Safety and efficacy of flow diverter stents in the treatment of bifurcation cerebral aneurysms: single-center experience.

IF 1.4 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Diagnostic and interventional radiology Pub Date : 2024-10-21 DOI:10.4274/dir.2024.242903
Yerbol Makhambetov, Aiman Maidan, Chingiz Nurimanov, Assylbek Kaliyev, Baurzhan Kunakbayev, Nurtay Nurakay, Serik Dyussembayev, Nursultan Makhambetov
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Abstract

Purpose: The use of flow diverter (FD) stents is continually expanding. Aneurysms on arterial bifurcation typically have an undesirable anatomical form, are frequently wide-necked, and include one or more side-branch arteries. In recent years, the off-label use of flow diversion in treating intracranial aneurysms beyond the internal carotid artery has become increasingly popular. This study reports our center's initial experience treating bifurcation aneurysms with FD devices, documenting occlusion outcomes using the O'Kelly-Marotta and modified Cekirge-Saatci scales, as well as the safety of FD usage in bifurcation locations.

Methods: This retrospective, single-center study analyzed a prospectively maintained database of patients with cerebral aneurysms treated endovascularly. The study identified bifurcation aneurysms that were treated between January 2019 and May 2022 by placing an FD device covering the neck of the aneurysm.

Results: Our short series suggests that flow diversion is a viable therapeutic option for bifurcation aneurysms with favorable angiographic outcomes.

Conclusion: In highly selective cases, flow diversion may be considered for treating bifurcation aneurysms in patients who will undergo follow-up examinations in the future.

Clinical significance: Flow diversion has emerged as a valuable technique in the management of bifurcation aneurysms, offering the potential for satisfactory occlusion and long-term outcomes.

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分流支架治疗分叉脑动脉瘤的安全性和有效性:单中心经验。
目的:血流分流(FD)支架的使用范围正在不断扩大。动脉分叉处的动脉瘤通常具有不理想的解剖形态,经常呈宽颈状,并包括一条或多条侧支动脉。近年来,在治疗颈内动脉以外的颅内动脉瘤时,标示外使用血流分流术越来越受欢迎。本研究报告了本中心使用血流分流装置治疗分叉动脉瘤的初步经验,记录了使用 O'Kelly-Marotta 和改良 Cekirge-Saatci 量表得出的闭塞结果,以及在分叉位置使用血流分流装置的安全性:这项回顾性单中心研究分析了前瞻性维护的脑动脉瘤患者血管内治疗数据库。研究确定了在 2019 年 1 月至 2022 年 5 月期间通过放置覆盖动脉瘤颈部的导流装置治疗的分叉动脉瘤:我们的短期系列研究表明,血流分流是治疗分叉动脉瘤的可行方案,且血管造影结果良好:临床意义:临床意义:血流改道已成为治疗分叉动脉瘤的一项重要技术,有可能获得满意的闭塞效果和长期疗效。
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来源期刊
Diagnostic and interventional radiology
Diagnostic and interventional radiology Medicine-Radiology, Nuclear Medicine and Imaging
自引率
4.80%
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期刊介绍: Diagnostic and Interventional Radiology (Diagn Interv Radiol) is the open access, online-only official publication of Turkish Society of Radiology. It is published bimonthly and the journal’s publication language is English. The journal is a medium for original articles, reviews, pictorial essays, technical notes related to all fields of diagnostic and interventional radiology.
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