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Yaltirik Bilgin E, Önal B, Emmez H, et al. Endovascular Treatment of Intracranial Anterior Circulation Aneurysms with Flow Diverters: A Single Centre Experience with mid and long-term results. Turk Neurosurg. 2017;doi: 10.5137/1019-5149.JTN.20279-17.2.
Yaltirik Bilgin, E., Önal, B., Emmez, H., Akkan, K., Ilgit, E., Bilgin, E., Cindil, E., & Borcek, A. O. (2017). Endovascular Treatment of Intracranial Anterior Circulation Aneurysms with Flow Diverters: A Single Centre Experience with mid and long-term results. Turkish neurosurgery, . https://doi.org/10.5137/1019-5149.JTN.20279-17.2
Yaltirik Bilgin, Ezel, et al. "Endovascular Treatment of Intracranial Anterior Circulation Aneurysms with Flow Diverters: A Single Centre Experience with mid and long-term results." Turkish neurosurgery vol. (2017). doi: https://doi.org/10.5137/1019-5149.JTN.20279-17.2
Yaltirik Bilgin E, Önal B, Emmez H, Akkan K, Ilgit E, Bilgin E, Cindil E, Borcek AO. Endovascular Treatment of Intracranial Anterior Circulation Aneurysms with Flow Diverters: A Single Centre Experience with mid and long-term results. Turk Neurosurg. 2017 Jul 11; doi: 10.5137/1019-5149.JTN.20279-17.2. Epub 2017 Jul 11. PMID: 28944944.
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Turk Neurosurg. 2017 Jul 11; doi: 10.5137/1019-5149.JTN.20279-17.2. Epub 2017 Jul 11.

Endovascular Treatment of Intracranial Anterior Circulation Aneurysms with Flow Diverters: A Single Centre Experience with mid and long-term results.

Turkish neurosurgery

Ezel Yaltirik Bilgin, Baran Önal, Hakan Emmez, Koray Akkan, Erhan Ilgit, Erkan Bilgin, Emetullah Cindil, Alp Ozgun Borcek

Affiliations

  1. Gazi University, School of Medicine.

PMID: 28944944 DOI: 10.5137/1019-5149.JTN.20279-17.2

Abstract

AIM: We report our experience with flow diverter devices in the treatment of intracranial aneurysms arising from anterior circulation with mid and long-term follow-up.

MATERIAL AND METHODS: 78 aneurysms in 61 patients (range 25-81 years, 13 male, 48 female) were treated with flow diverter devices. 40 (51,3%) aneurysms were treated with pipeline embolization device (PED), 24 (30,8%) aneurysms were treated with SILK stent, 12(15,4%) aneurysms were treated with flow redirection endoluminal device (FRED) and two aneurysms were treated with P64 Flow Modulation Device (P64). Angiographic follow-up data at six month and one yea were recorded and the occlusion degrees of aneurysms were evaluated according to the scale which was formed by Kamran et al.

RESULTS: At six month follow-up, complete occlusion (grade 4) rate was 60,8% and at one year increased to 74,3%. Statistical analysis revealed significant difference (p=0,002) between six month and one year follow-up results but there was no significant association (p=0,531, p=1,000) between aneurysm occlusion rate and aneurysm diameter. Two patient (3,2%) died due to hemorrhagic complication.

CONCLUSION: Endovascular treatment of intracranial anterior circulation aneurysms with flow diverters is a safe and effective treatment option. A high rate of stable occlusion is achieved at long term follow-up.

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