Flow diverting stents in the treatment of intracranial aneurysms
https://doi.org/10.17650/1683-3295-2018-20-2-27-34
Abstract
The study objective is 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.
About the Authors
A. O. Sosnov
Federal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia
Russian Federation
132/1 Nemirovicha-Danchenko St., Novosibirsk 630087
Russian Federation
132/1 Nemirovicha-Danchenko St., Novosibirsk 630087
V. S. Kiselev
Federal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia
Russian Federation
132/1 Nemirovicha-Danchenko St., Novosibirsk 630087
Russian Federation
132/1 Nemirovicha-Danchenko St., Novosibirsk 630087
R. R. Gafurov
Federal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia
Russian Federation
132/1 Nemirovicha-Danchenko St., Novosibirsk 630087
Russian Federation
132/1 Nemirovicha-Danchenko St., Novosibirsk 630087
A. М. Perfilev
Federal Neurosurgical Center (Novosibirsk), Ministry of Health of Russia
Russian Federation
132/1 Nemirovicha-Danchenko St., Novosibirsk 630087
Russian Federation
132/1 Nemirovicha-Danchenko St., Novosibirsk 630087
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Review
For citations:
Sosnov A.O., Kiselev V.S., Gafurov R.R., Perfilev A.М. Flow diverting stents in the treatment of intracranial aneurysms. Russian journal of neurosurgery. 2018;20(2):27-34. (In Russ.) https://doi.org/10.17650/1683-3295-2018-20-2-27-34
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