dc.contributor.author |
Yildirim, IO |
|
dc.contributor.author |
Kolu, M |
|
dc.contributor.author |
Durak, MA |
|
dc.contributor.author |
Tetik, B |
|
dc.contributor.author |
Pasahan, R |
|
dc.contributor.author |
Gurbuz, S |
|
dc.contributor.author |
Sarac, K |
|
dc.date.accessioned |
2022-10-05T12:51:12Z |
|
dc.date.available |
2022-10-05T12:51:12Z |
|
dc.date.issued |
2021 |
|
dc.identifier.uri |
http://hdl.handle.net/11616/62011 |
|
dc.description.abstract |
Background |
|
dc.description.abstract |
The objective of the present study is to analyze the outcomes of patients with subarachnoid hemorrhage (SAH) in the acute phase after treatment with Y-stent-assisted coiling (YSAC) embolization. |
|
dc.description.abstract |
Methods |
|
dc.description.abstract |
This retrospective study assessed of 30 patients with acutely ruptured wide-neck aneurysms following YSAC treatment between April 2013 and October 2019. The demographic data, aneurysm occlusion grade, procedural and periprocedural complications, and clinical outcomes were assessed. |
|
dc.description.abstract |
Results |
|
dc.description.abstract |
The procedure was completed in 30 cases (90.1%) and technical failure occurred in 3 cases (9.1%). Immediate control angiography revealed that total occlusion Raymond-Ray Class 1 (RR1) was achieved in 21 (70%), neck filling (RR2) in eight (26.6%) and sac filling (RR1) in one (3.3%) aneurysm. Upon angiographic follow-up, RR1 occlusion was observed in 15 (71.4%) patients, RR2 in three (14.3%) patients and RR3 in three (14.3%) patients. In-stent thrombus developed in five (16.6%) patients; procedural ischemic events were observed in four (13.3%) patients; and two (6.6%) patients were symptomatic. A periprocedural asymptomatic intracranial hemorrhage was detected in two patients. At discharge, 17 (56.6%) patients were in good clinical condition, six (20%) were in a severe disability condition, and seven (23.3%) patients had died. At the final follow-up visit (mean: 18.9 months), 16 (76,2%) of 21 patients were in a good clinical condition and five (23.8%) had severe disabilities. |
|
dc.description.abstract |
Conclusions |
|
dc.description.abstract |
Y-stent assisted coiling in might be a feasible and promising option for treatment in acute phase in selected wide-necked ruptured intracranial aneurysms. |
|
dc.description.abstract |
C1 [Yildirim, Ismail Okan; Sarac, Kaya] Inonu Univ, Dept Radiol, Sch Med, Malatya, Turkey. |
|
dc.description.abstract |
[Kolu, Mehmet] Harran Univ, Dept Radiol, Sch Med, Sanliurfa, Turkey. |
|
dc.description.abstract |
[Durak, Mehmet Akif; Tetik, Bora; Pasahan, Ramazan] Inonu Univ, Dept Neurosurg, Sch Med, Malatya, Turkey. |
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dc.description.abstract |
[Gurbuz, Sukru] Inonu Univ, Dept Emergency, Sch Med, Malatya, Turkey. |
|
dc.source |
INTERVENTIONAL NEURORADIOLOGY |
|
dc.title |
Y-stent assisted coiling of ruptured wide neck intracranial aneurysm in |
|
dc.title |
the acute phase |
|