Treatment of complex intracranial aneurysms using flow-diverting silk stents: An analysis of 32 consecutive patients

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dc.contributor.authorBüyükkaya, Ramazan
dc.contributor.buuauthorKocaeli, Hasan
dc.contributor.buuauthorYıldırım, Nalan
dc.contributor.buuauthorCebeci, Hakan
dc.contributor.buuauthorErdoğan, Cüneyt
dc.contributor.buuauthorHakyemez, Bahattin
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Beyin ve Sinir Cerrahisi Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Radyoloji Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0002-3425-0740tr_TR
dc.contributor.researcheridAAI-2318-2021tr_TR
dc.contributor.scopusid6603500567tr_TR
dc.contributor.scopusid36867883100tr_TR
dc.contributor.scopusid56033553000tr_TR
dc.contributor.scopusid8293835700tr_TR
dc.contributor.scopusid6602527239tr_TR
dc.date.accessioned2022-06-15T08:40:39Z
dc.date.available2022-06-15T08:40:39Z
dc.date.issued2014
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.citationBüyükkaya, R. vd. (2014). "Treatment of complex intracranial aneurysms using flow-diverting silk stents: An analysis of 32 consecutive patients". Interventional Neuroradiology, 20(6), 729-735.en_US
dc.identifier.endpage735tr_TR
dc.identifier.issn1591-0199
dc.identifier.issn2385-2011
dc.identifier.issue6tr_TR
dc.identifier.pubmed25496683tr_TR
dc.identifier.scopus2-s2.0-84930012127tr_TR
dc.identifier.startpage729tr_TR
dc.identifier.urihttps://doi.org/10.15274/INR-2014-10070
dc.identifier.urihttps://journals.sagepub.com/doi/abs/10.15274/INR-2014-10070
dc.identifier.urihttp://hdl.handle.net/11452/27176
dc.identifier.volume20tr_TR
dc.identifier.wos000349660300009tr_TR
dc.indexed.pubmedPubMeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherSage Publicationsen_US
dc.relation.collaborationYurt içitr_TR
dc.relation.journalInterventional Neuroradiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCerebral aneurysmsen_US
dc.subjectFlow diverteren_US
dc.subjectSilk stenten_US
dc.subjectEndovascular treatmenten_US
dc.subjectEmbolization deviceen_US
dc.subjectFollow upen_US
dc.subjectExperienceen_US
dc.subjectReconstructionen_US
dc.subjectEfficacyen_US
dc.subjectArteryen_US
dc.subjectSafetyen_US
dc.subjectNeurosciences & neurologyen_US
dc.subjectRadiology, nuclear medicine & medical imagingen_US
dc.subject.emtreeAcetylsalicylic aciden_US
dc.subject.emtreeClopidogrelen_US
dc.subject.emtreeCorticosteroiden_US
dc.subject.emtreeLow molecular weight heparinen_US
dc.subject.emtreeSilken_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeArtery occlusionen_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeBalloon dilatationen_US
dc.subject.emtreeCoil embolizationen_US
dc.subject.emtreeComplex intracranial aneurysmen_US
dc.subject.emtreeControlled studyen_US
dc.subject.emtreeCorticosteroid therapyen_US
dc.subject.emtreeDigital subtraction angiographyen_US
dc.subject.emtreeDissecting aneurysmen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeFlow diverter silk stenten_US
dc.subject.emtreeFollow upen_US
dc.subject.emtreeHeparinizationen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeHyperplasiaen_US
dc.subject.emtreeIn stent intimal hyperplasiaen_US
dc.subject.emtreeInternal carotid arteryen_US
dc.subject.emtreeInternal carotid artery aneurysmen_US
dc.subject.emtreeIntracranial aneurysmen_US
dc.subject.emtreeMajor clinical studyen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeMedical device complicationen_US
dc.subject.emtreeRetrospective studyen_US
dc.subject.emtreeSaccular aneurysmen_US
dc.subject.emtreeStent thrombosisen_US
dc.subject.emtreeSystemic therapyen_US
dc.subject.emtreeVascular stenten_US
dc.subject.emtreeAdverse effectsen_US
dc.subject.emtreeArtificial embolizationen_US
dc.subject.emtreeBrain angiographyen_US
dc.subject.emtreeDiagnostic imagingen_US
dc.subject.emtreeEndovascular surgeryen_US
dc.subject.emtreeInterventional radiologyen_US
dc.subject.emtreeIntracranial aneurysmen_US
dc.subject.emtreeMiddle ageden_US
dc.subject.emtreeProceduresen_US
dc.subject.emtreeStenten_US
dc.subject.emtreeTreatment outcomeen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAngiography, digital subtractionen_US
dc.subject.meshCerebral angiographyen_US
dc.subject.meshEmbolization, therapeuticen_US
dc.subject.meshEndovascular proceduresen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-up studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshIntracranial aneurysmen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshRadiography, interventionalen_US
dc.subject.meshRetrospective studiesen_US
dc.subject.meshSilken_US
dc.subject.meshStentsen_US
dc.subject.meshTreatment outcomeen_US
dc.subject.scopusArtificial Embolization; Diverters; Stentsen_US
dc.subject.wosClinical neurologyen_US
dc.subject.wosRadiology, nuclear medicine & medical imagingen_US
dc.titleTreatment of complex intracranial aneurysms using flow-diverting silk stents: An analysis of 32 consecutive patientsen_US
dc.typeArticle
dc.wos.quartileQ4en_US

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