A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Silk Vista Baby for the treatment of distal anterior cerebral artery aneurysms
Tekijät: Scarcia, Luca; Clarençon, Frédéric; Dmytriw, Adam A.; Shotar, Eimad; Jabbour, Pascal; Psychogios, Marios; Sporns, Peter; Puri, Ajit S.; Hassan, Ameer E.; Algin, Oktay; Möhlenbruch, Markus A.; Russo, Riccardo; Bergui, Mauro; Goren, Oded; Bankole, Nourou, Dine A; Boulouis, Gregoire; Morimoto, Takeshi; Pop, Raoul; Ho, Joanna WK; Ferrario, Ángel; Pujol, Lereis Virginia; Cooper, Jared; Salsano, Giancarlo; Li, Yan-Lin; Consoli, Arturo; Sgreccia, Alessandro; Raz, Eytan; Chung, Charlotte; Burel, Julien; Papagiannaki, Chrysanthi; Baqir, Hassan Khawaja Muhammad; Tao, Hong; Rautio, Riitta; Sinislao, Matias; Ruggiero, Maria; Lafe, Elvis; Da Ros, Valerio; Bellini, Luigi; Gabrieli, Joseph Domenico; Causin, Francesco; Levitt, Michael; Caragliano, Antonio Armando; Vinci, Sergio Lucio; Bellanger, Guillaume; Cognard, Christophe; Marnat, Gaultier; Saleille, Lisa; Nimbucci, Nicola; Capasso, Francesco; Piano, Mariangela; Rollo, Claudia; Guedon, Alexis; Romi, Andrea; Di Caterino, Fortunato; Biondi, Alessandra; Farhat, Firas; Vyval, Mykola; Guenego, Adrien; Nguyen, Thanh; Abdalkader, Mohamad; Gunkan, Ahmet; Agripnidis, Thibault; Fuschi, Maurizio; Pereira, Vitor Mendes; Alexandre, Andrea M.; Pedicelli, Alessandro; {name=on behalf of the CRETA investigators, sequence=additional, affiliation=[]}; Premat Kevin; Tjoumakaris Stavropoula I.; Gooch Reid M.; Ntoulias Nikos; Singh Jasmeet; Kuhn Anna Luisa; Hohenstatt Sophia; Kole Matthew; Sakakibara Fumihiro; Juravle Ciprian; Gandhi Chirag D.; Castellan Lucio; Simonato Davide; Chaudhry Umair Rashid; Ji Zhe; Carroll Kate; Abecassis Zachary; Arpaia Francesco; Hak Jean Francois; Bibi Richard; CRETA investigators
Kustantaja: Springer Science and Business Media LLC
Julkaisuvuosi: 2025
Journal: Neuroradiology
Tietokannassa oleva lehden nimi: Neuroradiology
ISSN: 0028-3940
eISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-025-03678-y
Verkko-osoite: https://link.springer.com/article/10.1007/s00234-025-03678-y
Purpose
Treating small-caliber vessel aneurysms with flow diverters poses challenges due to narrow luminal diameters and tortuous vasculature, which complicate the navigation and deployment of conventional devices using standard microcatheters. The Silk Vista Baby (SVB, Balt, Montmorency, France) flow diverter was developed to treat intracranial aneurysms located in smaller vessels or more distal segments and is compatible with 0.017″ microcatheters. We present the largest multicenter analysis to date evaluating the outcomes of SVB use in unruptured distal anterior cerebral artery (DACA) aneurysms.
Methods
Retrospective data from 20 centers were reviewed for patients with unruptured DACA aneurysms treated with the SVB. Demographic information, clinical presentation, radiographic characteristics, complications, and outcomes were recorded.
Results
Seventy-nine patients (79 DACA aneurysms) were treated between January 2018 and December 2022; 59 were female (74.7%), and the median age was 61 years (IQR 53–67). Most aneurysms were saccular (89.9%), and 65.8% involved a branch. The median parent vessel diameter was 1.9 mm (IQR 1.7–2.1). A single stent was implanted in 97.5% of cases; 2.5% required two stents. The median imaging follow-up duration was 12 months (IQR 9.5–24). At the last follow-up, 76% of aneurysms showed complete or near-complete occlusion (O’Kelly–Marotta scale C or D, Raymond-Roy 1 or 2). Overall, thromboembolic or hemorrhagic complications occurred in 14% of patients, with two cases being symptomatic. The mortality rate was 0%, and the retreatment rate was 1.3%.
Conclusion
In this multicenter series, the SVB flow diverter represented a valuable treatment option for distal anterior cerebral artery (DACA) aneurysms.
Julkaisussa olevat rahoitustiedot:
No funding was received for this research.
