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

Authors :
Martínez-Galdámez, Mario
Biondi, Alessandra
Kalousek, Vladimir
Pereira, Vitor M.
Ianucci, Giuseppe
Gentric, Jean-Christophe
Mosimann, Pascal J.
Brisbois, Denis
Schob, Stefan
Quäschling, Ulf
Kaesmacher, Johannes
Ognard, Julien
Escartín, Jorge
Anderson Tsang, Chun On
Čulo, Branimir
Chabert, Emmanuel
Turjman, Francis
Barbier, Charlotte
Mihalea, Cristian
Spelle, Laurent
Source :
Journal of NeuroInterventional Surgery; Jul2019, Vol. 11 Issue 7, p1-6, 6p, 3 Diagrams, 3 Charts
Publication Year :
2019

Abstract

Purpose 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. Material/methods Clinical, procedural, and angiographic data were analyzed. results: 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. Conclusion 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. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
17598478
Volume :
11
Issue :
7
Database :
Complementary Index
Journal :
Journal of NeuroInterventional Surgery
Publication Type :
Academic Journal
Accession number :
137341901
Full Text :
https://doi.org/10.1136/neurintsurg-2019-014770