Flow diverter stents in the treatment of cerebral aneurysms less than 5 mm

Akgül, Erol; Onan, Hasan Bilen; Bilgin, Sabriye Şennur; Tahta, Alican; Khanmammadov, Elmir; Güngören, Fatma Zeynep; Ertan, Gülhan; Erol, Cengiz; Şekerci, Zeki

Flow diverter stents in the treatment of cerebral aneurysms less than 5 mm

dc.authorid	0000-0003-0020-3759
dc.authorid	0000-0003-1795-2596
dc.authorid	0000-0003-0467-7521
dc.authorid	0000-0002-4911-4397
dc.authorid	0000-0002-4437-9310
dc.authorid	0000-0002-0742-1305
dc.authorid	0000-0003-3468-7712
dc.authorid	0000-0002-6983-8632
dc.contributor.author	Akgül, Erol
dc.contributor.author	Onan, Hasan Bilen
dc.contributor.author	Bilgin, Sabriye Şennur
dc.contributor.author	Tahta, Alican
dc.contributor.author	Khanmammadov, Elmir
dc.contributor.author	Güngören, Fatma Zeynep
dc.contributor.author	Ertan, Gülhan
dc.contributor.author	Erol, Cengiz
dc.contributor.author	Şekerci, Zeki
dc.date.accessioned	2021-02-05T08:13:07Z
dc.date.available	2021-02-05T08:13:07Z
dc.date.issued	2021
dc.department	İstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı
dc.department	İstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Nöroloji Ana Bilim Dalı
dc.department	İstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.description.abstract	AIM: To evaluate the safety and efficacy of flow diverter (FD) stents in the treatment of intracranial aneurysms less than 5 mm. MATERIAL and METHODS: We treated 66 aneurysms in 43 patients with aneurysms less than 5 mm. Of the patients, 29 were females and 14 males (mean age: 50.2 years). Headache was the most frequent symptom. In 8 patients, the aneurysms were recanalized and these had been treated with coils or stent-assisted coiling. All aneurysms were in the anterior circulation. In the treatment, one of the SILK, Pipeline, Derivo or FRED FD stents was used for each patient. Neurointerventional stent medication (double antiplatelet) was used. All patients were investigated for new ischemic lesions with diffusion-weighted imaging one day later. The first follow-up angiogram was planned 3-6 months later. RESULTS: The treatment was technically successful in all patients. Minor complications occurred in 3 patients (7%). In one patient, thrombus inside the SILK was seen and was relieved with tirofiban. The second patient bled from the right common femoral artery entrance, which was operated on. In the third patient, the complication was technical. All patients were discharged without any neurological deficit. The mean follow-up period was 26 (6-52) months. Of the aneurysms, 64 (97.0%) were completely closed. CONCLUSION: The FD treatment of cerebral, anterior circulation small aneurysms less than 5 mm is effective and safe.
dc.identifier.citation	Akgül, E., Onan, H. B., Bilgin, S. Ş., Tahta, A., Khanmammadov, E., Güngören, F. Z. ... Şekerci, Z. (2021). Flow diverter stents in the treatment of cerebral aneurysms less than 5 mm. Turkish Neurosurgery, 31(1), 31-37. https://dx.doi.org/10.5137/1019-5149.JTN.28762-19.2
dc.identifier.doi	10.5137/1019-5149.JTN.28762-19.2
dc.identifier.endpage	37
dc.identifier.issn	1019-5149
dc.identifier.issue	1
dc.identifier.scopusquality	Q3
dc.identifier.startpage	31
dc.identifier.uri	https://dx.doi.org/10.5137/1019-5149.JTN.28762-19.2
dc.identifier.uri	https://hdl.handle.net/20.500.12511/6522
dc.identifier.volume	31
dc.identifier.wosquality	Q4
dc.indekslendigikaynak	Web of Science
dc.indekslendigikaynak	Scopus
dc.indekslendigikaynak	PubMed
dc.language.iso	en
dc.publisher	Turkish Neurosurgical Society
dc.relation.ispartof	Turkish Neurosurgery	en_US
dc.relation.publicationcategory	Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	Cerebral Aneurysm
dc.subject	Endovascular Treatment
dc.subject	Flow Diverter
dc.title	Flow diverter stents in the treatment of cerebral aneurysms less than 5 mm
dc.type	Article