Silk Vista baby for the Treatment of Distal Anterior Cerebral Artery Aneurysms Article Swipe

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Luca Scarcia , Frédéric Clarençon , Adam A. Dmytriw , Eimad Shotar , Fadi Al Saiegh , Marios‐Nikos Psychogios , Peter B. Sporns , Ajit S Puri , Ameer E. Hassan , Oktay Algın , Markus Möhlenbruch , Riccardo Russo , Mauro Bergui , Oded Goren , Nourou Dine Adeniran Bankolé , Grégoire Boulouis , Takeshi Morimoto , Raoul Pop , Joon Ho , Ángel Ferrario , Virginia Pujol Lereis , Jared Cooper , Giancarlo Salsano , Yan-Lin Li , Arturo Consoli , Alessandro Sgreccia , Eytan Raz , Charlotte Chung , Julien Burel , Chrysanthi Papagiannaki , Khawaja Muhammad Baqir Hassan , Tao Hong , Riitta Rautio , Matias Sinislao , Maria Ruggiero , Elvis Lafe , Valerio Da Ros , Luigi Bellini , Joseph Gabrieli , Francesco Causin , Michael R. Levitt , Antonio Armando Caragliano , Sergio Lucio Vinci , Guillaume Bellanger , Christophe Cognard , Gaultier Marnat , Lisa Saleille , Nicola Nimbucci , F. Capasso , Mariangela Piano , Claudia Rollo , Alexis Guédon , Andrea M. Romi , Fortunato Di Caterino , Alessandra Biondi , Firas Farhat , Mykola Vyval , Adrien Guenego , Than Nguyen , Mohamad Abdalkader , Ahmet Günkan , Thibault Agripnidis , Maurizio Fuschi , Vítor Mendes Pereira , Andrea Alexandre , Alessandro Pedicelli ·

YOU? · · 2025 · Open Access · · DOI: https://doi.org/10.21203/rs.3.rs-6613699/v1

Purpose: Treating small-caliber vessel aneurysms with flow diverters presents challenges due to narrow luminal diameters and tortuous vasculature, which make navigation and deployment of conventional devices using standard microcatheters more difficult. The Silk Vista Baby (SVB, Balt, Montmorency, France) flow diverter was developed to treat intracranial aneurysms located in smaller vessels or more distal lesions and is compatible with 0.017″ microcatheters. We present the largest multicenter analysis to date evaluating the outcomes of SVB use in unruptured distal anterior cerebral artery (DACA) aneurysms. Methods: Retrospective data from 20 centers were reviewed for patients with unruptured DACA aneurysms treated with SVB. The following were recorded: demographic information, clinical presentation, radiographic characteristics, procedural complications, and outcomes. Results: Seventy-nine patients (79 DACA aneurysms) were treated between January 2018 and December 2022; 59 were female (74.7%), and the median age was 61 years (IQR 53–67). Most aneurysms were saccular (91.7%), and 61.9% involved a branch. The median parent vessel diameter was 1.9 mm (IQR 1.7–2.1). A single stent was implanted in 97.5% of cases; 2.5% required two stents. The median imaging follow-up was 12 months (IQR 9.5–24). At the last follow-up, 76% of aneurysms showed complete or near-complete occlusion (O’Kelly–Marotta scale C or D). Overall, thromboembolic or hemorrhagic complications occurred in 14% of patients, with only 2 cases being symptomatic; mortality rate was 0%. The retreatment rate was 1.3%. Conclusion: In this multicenter series, the SVB flow diverter emerged as a safe and effective treatment option for unruptured DACA aneurysms.

Related Topics

Anterior Cerebral Artery

Middle Cerebral Artery

Ischemia

Concepts

Medicine Flow diverter Occlusion Aneurysm Radiology Stent Anterior communicating artery Anterior cerebral artery Surgery Middle cerebral artery Cardiology Ischemia

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Type: preprint
Language: en
Landing Page: https://doi.org/10.21203/rs.3.rs-6613699/v1
PDF: https://www.researchsquare.com/article/rs-6613699/latest.pdf
OA Status: gold
References: 19
Related Works: 10
OpenAlex ID: https://openalex.org/W4410370621

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DOI: https://doi.org/10.21203/rs.3.rs-6613699/v1

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Title: Silk Vista baby for the Treatment of Distal Anterior Cerebral Artery Aneurysms

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Type: preprint

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Language: en

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Publication year: 2025

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Publication date: 2025-05-14

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Authors: Luca Scarcia, Frédéric Clarençon, Adam A. Dmytriw, Eimad Shotar, Fadi Al Saiegh, Marios‐Nikos Psychogios, Peter B. Sporns, Ajit S Puri, Ameer E. Hassan, Oktay Algın, Markus Möhlenbruch, Riccardo Russo, Mauro Bergui, Oded Goren, Nourou Dine Adeniran Bankolé, Grégoire Boulouis, Takeshi Morimoto, Raoul Pop, Joon Ho, Ángel Ferrario, Virginia Pujol Lereis, Jared Cooper, Giancarlo Salsano, Yan-Lin Li, Arturo Consoli, Alessandro Sgreccia, Eytan Raz, Charlotte Chung, Julien Burel, Chrysanthi Papagiannaki, Khawaja Muhammad Baqir Hassan, Tao Hong, Riitta Rautio, Matias Sinislao, Maria Ruggiero, Elvis Lafe, Valerio Da Ros, Luigi Bellini, Joseph Gabrieli, Francesco Causin, Michael R. Levitt, Antonio Armando Caragliano, Sergio Lucio Vinci, Guillaume Bellanger, Christophe Cognard, Gaultier Marnat, Lisa Saleille, Nicola Nimbucci, F. Capasso, Mariangela Piano, Claudia Rollo, Alexis Guédon, Andrea M. Romi, Fortunato Di Caterino, Alessandra Biondi, Firas Farhat, Mykola Vyval, Adrien Guenego, Than Nguyen, Mohamad Abdalkader, Ahmet Günkan, Thibault Agripnidis, Maurizio Fuschi, Vítor Mendes Pereira, Andrea Alexandre, Alessandro Pedicelli

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Landing page: https://doi.org/10.21203/rs.3.rs-6613699/v1

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Concepts: Medicine, Flow diverter, Occlusion, Aneurysm, Radiology, Stent, Anterior communicating artery, Anterior cerebral artery, Surgery, Middle cerebral artery, Cardiology, Ischemia

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abstract_inverted_index.cases	214
abstract_inverted_index.scale	197
abstract_inverted_index.stent	164
abstract_inverted_index.treat	45
abstract_inverted_index.using	27
abstract_inverted_index.which	19
abstract_inverted_index.years	139
abstract_inverted_index.(DACA)	82
abstract_inverted_index.artery	81
abstract_inverted_index.cases;	170
abstract_inverted_index.distal	54, 78
abstract_inverted_index.female	131
abstract_inverted_index.median	135, 153, 176
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abstract_inverted_index.narrow	13
abstract_inverted_index.option	242
abstract_inverted_index.parent	154
abstract_inverted_index.showed	191
abstract_inverted_index.single	163
abstract_inverted_index.vessel	4, 155
abstract_inverted_index.France)	39
abstract_inverted_index.January	124
abstract_inverted_index.between	123
abstract_inverted_index.branch.	151
abstract_inverted_index.centers	89
abstract_inverted_index.devices	26
abstract_inverted_index.emerged	235
abstract_inverted_index.imaging	177
abstract_inverted_index.largest	65
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abstract_inverted_index.luminal	14
abstract_inverted_index.present	63
abstract_inverted_index.series,	230
abstract_inverted_index.smaller	50
abstract_inverted_index.stents.	174
abstract_inverted_index.treated	98, 122
abstract_inverted_index.vessels	51
abstract_inverted_index.(74.7%),	132
abstract_inverted_index.(91.7%),	146
abstract_inverted_index.0.017″	60
abstract_inverted_index.December	127
abstract_inverted_index.Overall,	201
abstract_inverted_index.Treating	2
abstract_inverted_index.analysis	67
abstract_inverted_index.anterior	79
abstract_inverted_index.cerebral	80
abstract_inverted_index.clinical	107
abstract_inverted_index.complete	192
abstract_inverted_index.diameter	156
abstract_inverted_index.diverter	41, 234
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abstract_inverted_index.occurred	206
abstract_inverted_index.outcomes	72
abstract_inverted_index.patients	93, 117
abstract_inverted_index.presents	9
abstract_inverted_index.required	172
abstract_inverted_index.reviewed	91
abstract_inverted_index.saccular	145
abstract_inverted_index.standard	28
abstract_inverted_index.tortuous	17
abstract_inverted_index.53–67).	141
abstract_inverted_index.aneurysms	5, 47, 97, 143, 190
abstract_inverted_index.developed	43
abstract_inverted_index.diameters	15
abstract_inverted_index.diverters	8
abstract_inverted_index.effective	240
abstract_inverted_index.follow-up	178
abstract_inverted_index.following	102
abstract_inverted_index.implanted	166
abstract_inverted_index.mortality	217
abstract_inverted_index.occlusion	195
abstract_inverted_index.outcomes.	114
abstract_inverted_index.patients,	210
abstract_inverted_index.recorded:	104
abstract_inverted_index.treatment	241
abstract_inverted_index.9.5–24).	183
abstract_inverted_index.aneurysms)	120
abstract_inverted_index.aneurysms.	83, 246
abstract_inverted_index.challenges	10
abstract_inverted_index.compatible	58
abstract_inverted_index.deployment	23
abstract_inverted_index.difficult.	31
abstract_inverted_index.evaluating	70
abstract_inverted_index.follow-up,	187
abstract_inverted_index.navigation	21
abstract_inverted_index.procedural	111
abstract_inverted_index.unruptured	77, 95, 244
abstract_inverted_index.1.7–2.1).	161
abstract_inverted_index.demographic	105
abstract_inverted_index.hemorrhagic	204
abstract_inverted_index.multicenter	66, 229
abstract_inverted_index.retreatment	222
abstract_inverted_index.Montmorency,	38
abstract_inverted_index.Seventy-nine	116
abstract_inverted_index.conventional	25
abstract_inverted_index.information,	106
abstract_inverted_index.intracranial	46
abstract_inverted_index.radiographic	109
abstract_inverted_index.symptomatic;	216
abstract_inverted_index.vasculature,	18
abstract_inverted_index.Retrospective	85
abstract_inverted_index.complications	205
abstract_inverted_index.near-complete	194
abstract_inverted_index.presentation,	108
abstract_inverted_index.small-caliber	3
abstract_inverted_index.complications,	112
abstract_inverted_index.microcatheters	29
abstract_inverted_index.thromboembolic	202
abstract_inverted_index.microcatheters.	61
abstract_inverted_index.characteristics,	110
abstract_inverted_index.(O’Kelly–Marotta	196
abstract_inverted_index.<bold>Methods:</bold>	84
abstract_inverted_index.<bold>Purpose:</bold>	1
abstract_inverted_index.<bold>Results:</bold>	115
abstract_inverted_index.<title>Abstract</title>	0
abstract_inverted_index.<bold>Conclusion:</bold>	226
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countries_distinct_count	16
institutions_distinct_count	66
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