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  • Periprocedural safety and technical outcomes of the new Silk Vista Baby flow diverter for the treatment of intracranial aneurysms: results from a multicenter experience

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New Devices and Techniques
Case Series
Periprocedural safety and technical outcomes of the new Silk Vista Baby flow diverter for the treatment of intracranial aneurysms: results from a multicenter experience
  1. Mario Martínez-Galdámez1,
  2. Alessandra Biondi2,
  3. Vladimir Kalousek3,
  4. Vitor M Pereira4,
  5. Giuseppe Ianucci5,
  6. Jean-Christophe Gentric6,
  7. Pascal J Mosimann7,8,
  8. Denis Brisbois9,
  9. Stefan Schob10,
  10. Ulf Quäschling10,
  11. Johannes Kaesmacher11,
  12. Julien Ognard6,
  13. Jorge Escartín1,
  14. Chun On Anderson Tsang12,13,
  15. Branimir Čulo3,
  16. Emmanuel Chabert14,
  17. Francis Turjman15,
  18. Charlotte Barbier16,
  19. Cristian Mihalea17,
  20. Laurent Spelle17,
  21. René Chapot18
  1. 1 Endovascular Neurosurgery/Interventional Neuroradiology, Hospital Universitario Fundacion Jimenez Diaz, Madrid, Spain
  2. 2 Neuroradiology and Endovascular Therapy, Besançon University Hospital, Besancon, France
  3. 3 Department of Radiology, Clinical Hospital Centre ’Sestre Milosrdnice', Zagreb, Croatia
  4. 4 Medical Imaging, Toronto Western Hospital, Toronto, Ontario, Canada
  5. 5 Neuroradiology Unit, Ospedale San Bortolo di Vicenza, Vicenza, Italy
  6. 6 CHRU de Brest, Brest, France
  7. 7 Department of Interventional and Diagnostic Neuroradiology, University Hospital of Lausanne, CHUV, Lausanne, Switzerland
  8. 8 Department of Diagnostic and Interventional Neuroradiology, Inselspital – Bern University Hospital, Bern, Switzerland
  9. 9 Diagnostic and interventional Neuroradiology, Erasme University Hospital, Brussels, Belgium
  10. 10 Department of Neuroradiology, University Hospital Leipzig, Leipzig, Germany
  11. 11 Neuroradiology, University Hospital Bern, Bern, Switzerland
  12. 12 Joint Department of Medical Imaging, Neuroradiology, Toronto Western Hospital, Toronto, Ontario, Canada
  13. 13 Surgery, The University of Hong Kong, Hong Kong
  14. 14 Neuroradiologie, Centre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France
  15. 15 Interventional Neuroradiology, Hôpital Neurologique Pierre Wertheimer, Lyon, France
  16. 16 Neuroradiology, Centre Hospitalier Universitaire de Caen, Caen, France
  17. 17 NEURI center, Interventional Neuroradiology, Hospital Bicetre, APHP, Paris Sud Université, Paris, France
  18. 18 Neuroradiology, Alfried Krupp Krankenhaus Ruttenscheid, Essen, Germany
  1. Correspondence to Dr Mario Martínez-Galdámez, Endovascular Neurosurgery/Interventional Neuroradiology, Hospital Universitario Fundacion Jimenez Diaz, Madrid, 28040, Spain; mariomgaldamez{at}hotmail.com

Abstract

Purpose The aim of our study was to assess the technical success and the safety of this new low-profile flow diverter Silk Vista Baby (SVB) by evaluating the intraprocedural and periprocedural complication rate.

Material/methods Clinical, procedural, and angiographic data were analyzed.

Results: 41 consecutive patients (28 women; age average 50.5 years) with 43 aneurysms were treated with SVB. Aneurysm sizes were classified by their maximum diameter, with an average size of 9.5 mm (range 2–30 mm). Thirty-four cases were unruptured. five aneurysms previously ruptured, had recurrence after the initial coiling. There were two ruptured cases. Aneurysms' locations were: M1 segment (five cases), M2 segment (three cases), M3 segment (one case), middle cerebral artery (MCA) bifurcation (six cases), carotid-T (two cases), anterior communicating artery/A1/A2 (11 cases), pericallosal artery (four cases), supraclinoid ICA (two cases), PCom (one case), V4 segment (three cases), PCA (three cases), SCA (one case), and PICA (one case). We had five intraprocedural complications which resolved without clinical consequences and three events postprocedural events. Initial occlusion rates were: eight aneurysms (18.6%) were completely occluded, five aneurysms (11.6%) showed near-complete occlusion, four cases (9.3%) showed incomplete filling, and 26 cases (60.4%) showed persisting filling. The mRS score at discharge from the hospital did not change from the admission mRS score.

Conclusion Our study demonstrated that the use of the new low-profile flow diverter, SVB device, for the treatment of intracranial aneurysms is feasible and technically safe.

  • flow diverter
  • aneurysm

https://doi.org/10.1136/neurintsurg-2019-014770

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    Footnotes

    • Contributors All authors have contributed to the concept, authorship, and final review of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial, or not-for-profit sectors.

    • Competing interests None declared.

    • Ethics approval Institutional Review Board.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Not required.