Flow diverting stents in the treatment of intracranial aneurysms

Abstract

The study objectiveis to evaluate the effectiveness of surgical treatment of intracranial aneurysms with the use of flow diverting stents (FDS).Materials and methods.In 2016, in the Federal Neurosurgical Center (Novosibirsk) 64 patients (11 men, 53 women, mean age – 50.1 ± 11.4 years) with intracranial aneurysms were operated on; 69 FDS were implanted. Total number of occluded aneurysms 64.Results.The digital subtraction angiography control after 6 months demonstrated, that the total occlusion rate with was in 71 % cases, subtotal – in 29 %. An excellent and good functional outcome (modified Rankin scale 0–2) was obtained in 60 (93.7 %) patients, poor (modified Rankin scale 3–5) – in 4 (6.3 %). Complications rate were 4.7 %, death rate – 0 %.Conclusion.The implantation of FDSs is an effective method for the treating of cerebral aneurysms, including cases, when using alternative endovascular techniques has a high risk of recanalization, and the microsurgical treatment has an increased operating risk.

Massive subarachnoid hemorrhage after implantation of flow-diverter stent: clinical case and literature review

“…В последнее десятилетие эндоваскулярное лечение крупных и гигантских интракраниальных аневризм становится методом выбора [5,6]. Применение «традиционных» эндоваскулярных технологий -эмболизации спиралями -связано с высоким риском реканализации даже при использовании ассистирующих методов.…”