Flow diverter stents in the treatment of recanalized intracranial aneurysms

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dc.authorid0000-0003-0020-3759
dc.authorid0000-0002-0106-9363
dc.authorid0000-0003-3468-7712
dc.contributor.authorAkgül, Erol
dc.contributor.authorOnan, Hasan Bilen
dc.contributor.authorİşlek, İrem
dc.contributor.authorTönge, Mehmet
dc.contributor.authorDurmuş, Yavuz
dc.contributor.authorBarburoğlu, Mehmet
dc.contributor.authorAzizova, Aynur
dc.contributor.authorErol, Cengiz
dc.contributor.authorHakyemez, Bahattin
dc.contributor.authorSencer, Serra
dc.contributor.authorAydın, Kubilay
dc.contributor.authorArat, Anıl
dc.date.accessioned2021-10-12T09:44:09Z
dc.date.available2021-10-12T09:44:09Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı
dc.description.abstractBackground We assessed the safety and efficacy of flow diverter stents (FDSs) in the treatment of recanalized or residual intracranial aneurysms treated endovascularly. Materials & Methods Patients whose recanalized or residual aneurysms were treated with FDSs in five tertiary hospitals were reviewed retrospectively. The patients' demographic data, aneurysm characteristics, types of previous treatment, and clinical complications, or serious adverse events associated with FDSs, as well as the results of neurological and angiographic follow-up assessments, were recorded. Results Eighty-six patients (37 males) with 87 aneurysms were included in this study. Eighty (91.9%) aneurysms were in the anterior and seven (8.1%) in the posterior circulation. The initial treatment methods were the primary coiling or balloon remodeling technique in 69 (79.3%) and stent-assisted coiling in 18 (20.7%) aneurysms. The endovascular procedure was successful in all patients. Complications occurred in four patients, for a total complication rate of 4.6%. A technical complication developed in one patient (1.2%). An in-stent thrombosis treated with tirofiban was seen in two cases. Late in-stent stenosis exceeding 50% was treated with balloon angioplasty in one patient. The mean length of follow-up was 21.0 months. The first angiographic follow-up (3-6 months) revealed the complete occlusion of 74 aneurysms (85.1%). While 76 aneurysms (87.4%) were occluded at the last angiographic follow-up (mean: 26.0 months), 11 aneurysms (12.6%) were still filling. Morbimortality was zero. Conclusion The drawback of endovascular treatment is aneurysmal remnants or recurrences, which is safely and durably amenable to flow diversion.
dc.identifier.citationAkgül, E., Onan, H. B., İşlek, İ., Tönge, M., Durmuş, Y., Barburoğlu, M. ... Arat, A. (2021). Flow diverter stents in the treatment of recanalized intracranial aneurysms. Interventional Neuroradiology, 27(4), 481-489. https://dx.doi.org/10.1177/1591019921990507
dc.identifier.doi10.1177/1591019921990507
dc.identifier.endpage489
dc.identifier.issn1591-0199
dc.identifier.issn2385-2011
dc.identifier.issue4
dc.identifier.scopusqualityQ2
dc.identifier.startpage481
dc.identifier.urihttps://dx.doi.org/10.1177/1591019921990507
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8434
dc.identifier.volume27
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSAGE Publications Inc.
dc.relation.ispartofInterventional Neuroradiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectRecanalization
dc.subjectCerebral Aneurysm
dc.subjectResidual Aneurysm
dc.subjectEndovascular Treatment
dc.subjectFlow Diverter
dc.titleFlow diverter stents in the treatment of recanalized intracranial aneurysms
dc.typeArticle

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