Flow Diversion Therapy of Remnant and Recurrent Intracranial Aneurysms Treated Surgically. 2023

Erol Akgul, and Hasan Bilen Onan, and Yusuf Can, and Gulhan Ertan, and Cengiz Erol, and Ahmet Cetinkal, and Celal Cinar, and Bahattin Hakyemez, and Altan Yildiz, and Ismail Oran, and Zeki Sekerci
Istanbul Medipol University, International School of Medicine, Radiology Department, Interventional Neuroradiology Section, Istanbul, Turkey.

OBJECTIVE To evaluate the safety and efficacy of flow diverter stents (FDSs) for treating remnant or recurrent intracranial aneurysms that were treated surgically. METHODS The patients who were treated with FDSs due to remnant or recurrent intracranial aneurysms after microsurgery were included in the study. The patients' demographics, treatment histories, aneurysm features, complications associated with flow diversion, and neurological and angiographic follow-up findings were evaluated. RESULTS Twenty patients (eight males) with 20 aneurysms were included in the study. Of 20 aneurysms, 18 (90%) were in the anterior, and two (10%) were in the posterior circulation. The initial treatment methods were clipping in 17 (85%) and wrapping in three (15%) aneurysms. The endovascular procedure was successful in all patients. In three patients (15%), periprocedural and postprocedural complications were encountered. No hemorrhagic complications were detected on cone-beam computed tomography. One patient with a basilary aneurysm died because of brain stem ischemia. The total morbimortality was 5%. The mean length of follow-up was 13.7 ± 7.3 months in 18 patients. The first angiographic follow-up (3-6 months) revealed the complete occlusion in 7 of 11 aneurysms (63.6%). By contrast, 16 aneurysms (94.1%) were occluded at the last angiographic follow-up, one aneurysm (5.9%) was still filling. CONCLUSIONS An FDS seems effective, safe, and extremely attractive in treating remnant and recurrent intracranial aneurysms treated surgically.

UI MeSH Term Description Entries
D008297 Male Males
D002532 Intracranial Aneurysm Abnormal outpouching in the wall of intracranial blood vessels. Most common are the saccular (berry) aneurysms located at branch points in CIRCLE OF WILLIS at the base of the brain. Vessel rupture results in SUBARACHNOID HEMORRHAGE or INTRACRANIAL HEMORRHAGES. Giant aneurysms (>2.5 cm in diameter) may compress adjacent structures, including the OCULOMOTOR NERVE. (From Adams et al., Principles of Neurology, 6th ed, p841) Aneurysm, Cerebral,Aneurysm, Intracranial,Basilar Artery Aneurysm,Berry Aneurysm,Brain Aneurysm,Cerebral Aneurysm,Giant Intracranial Aneurysm,Mycotic Aneurysm, Intracranial,Aneurysm, Anterior Cerebral Artery,Aneurysm, Anterior Communicating Artery,Aneurysm, Basilar Artery,Aneurysm, Middle Cerebral Artery,Aneurysm, Posterior Cerebral Artery,Aneurysm, Posterior Communicating Artery,Anterior Cerebral Artery Aneurysm,Anterior Communicating Artery Aneurysm,Middle Cerebral Artery Aneurysm,Posterior Cerebral Artery Aneurysm,Posterior Communicating Artery Aneurysm,Aneurysm, Berry,Aneurysm, Brain,Aneurysm, Giant Intracranial,Aneurysm, Intracranial Mycotic,Aneurysms, Basilar Artery,Aneurysms, Berry,Aneurysms, Brain,Aneurysms, Cerebral,Aneurysms, Giant Intracranial,Aneurysms, Intracranial,Aneurysms, Intracranial Mycotic,Artery Aneurysm, Basilar,Artery Aneurysms, Basilar,Basilar Artery Aneurysms,Berry Aneurysms,Brain Aneurysms,Cerebral Aneurysms,Giant Intracranial Aneurysms,Intracranial Aneurysm, Giant,Intracranial Aneurysms,Intracranial Aneurysms, Giant,Intracranial Mycotic Aneurysm,Intracranial Mycotic Aneurysms,Mycotic Aneurysms, Intracranial
D002533 Cerebral Angiography Radiography of the vascular system of the brain after injection of a contrast medium. Angiography, Cerebral,Angiographies, Cerebral,Cerebral Angiographies
D004621 Embolization, Therapeutic A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage. Embolotherapy,Therapeutic Embolization,Embolizations, Therapeutic,Embolotherapies,Therapeutic Embolizations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D015607 Stents Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting. Stent
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D057510 Endovascular Procedures Minimally invasive procedures, diagnostic or therapeutic, performed within the BLOOD VESSELS. They may be perfomed via ANGIOSCOPY; INTERVENTIONAL MAGNETIC RESONANCE IMAGING; INTERVENTIONAL RADIOGRAPHY; or INTERVENTIONAL ULTRASONOGRAPHY. Endovascular Techniques,Intravascular Procedures,Intravascular Techniques,Endovascular Procedure,Endovascular Technique,Intravascular Procedure,Intravascular Technique,Procedure, Endovascular,Procedure, Intravascular,Procedures, Endovascular,Procedures, Intravascular,Technique, Endovascular,Technique, Intravascular,Techniques, Endovascular,Techniques, Intravascular

Related Publications

Erol Akgul, and Hasan Bilen Onan, and Yusuf Can, and Gulhan Ertan, and Cengiz Erol, and Ahmet Cetinkal, and Celal Cinar, and Bahattin Hakyemez, and Altan Yildiz, and Ismail Oran, and Zeki Sekerci
June 2021, Neurosurgical review,
Erol Akgul, and Hasan Bilen Onan, and Yusuf Can, and Gulhan Ertan, and Cengiz Erol, and Ahmet Cetinkal, and Celal Cinar, and Bahattin Hakyemez, and Altan Yildiz, and Ismail Oran, and Zeki Sekerci
February 2013, Journal of neurosurgery,
Erol Akgul, and Hasan Bilen Onan, and Yusuf Can, and Gulhan Ertan, and Cengiz Erol, and Ahmet Cetinkal, and Celal Cinar, and Bahattin Hakyemez, and Altan Yildiz, and Ismail Oran, and Zeki Sekerci
April 2024, World neurosurgery,
Erol Akgul, and Hasan Bilen Onan, and Yusuf Can, and Gulhan Ertan, and Cengiz Erol, and Ahmet Cetinkal, and Celal Cinar, and Bahattin Hakyemez, and Altan Yildiz, and Ismail Oran, and Zeki Sekerci
August 2011, Stroke,
Erol Akgul, and Hasan Bilen Onan, and Yusuf Can, and Gulhan Ertan, and Cengiz Erol, and Ahmet Cetinkal, and Celal Cinar, and Bahattin Hakyemez, and Altan Yildiz, and Ismail Oran, and Zeki Sekerci
August 2016, JAMA neurology,
Erol Akgul, and Hasan Bilen Onan, and Yusuf Can, and Gulhan Ertan, and Cengiz Erol, and Ahmet Cetinkal, and Celal Cinar, and Bahattin Hakyemez, and Altan Yildiz, and Ismail Oran, and Zeki Sekerci
December 2019, Stroke,
Erol Akgul, and Hasan Bilen Onan, and Yusuf Can, and Gulhan Ertan, and Cengiz Erol, and Ahmet Cetinkal, and Celal Cinar, and Bahattin Hakyemez, and Altan Yildiz, and Ismail Oran, and Zeki Sekerci
September 1984, Wiadomosci lekarskie (Warsaw, Poland : 1960),
Erol Akgul, and Hasan Bilen Onan, and Yusuf Can, and Gulhan Ertan, and Cengiz Erol, and Ahmet Cetinkal, and Celal Cinar, and Bahattin Hakyemez, and Altan Yildiz, and Ismail Oran, and Zeki Sekerci
January 2022, Frontiers in aging neuroscience,
Erol Akgul, and Hasan Bilen Onan, and Yusuf Can, and Gulhan Ertan, and Cengiz Erol, and Ahmet Cetinkal, and Celal Cinar, and Bahattin Hakyemez, and Altan Yildiz, and Ismail Oran, and Zeki Sekerci
November 2013, Journal of neurointerventional surgery,
Erol Akgul, and Hasan Bilen Onan, and Yusuf Can, and Gulhan Ertan, and Cengiz Erol, and Ahmet Cetinkal, and Celal Cinar, and Bahattin Hakyemez, and Altan Yildiz, and Ismail Oran, and Zeki Sekerci
November 2012, BMJ case reports,
Copied contents to your clipboard!