Treatment of Intracranial Aneurysms Using the New Silk Vista Flow Diverter: Safety Outcomes at Short-Term Follow-Up

Background: Flow diverters are widely used as the first endovascular treatment option for complex brain aneurysms due to their high percentage of occlusion and low morbi-mortality. The Silk Vista device is a new generation of flow diverters designed to facilitate full visibility, improve apposition...

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Main Authors: José M. Pumar, Antonio Mosqueira, Jorge Olier, Claudio Rodriguez-Fernandez, Pedro Vega, Eva Gonzalez-Diaz
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-07-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2021.713389/full
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author José M. Pumar
Antonio Mosqueira
Jorge Olier
Claudio Rodriguez-Fernandez
Pedro Vega
Eva Gonzalez-Diaz
author_facet José M. Pumar
Antonio Mosqueira
Jorge Olier
Claudio Rodriguez-Fernandez
Pedro Vega
Eva Gonzalez-Diaz
author_sort José M. Pumar
collection DOAJ
description Background: Flow diverters are widely used as the first endovascular treatment option for complex brain aneurysms due to their high percentage of occlusion and low morbi-mortality. The Silk Vista device is a new generation of flow diverters designed to facilitate full visibility, improve apposition to the vessel wall, and enhance navigability. Indeed, its greatest advantage is that it enables the easier navigation of stents between 3.5 and 4.75 mm through a 0.021 microcatheter. The objective of this study was to evaluate the safety and effectiveness of Silk Vista systems for treating cerebral aneurysms.Methods: This prospective observational study included 25 consecutive patients with 27 wide-necked unruptured aneurysms treated with SILK Vista who were retrospectively analyzed for safety and efficacy.Results: Endovascular treatment was successfully performed in all patients. The final morbidity and mortality rates were both 0.0%. Short-term (3–5 months) angiographic follow-up revealed 21 complete occlusions and 6 near-complete occlusions. No significant parent artery stenosis was observed.Conclusions: This report demonstrates the efficacy of Silk Vista in treating brain aneurysms, although longer experiences should be carried out to confirm our results.
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spelling doaj.art-e4a0c5ca700444fdb238586ea74455ef2022-12-21T19:14:13ZengFrontiers Media S.A.Frontiers in Neurology1664-22952021-07-011210.3389/fneur.2021.713389713389Treatment of Intracranial Aneurysms Using the New Silk Vista Flow Diverter: Safety Outcomes at Short-Term Follow-UpJosé M. Pumar0Antonio Mosqueira1Jorge Olier2Claudio Rodriguez-Fernandez3Pedro Vega4Eva Gonzalez-Diaz5Neuroradiology Department, Catedra de Neurorradiología Intervencionista, Universidad de Santiago de Compostela, Santiago, SpainNeuroradiology Department, Catedra de Neurorradiología Intervencionista, Universidad de Santiago de Compostela, Santiago, SpainNeuroradiology Department, Hospital Clinico Universitario de Navarra, Pamplona, SpainNeuroradiology Department, Hospital Universitario Fundación Jimenez Diaz, Madrid, SpainNeuroradiology Department, Hospital Universitario Central de Asturias, Oviedo, SpainNeuroradiology Department, Hospital Universitario de Cruces, Barakaldo, SpainBackground: Flow diverters are widely used as the first endovascular treatment option for complex brain aneurysms due to their high percentage of occlusion and low morbi-mortality. The Silk Vista device is a new generation of flow diverters designed to facilitate full visibility, improve apposition to the vessel wall, and enhance navigability. Indeed, its greatest advantage is that it enables the easier navigation of stents between 3.5 and 4.75 mm through a 0.021 microcatheter. The objective of this study was to evaluate the safety and effectiveness of Silk Vista systems for treating cerebral aneurysms.Methods: This prospective observational study included 25 consecutive patients with 27 wide-necked unruptured aneurysms treated with SILK Vista who were retrospectively analyzed for safety and efficacy.Results: Endovascular treatment was successfully performed in all patients. The final morbidity and mortality rates were both 0.0%. Short-term (3–5 months) angiographic follow-up revealed 21 complete occlusions and 6 near-complete occlusions. No significant parent artery stenosis was observed.Conclusions: This report demonstrates the efficacy of Silk Vista in treating brain aneurysms, although longer experiences should be carried out to confirm our results.https://www.frontiersin.org/articles/10.3389/fneur.2021.713389/fullflow-diverteraneurysmembolizationsilk vistastent
spellingShingle José M. Pumar
Antonio Mosqueira
Jorge Olier
Claudio Rodriguez-Fernandez
Pedro Vega
Eva Gonzalez-Diaz
Treatment of Intracranial Aneurysms Using the New Silk Vista Flow Diverter: Safety Outcomes at Short-Term Follow-Up
Frontiers in Neurology
flow-diverter
aneurysm
embolization
silk vista
stent
title Treatment of Intracranial Aneurysms Using the New Silk Vista Flow Diverter: Safety Outcomes at Short-Term Follow-Up
title_full Treatment of Intracranial Aneurysms Using the New Silk Vista Flow Diverter: Safety Outcomes at Short-Term Follow-Up
title_fullStr Treatment of Intracranial Aneurysms Using the New Silk Vista Flow Diverter: Safety Outcomes at Short-Term Follow-Up
title_full_unstemmed Treatment of Intracranial Aneurysms Using the New Silk Vista Flow Diverter: Safety Outcomes at Short-Term Follow-Up
title_short Treatment of Intracranial Aneurysms Using the New Silk Vista Flow Diverter: Safety Outcomes at Short-Term Follow-Up
title_sort treatment of intracranial aneurysms using the new silk vista flow diverter safety outcomes at short term follow up
topic flow-diverter
aneurysm
embolization
silk vista
stent
url https://www.frontiersin.org/articles/10.3389/fneur.2021.713389/full
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