Cover Image

Silk Vista Baby for the treatment of distal anterior cerebral artery aneurysms

Purpose: Treating small-caliber vessel aneurysms with flow diverters poses challenges due to narrow luminal diameters and tortuous vasculature, which complicate the navigation and deployment of conventional devices using standard microcatheters. The Silk Vista Baby (SVB, Balt, Montmorency, France) f...

Full description

Saved in:
Bibliographic Details
Main Authors: Scarcia, Luca (Author) , Clarençon, Frédéric (Author) , Dmytriw, Adam A. (Author) , Shotar, Eimad (Author) , Jabbour, Pascal (Author) , Psychogios, Marios (Author) , Sporns, Peter (Author) , Puri, Ajit S. (Author) , Hassan, Ameer E. (Author) , Algin, Oktay (Author) , Möhlenbruch, Markus Alfred (Author) , Russo, Riccardo (Author) , Bergui, Mauro (Author) , Goren, Oded (Author) , Bankole, Nourou Dine A (Author) , Boulouis, Gregoire (Author) , Morimoto, Takeshi (Author) , Pop, Raoul (Author) , Ho, Joanna WK (Author) , Ferrario, Ángel (Author) , Pujol Lereis, Virginia (Author) , Cooper, Jared (Author) , Salsano, Giancarlo (Author) , Li, Yan-Lin (Author) , Consoli, Arturo (Author) , Sgreccia, Alessandro (Author) , Raz, Eytan (Author) , Chung, Charlotte (Author) , Burel, Julien (Author) , Papagiannaki, Chrysanthi (Author) , Baqir Hassan, Khawaja Muhammad (Author) , Tao, Hong (Author) , Rautio, Riitta (Author) , Sinislao, Matias (Author) , Ruggiero, Maria (Author) , Lafe, Elvis (Author) , Da Ros, Valerio (Author) , Bellini, Luigi (Author) , Gabrieli, Joseph Domenico (Author) , Causin, Francesco (Author) , Levitt, Michael (Author) , Caragliano, Antonio Armando (Author) , Vinci, Sergio Lucio (Author) , Bellanger, Guillaume (Author) , Cognard, Christophe (Author) , Marnat, Gaultier (Author) , Saleille, Lisa (Author) , Limbucci, Nicola (Author) , Capasso, Francesco (Author) , Piano, Mariangela (Author) , Rollo, Claudia (Author) , Guedon, Alexis (Author) , Romi, Andrea (Author) , Di Caterino, Fortunato (Author) , Biondi, Alessandra (Author) , Farhat, Firas (Author) , Vyval, Mykola (Author) , Guenego, Adrien (Author) , Nguyen, Thanh (Author) , Abdalkader, Mohamad (Author) , Gunkan, Ahmet (Author) , Agripnidis, Thibault (Author) , Fuschi, Maurizio (Author) , Pereira, Vitor Mendes (Author) , Alexandre, Andrea M. (Author) , Pedicelli, Alessandro (Author) , Premat, Kevin (Author) , Tjoumakaris, Stavropoula I. (Author) , Gooch, Reid M. (Author) , Ntoulias, Nikos (Author) , Singh, Jasmeet (Author) , Kuhn, Anna Luisa (Author) , Hohenstatt, Sophia (Author) , Kole, Matthew (Author) , Sakakibara, Fumihiro (Author) , Juravle, Ciprian (Author) , Gandhi, Chirag D. (Author) , Castellan, Lucio (Author) , Simonato, Davide (Author) , Chaudhry, Umair Rashid (Author) , Ji, Zhe (Author) , Carroll, Kate (Author) , Abecassis, Zachary (Author) , Arpaia, Francesco (Author) , Hak, Jean Francois (Author) , Bibi, Richard (Author)
Format: Article (Journal)
Language:English
Published: 02 July 2025
In: Neuroradiology
Year: 2025, Volume: 67, Issue: 8, Pages: 2167-2177
ISSN:1432-1920
DOI:10.1007/s00234-025-03678-y
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s00234-025-03678-y
Get full text
Author Notes:Luca Scarcia, Frédéric Clarençon, Adam A. Dmytriw, Eimad Shotar, Pascal Jabbour, Marios Psychogios, Peter Sporns, Ajit S. Puri, Ameer E. Hassan, Oktay Algin, Markus A. Möhlenbruch, Riccardo Russo, Mauro Bergui, Oded Goren, Nourou Dine A Bankole, Gregoire Boulouis, Takeshi Morimoto, Raoul Pop, Joanna WK 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, Hong Tao, Riitta Rautio, Matias Sinislao, Maria Ruggiero, Elvis Lafe, Valerio Da Ros, Luigi Bellini, Joseph Domenico Gabrieli, Francesco Causin, Michael Levitt, Antonio Armando Caragliano, Sergio Lucio Vinci, Guillaume Bellanger, Christophe Cognard, Gaultier Marnat, Lisa Saleille, Nicola Limbucci, Francesco Capasso, Mariangela Piano, Claudia Rollo, Alexis Guedon, Andrea Romi, Fortunato Di Caterino, Alessandra Biondi, Firas Farhat, Mykola Vyval, Adrien Guenego, Thanh Nguyen, Mohamad Abdalkader, Ahmet Gunkan, Thibault Agripnidis, Maurizio Fuschi, Vitor Mendes Pereira, Andrea M. Alexandre, Alessandro Pedicelli, Kevin Premat, Stavropoula I. Tjoumakaris, Reid M. Gooch, Nikos Ntoulias, Jasmeet Singh, Anna Luisa Kuhn, Sophia Hohenstatt, Matthew Kole, Fumihiro Sakakibara, Ciprian Juravle, Chirag D. Gandhi, Lucio Castellan, Davide Simonato, Umair Rashid Chaudhry, Zhe Ji, Kate Carroll, Zachary Abecassis, Francesco Arpaia, Jean Francois Hak, Richard Bibi, on behalf of the CRETA investigators
Description
Summary:Purpose: Treating small-caliber vessel aneurysms with flow diverters poses challenges due to narrow luminal diameters and tortuous vasculature, which complicate the navigation and deployment of conventional devices using standard microcatheters. The Silk Vista Baby (SVB, Balt, Montmorency, France) flow diverter was developed to treat intracranial aneurysms located in smaller vessels or more distal segments 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 the SVB. Demographic information, clinical presentation, radiographic characteristics, complications, and outcomes were recorded. 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 (89.9%), and 65.8% 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 duration 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, Raymond-Roy 1 or 2). Overall, thromboembolic or hemorrhagic complications occurred in 14% of patients, with two cases being symptomatic. The mortality rate was 0%, and the retreatment rate was 1.3%. Conclusion: In this multicenter series, the SVB flow diverter represented a valuable treatment option for distal anterior cerebral artery (DACA) aneurysms.
Item Description:Veröffentlicht: 02. Juli 2025
Gesehen am 31.11.2025
Physical Description:Online Resource
ISSN:1432-1920
DOI:10.1007/s00234-025-03678-y

Similar Items