RT Journal Article
SR Electronic
T1 Periprocedural safety and technical outcomes of the new Silk Vista Baby flow diverter for the treatment of intracranial aneurysms: results from a multicenter experience
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP 723
OP 727
DO 10.1136/neurintsurg-2019-014770
VO 11
IS 7
A1 Mario Martínez-Galdámez
A1 Alessandra Biondi
A1 Vladimir Kalousek
A1 Vitor M Pereira
A1 Giuseppe Ianucci
A1 Jean-Christophe Gentric
A1 Pascal J Mosimann
A1 Denis Brisbois
A1 Stefan Schob
A1 Ulf Quäschling
A1 Johannes Kaesmacher
A1 Julien Ognard
A1 Jorge Escartín
A1 Chun On Anderson Tsang
A1 Branimir Čulo
A1 Emmanuel Chabert
A1 Francis Turjman
A1 Charlotte Barbier
A1 Cristian Mihalea
A1 Laurent Spelle
A1 René Chapot
YR 2019
UL http://jnis.bmj.com/content/11/7/723.abstract
AB 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.