Flow diversion therapy of remnant and recurrent intracranial aneurysms treated surgically
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info:eu-repo/semantics/embargoedAccessTarih
2023Yazar
Akgül, ErolOnan, Hasan Bilen
Can, Yusuf
Ertan, Gülhan
Erol, Cengiz
Çetinkal, Ahmet
Çınar, Celal
Hakyemez, Bahattin
Yıldız, Altan
Oran, İsmail
Şekerci, Zeki
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Akgül, 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.41653-22.2Özet
AIM: 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.
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Turkish NeurosurgeryCilt
33Sayı
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https://dx.doi.org/10.5137/1019-5149.JTN.41653-22.2https://hdl.handle.net/20.500.12511/11297
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