Flow diversion therapy of remnant and recurrent intracranial aneurysms treated surgically

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dc.authorid0000-0003-0020-3759
dc.authorid0000-0002-5325-4704
dc.authorid0000-0002-0742-1305
dc.authorid0000-0003-3468-7712
dc.authorid0000-0002-7597-1456
dc.authorid0000-0002-6983-8632
dc.contributor.authorAkgül, Erol
dc.contributor.authorOnan, Hasan Bilen
dc.contributor.authorCan, Yusuf
dc.contributor.authorErtan, Gülhan
dc.contributor.authorErol, Cengiz
dc.contributor.authorÇetinkal, Ahmet
dc.contributor.authorÇınar, Celal
dc.contributor.authorHakyemez, Bahattin
dc.contributor.authorYıldız, Altan
dc.contributor.authorOran, İsmail
dc.contributor.authorŞekerci, Zeki
dc.date.accessioned2023-08-10T08:16:43Z
dc.date.available2023-08-10T08:16:43Z
dc.date.issued2023
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.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı
dc.description.abstractAIM: To evaluate the safety and efficacy of flow diverter stents (FDSs) for treating remnant or recurrent intracranial aneurysms that were treated surgically. MATERIAL and METHODS: The patients who were treated with FDSs due to remnant or recurrent intracranial aneurysms after microsurgery were included in the study. The patients’ demographics, treatment histories, aneurysm features, complications associated with flow diversion, and neurological and angiographic follow-up findings were evaluated. RESULTS: Twenty patients (eight males) with 20 aneurysms were included in the study. Of 20 aneurysms, 18 (90%) were in the anterior, and two (10%) were in the posterior circulation. The initial treatment methods were clipping in 17 (85%) and wrapping in three (15%) aneurysms. The endovascular procedure was successful in all patients. In three patients (15%), periprocedural and postprocedural complications were encountered. No hemorrhagic complications were detected on cone-beam computed tomography. One patient with a basilary aneurysm died because of brain stem ischemia. The total morbimortality was 5%. The mean length of follow-up was 13.7 ± 7.3 months in 18 patients. The first angiographic follow-up (3–6 months) revealed the complete occlusion in 7 of 11 aneurysms (63.6%). By contrast, 16 aneurysms (94.1%) were occluded at the last angiographic follow-up, one aneurysm (5.9%) was still filling. CONCLUSION: An FDS seems effective, safe, and extremely attractive in treating remnant and recurrent intracranial aneurysms treated surgically.
dc.identifier.citationAkgül, E., Onan, H. B., Can, Y., Ertan, G., Erol, C., Çetinkal, A. ... Şekerci, Z. (2023). Flow diversion therapy of remnant and recurrent intracranial aneurysms treated surgically. Turkish Neurosurgery, 33(4), 601-609. https://dx.doi.org/10.5137/1019-5149.JTN.41653-22.2
dc.identifier.doi10.5137/1019-5149.JTN.41653-22.2
dc.identifier.endpage609
dc.identifier.issn1019-5149
dc.identifier.issue4
dc.identifier.pmid37470511
dc.identifier.scopus2-s2.0-85165368301
dc.identifier.scopusqualityQ3
dc.identifier.startpage601
dc.identifier.urihttps://dx.doi.org/10.5137/1019-5149.JTN.41653-22.2
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11297
dc.identifier.volume33
dc.identifier.wos001038145000010en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAkgül, Erol
dc.institutionauthorCan, Yusuf
dc.institutionauthorErtan, Gülhan
dc.institutionauthorErol, Cengiz
dc.institutionauthorÇetinkal, Ahmet
dc.institutionauthorŞekerci, Zeki
dc.language.isoen
dc.publisherTurkish Neurosurgical Society
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectFlow Diverter Stent
dc.subjectCerebral Aneurysm
dc.subjectRecurrent Aneurysm
dc.subjectRemnant Aneurysm
dc.subjectSurgical Treatment
dc.titleFlow diversion therapy of remnant and recurrent intracranial aneurysms treated surgically
dc.typeArticle

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