keyword
https://read.qxmd.com/read/37832636/delayed-foreshortening-and-prolapse-of-silk-vista-baby-into-superior-cerebellar-artery-aneurysm
#1
JOURNAL ARTICLE
Eef J Hendriks, Felipe Guardini, Emily Chung, Jeremy Lynch, Timo Krings
BACKGROUND: Flow diversion (FD) has evolved as a minimally invasive treatment for intracranial aneurysms. The Silk Vista Baby (SVB) can be navigated into small cerebral vessels as it can be deployed through a low profile microcatheter. METHODS: We report on treating a patient in his 70s with an unruptured fusiform right superior cerebellar artery aneurysm using a SVB. RESULTS: Significant foreshortening of the device was noted during the initial procedure, however the position was satisfactory with good apposition and clearance of the aneurysm neck...
October 11, 2023: World Neurosurgery
https://read.qxmd.com/read/37634579/comparison-of-arterial-wall-integration-of-different-flow-diverters-in-rabbits-the-cicaflow-study
#2
JOURNAL ARTICLE
Géraud Forestier, Jonathan Cortese, Sylvia M Bardet, Maxime Baudouin, Kévin Janot, Voahirana Ratsimbazafy, Marie-Laure Perrin, Jérémy Mounier, Claude Couquet, Catherine Yardin, Yan Larragneguy, Flavie Souhaut, Romain Chauvet, Alexis Belgacem, Sonia Brischoux, Julien Magne, Charbel Mounayer, Faraj Terro, Aymeric Rouchaud
BACKGROUND AND PURPOSE: New coated flow diverters (FDs) claim antithrombotic properties and increased arterial wall integration. The aim of this study is to compare in vivo endothelial coverage of coated and uncoated FD in the context of different antiplatelet regimens. METHODS: Different FDs (Silk Vista - SV, Pipeline with Shield technology - PED shield and Surpass Evolve - SE) were implanted in the aorta of rabbits, all 3 in each animal with 3 different antiplatelet regimens: no antiplatelet therapy, aspirin alone, or aspirin and ticagrelor...
August 26, 2023: Journal of Neuroradiology. Journal de Neuroradiologie
https://read.qxmd.com/read/37292391/silk-flow-diverter-stent-for-the-treatment-of-intracranial-aneurysms-associated-with-balloon-angioplasty-a-retrospective-study
#3
JOURNAL ARTICLE
José Alberto Almeida Filho, Dan Zimelewicz Oberman, Diogo Gonçalves Freitas, Rodrigo Azeredo Costa, Thiago Dantas S Brandão, Orlando Teixeira Maia Junior
BACKGROUND: The silk + flow-diverter stent is increasingly used to treat complex intracranial aneurysms including wide-neck and fusiform aneurysms. Balloon angioplasty has been used to better appose the flow diverter (FD) to the vessel wall and, thus, improve aneurysm occlusion rates and decrease periprocedural complications. Sparse data are available concerning the results of this technique. We report our experience with silk + FD associated with balloon angioplasty for the treatment of intracranial aneurysms...
2023: Surgical Neurology International
https://read.qxmd.com/read/37048781/distal-flow-diversion-with-anti-thrombotically-coated-and-bare-metal-low-profile-flow-diverters-a-comparison
#4
JOURNAL ARTICLE
Marie-Sophie Schüngel, Karl-Titus Hoffmann, Erik Weber, Jens Maybaum, Nikolaos Bailis, Maximilian Scheer, Ulf Nestler, Stefan Schob
BACKGROUND AND PURPOSE: The establishment of low-profile flow diverting stents (FDS), for example, the Silk Vista Baby (SVB) and the p48MW, facilitated endovascular treatment of peripheral cerebral aneurysms. This study therefore aims to compare the performance and outcomes of the SVB with those of the p48MW HPC, with a special focus on hemodynamic aspects of peripheral segments and bifurcations. MATERIALS AND METHODS: The study cohort comprises 108 patients, who were either treated with the SVB or the p48MW HPC between June 2018 and April 2021...
April 4, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/36457289/predict-precise-deployment-of-silk-vista-baby-in-confined-territory-a-technical-note
#5
JOURNAL ARTICLE
Kislay Kishore, Vivek Bodani, Richard B Olatunji, Julian Spears, Thomas R Marotta, Vitor Mendes Pereira
Flow diverters (FD) have become increasingly useful in treating complex intracranial aneurysms, particularly wide-necked and recurrent aneurysms. Their use has progressively expanded to smaller vessels beyond the circle of Willis (CoW), and Silk Vista Baby (SVB) is one such low-profile FD which stands out because of deliverability through a 0.017″ microcatheter and smoother navigability. Precise deployment of SVB, specifically, the proximal end, can be challenging in certain anatomical locations when the proximal landing zone is very short, limited by vessel bifurcation or important branches arising from the artery or its geometry...
December 1, 2022: Interventional Neuroradiology
https://read.qxmd.com/read/36447885/failure-of-tandem-flow-diversion-for-intracranial-aneurysms-literature-review-and-illustrative-case
#6
REVIEW
Teeba A Al-Ageely, Mustafa Ismail, Sara A Mohammed, Ali H Al-Delfi, Muhammed S Alshedidi, Mohammed B Al-Jaberi, Muntadher H Almufadhal, Awfa Aktham Abdulateef, Zaid Aljuboori, Hosam Al-Jehani, Samer S Hoz
BACKGROUND: Flow diverters are becoming one of the main endovascular procedures used to treat aneurysms. Flow diverter devices (FDDs) have multiple types approved for endovascular procedure use. Although their indications are not well described, they are usually used for large or giant, wide-necked, and recurrent aneurysms. Multiple FDDs can be deployed to treat giant aneurysms to ensure and accelerate aneurysm occlusion and mitigate complications. We report a case of endovascular treatment of an intracranial aneurysm using three silk FDDs complicated by a delayed migration of the stents along the parent artery, along with a literature review of the related cases...
2022: Surgical Neurology International
https://read.qxmd.com/read/36425264/flow-diversion-of-a-dissecting-pica-aneurysm
#7
JOURNAL ARTICLE
Tyler Lazaro, Viren Vasandani, Ariadna Robledo, Nisha Gadgil, Peter Kan
A 47-year-old female with a history of a ruptured left posterior inferior cerebellar artery (PICA) aneurysm, status post coil embolization and retreatment for recurrence, presented with evidence of a recurrent dissecting PICA aneurysm. Given that these aneurysms are considered high risk and have a greater propensity for rupture than anterior circulation aneurysms, retreatment was recommended. With the patient's strong preference for endovascular therapy, flow diversion with a Silk Vista Baby was performed. Given the low-profile design of the device, a radial artery approach and coaxial technique were used to deploy the flow diverter...
October 2022: Neurosurgical focus: Video
https://read.qxmd.com/read/36038152/successful-treatment-of-ruptured-multiple-fusiform-middle-cerebral-artery-aneurysms-with-silk-vista-baby-flow-diverter-in-a-10-month-old-infant
#8
JOURNAL ARTICLE
Giovanni Barchetti, Loris Di Clemente, Mauro Mazzetto, Mariano Zanusso, Paola Ferrarese, Giuseppe Iannucci
We report the successful treatment of multiple ruptured fusiform middle cerebral artery (MCA) aneurysms in a 10-month-old girl. This previously healthy infant presented with subarachnoid hemorrhage and was found to have multiple irregular dilatations of the superior division branch of the right MCA. Cerebral angiography was performed and confirmed the presence of multiple fusiform aneurysms of the MCA. After discussion with the multidisciplinary team, it was decided to treat the aneurysms with a endovascular approach, using a flow diverter...
August 29, 2022: BMJ Case Reports
https://read.qxmd.com/read/35830269/silk-vista-baby-for-the-treatment-of-complex-posterior-inferior-cerebellar-artery-aneurysms
#9
JOURNAL ARTICLE
Victor H C Benalia, Gustavo M Cortez, Leonardo B C Brasiliense, Robert M Starke, Monika Killer-Oberpfalzer, Demetrius K Lopes, Peter T Kan, Raul G Nogueira, Jeremiah N Johnson, Vitor M Pereira, Craig Kilburg, Susan Khalili, Ricardo A Hanel
BACKGROUND: Treatment of small-caliber vessel lesions using flow diverters remains challenging because of vasculature's narrow luminal diameter and tortuosity. This in turn makes navigation and delivery of conventional devices with standard microcatheters more difficult. The Silk Vista Baby (SVB, Balt) flow diversion device was designed for ease of use in vessels with a smaller diameter, distal lesions, and 0.017 ″ microcatheter delivery systems. OBJECTIVE: To report the outcomes of the SVB device on the treatment of posterior inferior cerebellar artery (PICA) aneurysms...
October 1, 2022: Neurosurgery
https://read.qxmd.com/read/35773522/silk-vista-baby-flow-diverter-stent-for-ruptured-intracranial-aneurysms-a-retrospective-observational-study
#10
JOURNAL ARTICLE
Riccardo Russo, Andrea Boghi, Andrea Giorgianni, Guido Andrea Lazzarotti, Alessio Bozzi, Fabrizio Chegai, Andrea Saletti, Gabriele Gallizioli, Vladimir Gavrilovic, Caterina Michelozzi, Benedetto Petralia, Francesco Lorenzo Gatti, Tommaso Gorgatti, Ivan Gallesio, Concetto Cristaudo, Marco Angelo Politi, Stefano Molinaro, Mauro Bergui
PURPOSE: Flow diversion changed the approach to complex intracranial aneurysms, leading to a widespread use and a rapid technological evolution. Indeed, indications continued to expand, including ruptured intracranial aneurysms in selected cases. Recently, new devices have been designed specifically to target smaller vessels. Therefore, we conducted a multicenter study to evaluate clinical outcome, complications, and occlusion rate of patients with ruptured aneurysms treated with new generation low profile Silk Vista Baby (SVB) flow diverter stent (FD)...
June 30, 2022: Neuroradiology
https://read.qxmd.com/read/35392703/patient-outcomes-after-treatment-of-brain-aneurysm-in-small-diameter-vessels-with-the-silk-vista-baby-flow-diverter-a-systematic-review
#11
JOURNAL ARTICLE
Ricardo A Hanel, Gustavo M Cortez, Victor H C Benalia, Erin Sheffels, Daniel J Sutphin, John M Pederson, Vitor M Pereira
BACKGROUND: The Silk Vista Baby (SVB, BALT) is a first-in-class flow-diverter device delivered using a 0.017" microcatheter, designed for the treatment of intracranial aneurysms, including those in small diameter vessels. This study reports a systematic literature review (SLR) to evaluate the safety and efficacy of using SVB to treat intracranial aneurysms in vessels less than 3.5 mm in diameter. METHODS: We performed a PRISMA-compliant SLR to evaluate the outcomes of SVB in the treatment of aneurysms in small intracranial vessels...
April 7, 2022: Interventional Neuroradiology
https://read.qxmd.com/read/35360966/deployment-of-low-profile-flow-diverter-through-a-double-lumen-balloon-catheter-remo-diversion-technique-to-treat-recurrent-middle-cerebral-artery-bifurcation-aneurysm-a-technical-note
#12
JOURNAL ARTICLE
Paolo Pagano, Pedro Calvão Pires, Laurentiu Paiusan, Sebastien Soize, Pierre François Manceau, Laurent Pierot
Wide neck intracranial aneurysms are often difficult to treat with coiling alone, and sophisticated techniques such as balloon-assisted coiling, stent-assisted coiling, flow-diversion, or intrasaccular flow-disruption are sometimes required.This technical note reports the endovascular treatment of a recurrent middle cerebral bifurcation aneurysm by remodeling technique followed by flow-diverter (Silk Vista Baby) deployment through a remodeling balloon (double lumen balloon Eclipse 2L).
March 31, 2022: Interventional Neuroradiology
https://read.qxmd.com/read/34517469/silk%C3%A2-flow-diverter-device-for-intracranial-aneurysm-treatment-a-systematic-review-and-meta-analysis
#13
JOURNAL ARTICLE
William A Florez, Ezequiel Garcia-Ballestas, Gabriel Alexander Quiñones-Ossa, Tariq Janjua, Subhas Konar, Amit Agrawal, Luis Rafael Moscote-Salazar
Flow diverters have become a critical instrument for complex aneurysms treatment. However, limited data are currently available regarding short and long-term outcomes for the Silk flow diverter. The objective of the study is to determine neurological prognosis and mortality rates for the Silk flow diversion device used in intracranial aneurysms. A systematic review with meta-analysis was performed using databases. The following descriptors were used for the search: "SILK", "Flow Diverter", "Mortality", and "Prognosis"...
September 14, 2021: Neurointervention
https://read.qxmd.com/read/34305807/treatment-of-intracranial-aneurysms-using-the-new-silk-vista-flow-diverter-safety-outcomes-at-short-term-follow-up
#14
JOURNAL ARTICLE
José M Pumar, Antonio Mosqueira, Jorge Olier, Claudio Rodriguez-Fernandez, Pedro Vega, Eva Gonzalez-Diaz
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...
2021: Frontiers in Neurology
https://read.qxmd.com/read/34276549/flow-diversion-for-reconstruction-of-intradural-vertebral-artery-dissecting-aneurysms-causing-subarachnoid-hemorrhage-a-retrospective-study-from-four-neurovascular-centers
#15
JOURNAL ARTICLE
Jens Maybaum, Hans Henkes, Marta Aguilar-Pérez, Victoria Hellstern, Georg Alexander Gihr, Wolfgang Härtig, André Reisberg, Dirk Mucha, Marie-Sophie Schüngel, Richard Brill, Ulf Quäschling, Karl-Titus Hoffmann, Stefan Schob
Objective: Dissecting aneurysms (DAs) of the vertebrobasilar territory manifesting with subarachnoid hemorrhage (SAH) are associated with significant morbi-mortality, especially in the case of re-hemorrhage. Sufficient reconstruction of the affected vessel is paramount, in particular, if a dominant vertebral artery (VA) is impacted. Reconstructive options include stent-assisted coiling and flow diversion (FD). The latter is technically less challenging and does not require catheterization of the fragile aneurysm...
2021: Frontiers in Neurology
https://read.qxmd.com/read/34131050/republished-successful-treatment-of-ruptured-multiple-fusiform-middle-cerebral-artery-aneurysms-with-silk-vista-baby-flow-diverter-in-a-10-months-old-infant
#16
JOURNAL ARTICLE
Giovanni Barchetti, Loris Di Clemente, Mauro Mazzetto, Mariano Zanusso, Paola Ferrarese, Giuseppe Iannucci
We report the successful treatment of multiple ruptured fusiform middle cerebral artery (MCA) aneurysms in a 10-month-old girl. This previously healthy infant presented with subarachnoid haemorrhage and was found to have multiple irregular dilatations of the superior division branch of the right MCA. Cerebral angiography was performed and confirmed the presence of multiple fusiform aneurysms of the MCA. After multidisciplinary team discussion, it was decided to treat the aneurysms with endovascular approach, using a flow-diverter...
September 2021: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/34122317/endovascular-treatment-of-intracranial-aneurysms-in-small-peripheral-vessel-segments-efficacy-and-intermediate-follow-up-results-of-flow-diversion-with-the-silk-vista-baby-low-profile-flow-diverter
#17
JOURNAL ARTICLE
Marie-Sophie Schüngel, Ulf Quäschling, Erik Weber, Manuel Florian Struck, Jens Maybaum, Nikolaos Bailis, Felix Arlt, Cindy Richter, Karl-Titus Hoffmann, Cordula Scherlach, Stefan Schob
Background and Purpose: Low-profile flow diverter stents (FDS) quite recently amended peripheral segments as targets for hemodynamic aneurysm treatment; however, reports on outcomes, especially later than 3 months, are scarce. This study therefore reports our experience with the novel silk vista baby (SVB) FDS and respective outcomes after 8 and 11 months with special respect to specific adverse events. Materials and Methods: Forty-four patients (mean age, 53 years) harboring 47 aneurysms treated with the SVB between June 2018 and December 2019 were included in our study...
2021: Frontiers in Neurology
https://read.qxmd.com/read/34092251/the-implications-of-magnetic-resonance-angiography-artifacts-caused-by-different-types-of-intracranial-flow-diverters
#18
JOURNAL ARTICLE
Batur Halitcan, Sayin Bige, Balci Sinan, Akmangit Ilkay, Daglioglu Ergun, Alagoz Fatih, Arat Anil
BACKGROUND: Serial cerebral angiographic imaging is necessary to ensure cerebral aneurysm occlusion after flow diverter placement. Time-of-flight (TOF)-magnetic resonance angiography (MRA) is used for this purpose due to its lack of radiation, contrast media and complications. The comparative diagnostic yield of TOF-MRA for different flow diverters has not been previously analyzed. PURPOSE: To evaluate the diagnostic accuracy of TOF-MRA in cerebral aneurysms treated w divertersith different flow diverters...
June 7, 2021: Journal of Cardiovascular Magnetic Resonance
https://read.qxmd.com/read/34078155/the-silk-vista-baby-the-uk-experience
#19
JOURNAL ARTICLE
P Bhogal, Hld Makalanda, K Wong, P Keston, J Downer, J C Du Plessis, A Nania, D Simonato, M Fuschi, W Chong, S O'Reilly, I Rennie
BACKGROUND: The Silk Vista Baby (SVB) flow diverter (FDS) is the only FDS deliverable via a 0.017 inch microcatheter and is specifically designed for the distal vasculature. We sought to evaluate the safety and efficacy of the SVB. MATERIALS AND METHODS: We performed a retrospective review to identify SVB cases at 4 tertiary neurosurgical centres within the U.K. Clinical, procedural, angiographic and follow-up data were collected. RESULTS: We identified 60 patients (35 female, 58%) of average age 54 ± 10...
April 2022: Interventional Neuroradiology
https://read.qxmd.com/read/34054714/silk-vista-baby-is-a-safe-and-technically-feasible-flow-diverting-stent-for-distal-aneurysm-treatment
#20
JOURNAL ARTICLE
Vladimir Gavrilovic, Annarita Dapoto, Nicola Marotti, Andrea Pellegrin, Alessandro Pauro, Alessandro Vit, Massimo Sponza
Background and Purpose: Flow diverting stents are designed to divert blood flow from the aneurysm sac, allowing for eventual occlusion following endovascular therapy. This case series reports clinical experience using the Silk Vista Baby (SVB, Balt Extrusion, Montmorency, France), a flow diverter (FD) designed to treat intracranial aneurysms in small, distal vessels. Methods: All patients who underwent treatment with SVB at the University Hospital "Santa Maria della Misericordia" of Udine between July 2018 and September 2020 were retrospectively identified...
2021: Frontiers in Neurology
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