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The Experience of the Derivo® Embolisation Device in Intracranial Aneurysms.

Authors :
Daglioglu E
Akmangit I
Acik V
Alagoz F
Sayin B
Uckun OM
Belen AD
Arat A
Source :
Turkish neurosurgery [Turk Neurosurg] 2020; Vol. 30 (1), pp. 30-37.
Publication Year :
2020

Abstract

Aim: To investigate the safety and efficacy of Derivo® embolisation device (DED), a new-generation flow diverter designed to treat cerebrovascular aneurysms, and its long-term clinical outcomes.<br />Material and Methods: In total, 146 patients with 182 aneurysms were treated with DED. The mean age of the participants was 51.5 years; among them, 46 (31.5%) presented with acute subarachnoid haemorrhage. The mean aneurysm size was 8.3 mm, and 12 aneurysms were involved the vertebrobasilar system. Ophthalmic aneurysms account for most internal carotid artery (ICA) aneurysms.<br />Results: The Glasgow Coma Scale (GCS) score of 12 patients was < 15. DED was associated with a mortality rate of 2.7% and permanent morbidity rate of 3.4%, and a complete aneurysm occlusion rate was achieved in 78.7% of cases after 7.02 months.<br />Conclusion: The DED device is a new-generation flow diverter with excellent opening behaviour and navigational benefits. Our results indicated a safe aneurysm occlusion with optimum morbidity and mortality values despite the fact that almost one-third of the patients presented with subarachnoid haemorrhage.

Details

Language :
English
ISSN :
2651-5032
Volume :
30
Issue :
1
Database :
MEDLINE
Journal :
Turkish neurosurgery
Publication Type :
Academic Journal
Accession number :
31049921
Full Text :
https://doi.org/10.5137/1019-5149.JTN.25776-19.2