Use of Flow-Diverting Stents in Posterior Circulation Aneurysms
Journal Title: Journal of Eurasian Medical Science - Year 2023, Vol 4, Issue 2
Abstract
Objective: Flow-diverting stents are safely used for treating carotid artery aneurysms. Its use is limited in areas with dense branching, and more limited in posterior circulation arteries that have dense deep feeders. The aim of this study is to investigate the efficacy and safety of flow diverter stents in posterior circulation aneurysms. Material and Methods: A total of 15 patients with subarachnoid hemorrhage and nine patients with incidental posterior circulation artery aneurysms, admitted to the clinic from 2019 to 2022, were included in the study. The procedure was performed on all patients under general anesthesia, with antiplatelet therapy being administered both before and after the procedure. Among these patients, 11 received a combination of flow-diverting stent and coiling, while 13 patients were treated solely with a flow-diverting stent. The Raymond-Roy classification and the modified Rankin Scale (mRS) score were employed to assess the occlusion rate and the outcome scores of the patients, respectively. Results: In this group, 15 patients were discharged with an mRS score of 0, three patients with a score of 2, two patients with a score of 3, and one patient with a score of 4. Of the included patients, three patients died and three patients experienced thromboembolic events. Two patients developed dysphagia, which was resolved after six months. Two patients received second flow-diverting stent, as they had residual filling. Total occlusion was observed in 21 patients (6-18 months of follow-up). Conclusion: Posterior circulation aneurysms are challenging to treat and carry elevated mortality and morbidity rates. Thanks to advancements in stent technology and the availability of new-generation antiplatelet medications, the risk of thromboembolism has been reduced. As a result, the utilization of flow-diverting stents in treating posterior circulation aneurysms has gained widespread acceptance for its safety and effectiveness.
Authors and Affiliations
Zeki BOĞA, Ümit KARA
Keywords
Related Articles
- EP ID EP720206
- DOI 10.5578/jeurmeds.20239803
- Views 38
- Downloads 0
Can the Placement of the Left Ventricular Lead Regarding its Distance From the Ostium of the Middle Cardiac Vein Increase the Rate of Responder Patients to Cardiac Resynchronization Therapy?
Objective: Despite appropriate patient selection criteria and procedural information and technological advances, a high number of patients with cardiac resynchronization therapy (CRT) still remains nonresponsive to treat...
The Effect of Polymerase Chain Reaction Test Positivity and Negativity on COVID-19-Related Symptoms
Objective: It was aimed to evaluate the prevalence of symptoms, chronic diseases, lung CT findings and blood parameters by dividing the patients hospitalized with the diagnosis of COVID-19 in our hospital into two groups...
The Relationship Between Blood Lactate Level and Mortality in Patients Diagnosed with Acute Aortic Dissection in the Emergency Department
Objective: Acute aortic dissection is a time-sensitive and difficult-to-diagnose cardiovascular emergency. The aim of this study was to investigate the relation between blood lactate level and mortality in patients diagn...
Use of Flow-Diverting Stents in Posterior Circulation Aneurysms
Objective: Flow-diverting stents are safely used for treating carotid artery aneurysms. Its use is limited in areas with dense branching, and more limited in posterior circulation arteries that have dense deep feeders. T...
The Effect of Symptoms on Mental Health in COVID-19 Patients
Objective: The aim of this study was to examine the effects of COVID-19 symptoms on patients’ mental health. Material and Methods: In this study, 451 COVID-19 patients treated at Adana City Training and Research Hospit...