Y-stent assisted coiling of ruptured wide neck intracranial aneurysm in the acute phase

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dc.authoriddurak, mehmet akif akif/0000-0003-0827-2708
dc.authoridtetik, bora/0000-0001-7696-7785
dc.authoridPAŞAHAN, RAMAZAN/0000-0002-3221-1422
dc.authorwosidYıldırım, İsmail Okan/AFR-8243-2022
dc.authorwosiddurak, mehmet akif akif/ABI-1169-2020
dc.authorwosidSaraç, Kaya/ABI-1091-2020
dc.authorwosidtetik, bora/AAA-8841-2021
dc.authorwosidPAŞAHAN, RAMAZAN/AAB-3576-2021
dc.contributor.authorYildirim, Ismail Okan
dc.contributor.authorKolu, Mehmet
dc.contributor.authorDurak, Mehmet Akif
dc.contributor.authorTetik, Bora
dc.contributor.authorPasahan, Ramazan
dc.contributor.authorGurbuz, Sukru
dc.contributor.authorSarac, Kaya
dc.date.accessioned2024-08-04T20:49:26Z
dc.date.available2024-08-04T20:49:26Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground 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. Methods 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. Results 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. Conclusions Y-stent assisted coiling in might be a feasible and promising option for treatment in acute phase in selected wide-necked ruptured intracranial aneurysms.en_US
dc.identifier.doi10.1177/15910199211005331
dc.identifier.endpage647en_US
dc.identifier.issn1591-0199
dc.identifier.issn2385-2011
dc.identifier.issue5en_US
dc.identifier.pmid33779378en_US
dc.identifier.scopus2-s2.0-85103373336en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage638en_US
dc.identifier.urihttps://doi.org/10.1177/15910199211005331
dc.identifier.urihttps://hdl.handle.net/11616/99860
dc.identifier.volume27en_US
dc.identifier.wosWOS:000635301500001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofInterventional Neuroradiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAneurysmen_US
dc.subjectruptureden_US
dc.subjectstentsen_US
dc.titleY-stent assisted coiling of ruptured wide neck intracranial aneurysm in the acute phaseen_US
dc.typeArticleen_US

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