Treatment of Complex Intracranial Aneurysms Using Flow-Diverting Silk (R) Stents An Analysis of 32 Consecutive Patients

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dc.contributor.authorBüyükkaya, Ramazan
dc.contributor.authorKocaeli, Hasan
dc.contributor.authorYıldırım, Nalan
dc.contributor.authorCebeci, Hakan
dc.contributor.authorErdoğan, Cüneyt
dc.contributor.authorHakyemez, Bahattin
dc.date.accessioned2020-04-30T23:46:49Z
dc.date.available2020-04-30T23:46:49Z
dc.date.issued2014
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000349660300009en_US
dc.descriptionPubMed: 25496683en_US
dc.description.abstractThis study describes the pen-procedural and late complications and angiographic follow-up results of 32 patients with 34 complex aneurysms treated with flow diverter Silk stents in a single centre. In this retrospective study, 40 Silk stents (SS) were implanted in 34 complex intracranial aneurysms in 32 patients. In our series, 20 (58.8%) carotid-ophthalmic internal carotid artery (ICA), six (17.6%) cavernous ICA, two (5.9%) supraclinoid ICA, two (5.9%) petrosal ICA (the same patient-bilateral) and four (11.8%) posterior circulation aneurysms were treated. One of the posterior circulation lesions was a fenestrated-type aneurysm. Twenty wide-necked, saccular; eight neck remnant; four fusiform and two blister-like aneurysms were included in our series. SS were successfully implanted in all patients (100%). Mis-deployment occurred in 17.6% of patients. In two of these patients adequate stent openness was achieved via Hyperglide balloon dilatation. Coil embolization in addition to SS placement was utilized in four aneurysms. One patient (3%) experienced transient morbidity due to a thromboembolic event and there was one mortality (3%) due to remote intraparenchymal haemorrhage. Complete occlusion of 27/33 (81.8 %) and 29/33 (87.9 %) aneurysms was achieved six and 12 months after the procedure, respectively. In-stent intimal hyperplasia was detected in 6.1 % patients. Flow-diverter Silk stent implantation is an effective method of treating complex aneurysms with acceptable mortality and morbidity rates. Complete occlusion is achieved in most of the complex aneurysms.en_US
dc.identifier.doi10.15274/INR-2014-10070en_US
dc.identifier.endpage735en_US
dc.identifier.issn1591-0199
dc.identifier.issn2385-2011
dc.identifier.issue6en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage729en_US
dc.identifier.urihttps://doi.org/10.15274/INR-2014-10070
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5265
dc.identifier.volume20en_US
dc.identifier.wosWOS:000349660300009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofInterventional Neuroradiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectcerebral aneurysmsen_US
dc.subjectflow diverteren_US
dc.subjectSilk stenten_US
dc.subjectendovascular treatmenten_US
dc.titleTreatment of Complex Intracranial Aneurysms Using Flow-Diverting Silk (R) Stents An Analysis of 32 Consecutive Patientsen_US
dc.typeArticleen_US

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