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.coauthor | Barburoglu, M. | |
dc.contributor.coauthor | Sencer, S. | |
dc.contributor.coauthor | Berdikhojayev, M. | |
dc.contributor.coauthor | Coskun, B. | |
dc.contributor.coauthor | Akpek, S. | |
dc.contributor.department | KUH (Koç University Hospital) | |
dc.contributor.kuauthor | Aydın, Kubilay | |
dc.contributor.schoolcollegeinstitute | KUH (KOÇ UNIVERSITY HOSPITAL) | |
dc.date.accessioned | 2024-11-09T22:50:34Z | |
dc.date.issued | 2017 | |
dc.description.abstract | BACKGROUND 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.indexedby | WOS | |
dc.description.indexedby | Scopus | |
dc.description.indexedby | PubMed | |
dc.description.issue | 11 | |
dc.description.openaccess | YES | |
dc.description.publisherscope | International | |
dc.description.sponsoredbyTubitakEu | N/A | |
dc.description.volume | 38 | |
dc.identifier.doi | 10.3174/ajnr.A5362 | |
dc.identifier.eissn | 1936-959X | |
dc.identifier.issn | 0195-6108 | |
dc.identifier.quartile | Q2 | |
dc.identifier.scopus | 2-s2.0-85034576278 | |
dc.identifier.uri | https://doi.org/10.3174/ajnr.A5362 | |
dc.identifier.uri | https://hdl.handle.net/20.500.14288/6679 | |
dc.identifier.wos | 415996600026 | |
dc.keywords | Leo baby stents | |
dc.keywords | Endovascular treatment | |
dc.keywords | Hemodynamic-changes | |
dc.keywords | Cerebral aneurysms | |
dc.keywords | Placement | |
dc.keywords | Neck | |
dc.keywords | Management | |
dc.keywords | Divertors | |
dc.keywords | Occlusion | |
dc.keywords | Coiling | |
dc.language.iso | eng | |
dc.publisher | Amer Soc Neuroradiology | |
dc.relation.ispartof | American Journal of Neuroradiology | |
dc.subject | Clinical neurology | |
dc.subject | Neuroimaging | |
dc.subject | Radiology, nuclear medicine | |
dc.subject | Medical imaging | |
dc.title | 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.type | Journal Article | |
dspace.entity.type | Publication | |
local.contributor.kuauthor | Aydın, Kubilay | |
local.publication.orgunit1 | KUH (KOÇ UNIVERSITY HOSPITAL) | |
local.publication.orgunit2 | KUH (Koç University Hospital) | |
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