for the treatment of intracranial bifurcation aneurysms: a systematic review and meta-analysis. J Neurointerv Surg. 2024 Aug 14;16(9):921-927. doi: 10.1136/jnis-2023-020582.

    PubMed 37541838
  • Brinjikji W, Murad MH, Lanzino G, Cloft HJ, Kallmes DF. Endovascular treatment of intracranial aneurysms with flow diverters: a meta-analysis. Stroke. 2013 Feb;44(2):442-7. doi: 10.1161/STROKEAHA.112.678151. Epub 2013 Jan 15.

    PubMed 23321438
  • Kang H, Luo B, Liu J, Zhang H, Li T, Song D, Zhao Y, Guan S, Maimaitili A, Wang Y, Feng W, Wang Y, Wan J, Mao G, Shi H, Zhang Y, Yang X. Postoperative occlusion degree after flow-diverter placement with adjunctive coiling: analysis of complications. J Neurointerv Surg. 2022 Apr;14(4):371-375. doi: 10.1136/neurintsurg-2021-017445. Epub 2021 May 13.

    PubMed 33986109
  • Cekirge HS, Saatci I. A New Aneurysm Occlusion Classification after the Impact of Flow Modification. AJNR Am J Neuroradiol. 2016 Jan;37(1):19-24. doi: 10.3174/ajnr.A4489. Epub 2015 Aug 27.

    PubMed 26316566
  • Byoun HS, Lim JW, Han MH, Jeong EO, Koh HS, Kwon HJ. Coil embolization of the middle cerebral artery bifurcation aneurysms: Feasibility and durability. J Clin Neurosci. 2024 Aug;126:294-306. doi: 10.1016/j.jocn.2024.06.016. Epub 2024 Jul 13.

    PubMed 39002303
  • Saleme S, Iosif C, Ponomarjova S, Mendes G, Camilleri Y, Caire F, Boncoeur MP, Mounayer C. Flow-diverting stents for intracranial bifurcation aneurysm treatment. Neurosurgery. 2014 Dec;75(6):623-31; quiz 631. doi: 10.1227/NEU.0000000000000522.

    PubMed 25121791
  • Salem MM, Khorasanizadeh M, Lay SV, Renieri L, Kuhn AL, Sweid A, Massari F, Moore JM, Tjoumakaris SI, Jabbour P, Puri AS, Ogilvy CS, Jankowitz BT, Burkhardt JK, Kan P, Limbucci N, Cognard C, Thomas AJ. Endoluminal flow diverting stents for middle cerebral artery bifurcation aneurysms: multicenter cohort. J Neurointerv Surg. 2022 Nov;14(11):1084-1089. doi: 10.1136/neurintsurg-2021-018224. Epub 2021 Nov 3.

    PubMed 34732531
  • Iosif C, Mounayer C, Yavuz K, Saleme S, Geyik S, Cekirge HS, Saatci I. Middle Cerebral Artery Bifurcation Aneurysms Treated by Extrasaccular Flow Diverters: Midterm Angiographic Evolution and Clinical Outcome. AJNR Am J Neuroradiol. 2017 Feb;38(2):310-316. doi: 10.3174/ajnr.A5022. Epub 2016 Dec 15.

    PubMed 27979794
  • Limbucci N, Leone G, Renieri L, Nappini S, Cagnazzo F, Laiso A, Muto M, Mangiafico S. Expanding Indications for Flow Diverters: Distal Aneurysms, Bifurcation Aneurysms, Small Aneurysms, Previously Coiled Aneurysms and Clipped Aneurysms, and Carotid Cavernous Fistulas. Neurosurgery. 2020 Jan 1;86(Suppl 1):S85-S94. doi: 10.1093/neuros/nyz334.

    PubMed 31838532
  • Turhon M, Kang H, Li M, Liu J, Zhang Y, Zhang Y, Huang J, Luo B, Liu J, Zhang H, Li T, Song D, Zhao Y, Guan S, Aximujiang A, Maimaitili A, Wang Y, Feng W, Wang Y, Wan J, Mao G, Shi H, Zhang X, Gu Y, Yang X. Treatment of fusiform aneurysms with a pipeline embolization device: a multicenter cohort study. J Neurointerv Surg. 2023 Apr;15(4):315-320. doi: 10.1136/neurintsurg-2021-018539. Epub 2022 Mar 30.

    PubMed 35354575
  • Luo B, Kang H, Zhang H, Li T, Liu J, Song D, Zhao Y, Guan S, Maimaitili A, Wang Y, Feng W, Wang Y, Wan J, Mao G, Shi H, Yang X. Pipeline Embolization device for intracranial aneurysms in a large Chinese cohort: factors related to aneurysm occlusion. Ther Adv Neurol Disord. 2020 Nov 2;13:1756286420967828. doi: 10.1177/1756286420967828. eCollection 2020.

    PubMed 33224273

Questions about this trial

What is this clinical trial studying?

An observational study of Unruptured Intracranial Aneurysm and Intracranial Bifurcation Aneurysm, run by Nanfang Hospital, Southern Medical University at 3 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 10 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Huibin Kang Study Contact, MD (13520296286, kanghuibindoctor@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Composite incidence of any stroke or all-cause death within 30 days after procedure (time frame: Within 30 days after procedure). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07754188, which also lists 30 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Aug 2026; AzTrials last refreshed its copy on 26 Oct 2026.

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