Publication:
Flow diversion with low-profile braided stents for the treatment of very small or uncoilable intracranial aneurysms at or distal to the circle of willis

dc.contributor.coauthorBarburoglu, M.
dc.contributor.coauthorSencer, S.
dc.contributor.coauthorBerdikhojayev, M.
dc.contributor.coauthorCoskun, B.
dc.contributor.coauthorAkpek, S.
dc.contributor.departmentKUH (Koç University Hospital)
dc.contributor.kuauthorAydın, Kubilay
dc.contributor.schoolcollegeinstituteKUH (KOÇ UNIVERSITY HOSPITAL)
dc.date.accessioned2024-11-09T22:50:34Z
dc.date.issued2017
dc.description.abstractBACKGROUND and PURPOSE: The endovascular treatment of aneurysms located at or distal to the circle of Willis and not amenable to coiling remains a challenge. We report our experience with flow-diversion treatment using low-profile braided stents as a stent monotherapy procedure for treating distally located very small or uncoilable aneurysms. MATERIALS and METHODS: We retrospectively reviewed our data bases to identify patients with aneurysms located at or distal to the circle of Willis who were treated with stent monotherapy using low-profile braided stents. The immediate and follow-up angiographic findings and clinical status of the patients were assessed. RESULTS: Twenty aneurysms in 19 patients were included in the study. The mean size of the aneurysms was 4.7 +/- 2.4 mm. Patients were treated via telescopic implantation of 2 stents for 11 aneurysms; single-stent placement was used for the remaining aneurysms. The technical success rate was 95%. We observed a technical complication in 1 case (5.3%) and a late ischemic event in another (5.3%). The final angiographies during a mean follow-up of 14.7 months showed complete aneurysm occlusion in 73.7%. The complete occlusion rate of the aneurysms treated with telescopic stent placement was 81.8%. The modified Rankin scale scores of all patients at the last follow-up were between 0 and 2. CONCLUSIONS: Flow diversion with low-profile braided stents as a stent monotherapy procedure for very small or uncoilable intracranial aneurysms located at or beyond the circle of Willis is a promising, relatively safe, and durable endovascular procedure.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue11
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume38
dc.identifier.doi10.3174/ajnr.A5362
dc.identifier.eissn1936-959X
dc.identifier.issn0195-6108
dc.identifier.quartileQ2
dc.identifier.scopus2-s2.0-85034576278
dc.identifier.urihttps://doi.org/10.3174/ajnr.A5362
dc.identifier.urihttps://hdl.handle.net/20.500.14288/6679
dc.identifier.wos415996600026
dc.keywordsLeo baby stents
dc.keywordsEndovascular treatment
dc.keywordsHemodynamic-changes
dc.keywordsCerebral aneurysms
dc.keywordsPlacement
dc.keywordsNeck
dc.keywordsManagement
dc.keywordsDivertors
dc.keywordsOcclusion
dc.keywordsCoiling
dc.language.isoeng
dc.publisherAmer Soc Neuroradiology
dc.relation.ispartofAmerican Journal of Neuroradiology
dc.subjectClinical neurology
dc.subjectNeuroimaging
dc.subjectRadiology, nuclear medicine
dc.subjectMedical imaging
dc.titleFlow diversion with low-profile braided stents for the treatment of very small or uncoilable intracranial aneurysms at or distal to the circle of willis
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorAydın, Kubilay
local.publication.orgunit1KUH (KOÇ UNIVERSITY HOSPITAL)
local.publication.orgunit2KUH (Koç University Hospital)
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relation.isParentOrgUnitOfPublication.latestForDiscovery055775c9-9efe-43ec-814f-f6d771fa6dee

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