Yıl: 2016 Cilt: 26 Sayı: 4 Sayfa Aralığı: 533 - 537 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome

Öz:
AIM: To report patient and procedure-related factors affecting the angiographic and clinical outcome in patients treated with the Silk device. MATERIAL and METHODS: All patients with intracranial aneurysms in whom treatment was attempted with the Silk flow diverter by our neurovascular team between October 2010 and November 2013 were included consecutively. The data was analyzed by an independent stroke neurologist not involved in the treatment of the patients. RESULTS: A total of 96 patients (64 female) with ages range from 3 to 78 were included in this study. We found that 54 of the patients were asymptomatic and 42 of them symptomatic, while 21 had a prior history of subarachnoid hemorrhage (SAH). Mean aneurysm size was 10.2 mm (range 2 to 40 mm). 2 patients died due to consequences of SAH. 3 patients developed visual decline on the follow-up, 2 of these were procedure-related. Symptomatic thromboembolic events were noted in 7 cases. Patients with aneurysms smaller than 13 mm had significantly less complications and higher occlusion rates. The complication rate was significantly high in patients admitted with symptoms. Adjunctive coiling had no impact on outcome. CONCLUSION: Safety and efficacy of flow diversion in this series was closely related to aneurysm size and presenting symptoms. A size cut-off for safety and efficacy has not been reported before and will be useful not only for future studies but also for patient counseling in daily practice. The futility of adjunctive coiling in this series calls for reappraisal of the current recommendations for this specific device.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA KAYA T, DAĞLIOĞLU E, GÜRKAS E, AKMANGİT İ, Peker A, BELEN A, Dede D, ELHAN A, ARAT A (2016). Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome. , 533 - 537.
Chicago KAYA Tunca,DAĞLIOĞLU ERGÜN,GÜRKAS Erdem,AKMANGİT İlkay,Peker Ahmet,BELEN Ahmet Deniz,Dede Dogan,ELHAN Atilla Halil,ARAT Anıl Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome. (2016): 533 - 537.
MLA KAYA Tunca,DAĞLIOĞLU ERGÜN,GÜRKAS Erdem,AKMANGİT İlkay,Peker Ahmet,BELEN Ahmet Deniz,Dede Dogan,ELHAN Atilla Halil,ARAT Anıl Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome. , 2016, ss.533 - 537.
AMA KAYA T,DAĞLIOĞLU E,GÜRKAS E,AKMANGİT İ,Peker A,BELEN A,Dede D,ELHAN A,ARAT A Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome. . 2016; 533 - 537.
Vancouver KAYA T,DAĞLIOĞLU E,GÜRKAS E,AKMANGİT İ,Peker A,BELEN A,Dede D,ELHAN A,ARAT A Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome. . 2016; 533 - 537.
IEEE KAYA T,DAĞLIOĞLU E,GÜRKAS E,AKMANGİT İ,Peker A,BELEN A,Dede D,ELHAN A,ARAT A "Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome." , ss.533 - 537, 2016.
ISNAD KAYA, Tunca vd. "Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome". (2016), 533-537.
APA KAYA T, DAĞLIOĞLU E, GÜRKAS E, AKMANGİT İ, Peker A, BELEN A, Dede D, ELHAN A, ARAT A (2016). Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome. Turkish Neurosurgery, 26(4), 533 - 537.
Chicago KAYA Tunca,DAĞLIOĞLU ERGÜN,GÜRKAS Erdem,AKMANGİT İlkay,Peker Ahmet,BELEN Ahmet Deniz,Dede Dogan,ELHAN Atilla Halil,ARAT Anıl Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome. Turkish Neurosurgery 26, no.4 (2016): 533 - 537.
MLA KAYA Tunca,DAĞLIOĞLU ERGÜN,GÜRKAS Erdem,AKMANGİT İlkay,Peker Ahmet,BELEN Ahmet Deniz,Dede Dogan,ELHAN Atilla Halil,ARAT Anıl Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome. Turkish Neurosurgery, vol.26, no.4, 2016, ss.533 - 537.
AMA KAYA T,DAĞLIOĞLU E,GÜRKAS E,AKMANGİT İ,Peker A,BELEN A,Dede D,ELHAN A,ARAT A Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome. Turkish Neurosurgery. 2016; 26(4): 533 - 537.
Vancouver KAYA T,DAĞLIOĞLU E,GÜRKAS E,AKMANGİT İ,Peker A,BELEN A,Dede D,ELHAN A,ARAT A Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome. Turkish Neurosurgery. 2016; 26(4): 533 - 537.
IEEE KAYA T,DAĞLIOĞLU E,GÜRKAS E,AKMANGİT İ,Peker A,BELEN A,Dede D,ELHAN A,ARAT A "Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome." Turkish Neurosurgery, 26, ss.533 - 537, 2016.
ISNAD KAYA, Tunca vd. "Silk Device for the Treatment of Intracranial Aneurysms, Part 2: Factors Related to Clinical and Angiographic Outcome". Turkish Neurosurgery 26/4 (2016), 533-537.