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First multicenter experience using the Silk Vista flow diverter in 60 consecutive intracranial aneurysms: technical aspects
BACKGROUND: The aim of this study was to assess the technical success and procedural safety of the new Silk Vista device (SV) by evaluating the intraprocedural and periprocedural complication rate after its use in several institutions worldwide. METHODS: The study involved a retrospective review of...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8606442/ https://www.ncbi.nlm.nih.gov/pubmed/33832971 http://dx.doi.org/10.1136/neurintsurg-2021-017421 |
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author | Martínez-Galdámez, Mario Onal, Yilmaz Cohen, José E Kalousek, Vladimir Rivera, Rodrigo Sordo, Juan Gabriel Echeverria, Daniel Pereira, Vitor M Blasco, Jordi Mardighian, Dikran Velioglu, Murat van Adel, Brian Wang, Bill Hao Gomori, J Moshe Filioglo, Andrei Čulo, Branimir Lynch, Jeremy Binboga, Ali Burak Onay, Mehmet Galvan Fernandez, Jorge Schüller Arteaga, Miguel Guio, Jose David Bhogal, Pervinder Makalanda, Levan Wong, Ken Aggour, Mohamed Gentric, Jean Christophe Gavrilovic, Vladimir Navia, Pedro Fernandez Prieto, Andrés González, Eva Aldea, Jesus López, Jose Luis Lorenzo-Gorriz, Antonio Madelrieux, Thomas Rouchaud, Aymeric Mounayer, Charbel |
author_facet | Martínez-Galdámez, Mario Onal, Yilmaz Cohen, José E Kalousek, Vladimir Rivera, Rodrigo Sordo, Juan Gabriel Echeverria, Daniel Pereira, Vitor M Blasco, Jordi Mardighian, Dikran Velioglu, Murat van Adel, Brian Wang, Bill Hao Gomori, J Moshe Filioglo, Andrei Čulo, Branimir Lynch, Jeremy Binboga, Ali Burak Onay, Mehmet Galvan Fernandez, Jorge Schüller Arteaga, Miguel Guio, Jose David Bhogal, Pervinder Makalanda, Levan Wong, Ken Aggour, Mohamed Gentric, Jean Christophe Gavrilovic, Vladimir Navia, Pedro Fernandez Prieto, Andrés González, Eva Aldea, Jesus López, Jose Luis Lorenzo-Gorriz, Antonio Madelrieux, Thomas Rouchaud, Aymeric Mounayer, Charbel |
author_sort | Martínez-Galdámez, Mario |
collection | PubMed |
description | BACKGROUND: The aim of this study was to assess the technical success and procedural safety of the new Silk Vista device (SV) by evaluating the intraprocedural and periprocedural complication rate after its use in several institutions worldwide. METHODS: The study involved a retrospective review of multicenter data regarding a consecutive series of patients with intracranial aneurysms, treated with the SV between September 2020 and January 2021. Clinical, intra/periprocedural and angiographic data, including approach, materials used, aneurysm size and location, device/s, technical details and initial angiographic aneurysm occlusion, were analyzed. RESULTS: 60 aneurysms were treated with SV in 57 procedures. 66 devices were used, 3 removed and 63 implanted. The devices opened instantaneously in 60 out of 66 (91%) cases and complete wall apposition was achieved in 58 out of 63 (92%) devices implanted. In 4 out of 66 (6%) devices a partial opening of the distal end occurred, and in 5 (8%) devices incomplete apposition was reported. There were 3 (5%) intraprocedural thromboembolic events managed successfully with no permanent neurological morbidity, and 4 (7%) postprocedural events. There was no mortality in this study. The initial occlusion rates in the 60 aneurysms were as follows: O’Kelly–Marotta (OKM) A in 34 (57%) cases, OKM B in 15 (25%) cases, OKM C in 6 (10%) cases, and OKM D in 5 (8%) cases. CONCLUSIONS: Our study demonstrated that the use of the new flow diverter Silk Vista for the treatment of intracranial aneurysms is feasible and technically safe. |
format | Online Article Text |
id | pubmed-8606442 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-86064422021-12-03 First multicenter experience using the Silk Vista flow diverter in 60 consecutive intracranial aneurysms: technical aspects Martínez-Galdámez, Mario Onal, Yilmaz Cohen, José E Kalousek, Vladimir Rivera, Rodrigo Sordo, Juan Gabriel Echeverria, Daniel Pereira, Vitor M Blasco, Jordi Mardighian, Dikran Velioglu, Murat van Adel, Brian Wang, Bill Hao Gomori, J Moshe Filioglo, Andrei Čulo, Branimir Lynch, Jeremy Binboga, Ali Burak Onay, Mehmet Galvan Fernandez, Jorge Schüller Arteaga, Miguel Guio, Jose David Bhogal, Pervinder Makalanda, Levan Wong, Ken Aggour, Mohamed Gentric, Jean Christophe Gavrilovic, Vladimir Navia, Pedro Fernandez Prieto, Andrés González, Eva Aldea, Jesus López, Jose Luis Lorenzo-Gorriz, Antonio Madelrieux, Thomas Rouchaud, Aymeric Mounayer, Charbel J Neurointerv Surg New Devices and Techniques BACKGROUND: The aim of this study was to assess the technical success and procedural safety of the new Silk Vista device (SV) by evaluating the intraprocedural and periprocedural complication rate after its use in several institutions worldwide. METHODS: The study involved a retrospective review of multicenter data regarding a consecutive series of patients with intracranial aneurysms, treated with the SV between September 2020 and January 2021. Clinical, intra/periprocedural and angiographic data, including approach, materials used, aneurysm size and location, device/s, technical details and initial angiographic aneurysm occlusion, were analyzed. RESULTS: 60 aneurysms were treated with SV in 57 procedures. 66 devices were used, 3 removed and 63 implanted. The devices opened instantaneously in 60 out of 66 (91%) cases and complete wall apposition was achieved in 58 out of 63 (92%) devices implanted. In 4 out of 66 (6%) devices a partial opening of the distal end occurred, and in 5 (8%) devices incomplete apposition was reported. There were 3 (5%) intraprocedural thromboembolic events managed successfully with no permanent neurological morbidity, and 4 (7%) postprocedural events. There was no mortality in this study. The initial occlusion rates in the 60 aneurysms were as follows: O’Kelly–Marotta (OKM) A in 34 (57%) cases, OKM B in 15 (25%) cases, OKM C in 6 (10%) cases, and OKM D in 5 (8%) cases. CONCLUSIONS: Our study demonstrated that the use of the new flow diverter Silk Vista for the treatment of intracranial aneurysms is feasible and technically safe. BMJ Publishing Group 2021-12 2021-04-08 /pmc/articles/PMC8606442/ /pubmed/33832971 http://dx.doi.org/10.1136/neurintsurg-2021-017421 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | New Devices and Techniques Martínez-Galdámez, Mario Onal, Yilmaz Cohen, José E Kalousek, Vladimir Rivera, Rodrigo Sordo, Juan Gabriel Echeverria, Daniel Pereira, Vitor M Blasco, Jordi Mardighian, Dikran Velioglu, Murat van Adel, Brian Wang, Bill Hao Gomori, J Moshe Filioglo, Andrei Čulo, Branimir Lynch, Jeremy Binboga, Ali Burak Onay, Mehmet Galvan Fernandez, Jorge Schüller Arteaga, Miguel Guio, Jose David Bhogal, Pervinder Makalanda, Levan Wong, Ken Aggour, Mohamed Gentric, Jean Christophe Gavrilovic, Vladimir Navia, Pedro Fernandez Prieto, Andrés González, Eva Aldea, Jesus López, Jose Luis Lorenzo-Gorriz, Antonio Madelrieux, Thomas Rouchaud, Aymeric Mounayer, Charbel First multicenter experience using the Silk Vista flow diverter in 60 consecutive intracranial aneurysms: technical aspects |
title | First multicenter experience using the Silk Vista flow diverter in 60 consecutive intracranial aneurysms: technical aspects |
title_full | First multicenter experience using the Silk Vista flow diverter in 60 consecutive intracranial aneurysms: technical aspects |
title_fullStr | First multicenter experience using the Silk Vista flow diverter in 60 consecutive intracranial aneurysms: technical aspects |
title_full_unstemmed | First multicenter experience using the Silk Vista flow diverter in 60 consecutive intracranial aneurysms: technical aspects |
title_short | First multicenter experience using the Silk Vista flow diverter in 60 consecutive intracranial aneurysms: technical aspects |
title_sort | first multicenter experience using the silk vista flow diverter in 60 consecutive intracranial aneurysms: technical aspects |
topic | New Devices and Techniques |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8606442/ https://www.ncbi.nlm.nih.gov/pubmed/33832971 http://dx.doi.org/10.1136/neurintsurg-2021-017421 |
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