A systematic review of the Contour Neurovascular System for the treatment of intracranial aneurysms

Abstract

Background

This systematic review aims to reflect the current state of the literature on use and efficacy of the Contour Neurovascular System (CNS), an endovascular implant specifically developed for the treatment of intracranial wide-neck aneurysms.

Methods

We included manuscripts from a PubMed search with the terms “contour AND aneurysm.” Manuscripts that did not refer to the CNS were excluded via screening.

The number of interventions from included studies was calculated and, where possible, occlusion rates of aneurysms, used CNS sizes, and complications were recorded.

Results

We found a total number of 23 studies with 625 patients and 661 aneurysms treated with CNS (122 ruptured). The number of studies with low bias and sufficient randomization is very small. Only two prospective studies with 43 patients could be identified.

The mean aneurysm size was 6.4 mm (height), 5.5 mm (dome size), and 3.9 mm (neck size). Most used CNS sizes were “7” and “9.” A complete occlusion result was achieved in 61% of patients in the long-term controls; in 28%, an adequate occlusion with a small neck rest was reported.

Conclusions

The preliminary results of the CNS are promising. However, these findings need to be proven in larger, prospective studies.