Periprocedural safety and technical outcomes of the new Silk Vista Baby flow diverter for the treatment of intracranial aneurysms: results from a multicenter experience.

Détails

ID Serval
serval:BIB_7D570B72AA45
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Periprocedural safety and technical outcomes of the new Silk Vista Baby flow diverter for the treatment of intracranial aneurysms: results from a multicenter experience.
Périodique
Journal of neurointerventional surgery
Auteur(s)
Martínez-Galdámez M., Biondi A., Kalousek V., Pereira V.M., Ianucci G., Kaesmacher J., Gentric J.C., Tsang COA, Mosimann P.J., Brisbois D., Čulo B., Schob S., Quäschling U., Ognard J., Escartín J., Chabert E., Turjman F., Barbier C., Mihalea C., Spelle L., Chapot R.
ISSN
1759-8486 (Electronic)
ISSN-L
1759-8478
Statut éditorial
Publié
Date de publication
07/2019
Peer-reviewed
Oui
Volume
11
Numéro
7
Pages
723-727
Langue
anglais
Notes
Publication types: Journal Article ; Multicenter Study
Publication Status: ppublish
Résumé
The aim of our study was to assess the technical success and the safety of this new low-profile flow diverter Silk Vista Baby (SVB) by evaluating the intraprocedural and periprocedural complication rate.
Clinical, procedural, and angiographic data were analyzed.
41 consecutive patients (28 women; age average 50.5 years) with 43 aneurysms were treated with SVB. Aneurysm sizes were classified by their maximum diameter, with an average size of 9.5 mm (range 2-30 mm). Thirty-four cases were unruptured. five aneurysms previously ruptured, had recurrence after the initial coiling. There were two ruptured cases. Aneurysms' locations were: M1 segment (five cases), M2 segment (three cases), M3 segment (one case), middle cerebral artery (MCA) bifurcation (six cases), carotid-T (two cases), anterior communicating artery/A1/A2 (11 cases), pericallosal artery (four cases), supraclinoid ICA (two cases), PCom (one case), V4 segment (three cases), PCA (three cases), SCA (one case), and PICA (one case). We had five intraprocedural complications which resolved without clinical consequences and three events postprocedural events. Initial occlusion rates were: eight aneurysms (18.6%) were completely occluded, five aneurysms (11.6%) showed near-complete occlusion, four cases (9.3%) showed incomplete filling, and 26 cases (60.4%) showed persisting filling. The mRS score at discharge from the hospital did not change from the admission mRS score.
Our study demonstrated that the use of the new low-profile flow diverter, SVB device, for the treatment of intracranial aneurysms is feasible and technically safe.
Mots-clé
Adult, Aged, Angiography/methods, Angiography/trends, Anterior Cerebral Artery/diagnostic imaging, Anterior Cerebral Artery/surgery, Embolization, Therapeutic/methods, Endovascular Procedures/methods, Female, Humans, Intracranial Aneurysm/diagnostic imaging, Intracranial Aneurysm/surgery, Male, Middle Aged, Middle Cerebral Artery/diagnostic imaging, Middle Cerebral Artery/surgery, Perioperative Care/methods, Perioperative Care/trends, Retrospective Studies, Self Expandable Metallic Stents/adverse effects, Self Expandable Metallic Stents/trends, Treatment Outcome, aneurysm, flow diverter
Pubmed
Web of science
Création de la notice
08/04/2019 17:44
Dernière modification de la notice
12/09/2019 6:10
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