Endovascular Treatment of Brain Aneurysms

2015 ◽  
pp. 1-31
Author(s):  
Luca Quilici ◽  
Edoardo Boccardi
Author(s):  
Mithun Sattur ◽  
Chandan Krishna ◽  
Bernard R. Bendok ◽  
Brian W. Chong

Endovascular therapy for cerebrovascular disease is widespread. Patients with brain aneurysms, acute stroke, brain vascular malformations, and tumors are treated with endovascular techniques primarily or in conjunction with other traditional surgical and medical approaches. Postprocedural concerns unique to endovascular treatment include complications related to access or arterial puncture, contrast nephrotoxicity, and radiation dose complications (eg, alopecia and skin burns). Other complications, such as stroke and hemorrhage, that are not unique are discussed below.


2018 ◽  
Author(s):  
Stanimir Sirakov ◽  
Alexander Sirakov ◽  
Marin Penkov ◽  
Krasimir Minkin ◽  
Hristo Hristov ◽  
...  

2018 ◽  
Author(s):  
Stanimir Sirakov ◽  
Alexander Sirakov ◽  
Marin Penkov ◽  
Krasimir Minkin ◽  
Hristo Hristov ◽  
...  

2007 ◽  
Vol 61 (suppl_5) ◽  
pp. ONSE295-ONSE296
Author(s):  
Guido Guglielmi ◽  
Fernando Vinuela ◽  
Giulio Guidetti ◽  
Mauro Dazzi

Abstract Objective: Peripheral brain aneurysms arise from the distal segments of cerebral arteries. They can be treated by surgery or by an endovascular approach. We present our experience of endovascular treatment of peripheral brain aneurysms with a novel endovascular device, the Guglielmi detachable coil (GDC) “crescent.” Methods: The GDC “crescent” is a 5-mm long, curved coil steerable beyond the tip of a microcatheter and detachable at a distance. The GDC “crescent” was used in three cases of intracranial peripheral aneurysms to occlude their parent vessel. Results: Three peripheral brain aneurysms in three patients were successfully treated with parent vessel occlusion using the prototype GDC “crescent” coils, thereby excluding the aneurysms from the brain circulation. No complications were encountered. Conclusion: From this limited experience, the GDC “crescent” seems particularly suitable for the controlled endovascular occlusion of the often-narrow parent artery of distal brain aneurysms.


2016 ◽  
pp. 551-581
Author(s):  
Luca Quilici ◽  
Edoardo Boccardi

2021 ◽  
Vol 12 ◽  
Author(s):  
José M. Pumar ◽  
Antonio Mosqueira ◽  
Jorge Olier ◽  
Claudio Rodriguez-Fernandez ◽  
Pedro Vega ◽  
...  

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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